REQUEST FOR UNITED STATES FLAG(S) TO BE
FLOWN OVER THE PENTAGON
(Walk-in Only)
1.)
Current Date: ___________________________________
2.)
Name of person the flag will be flown for:
_______________________________________________
_______________________________________________
3.)
The occasion the flag will be flown for, if any (ex., retirement, anniversary,
birthday, etc.)
________________________________________________________________
________________________________________________________________
4.)
Specific date requested for the flag to be flown on: ______________________
(If no date is specified, the flag will be flown 10 business days from date of
receipt.)
5.)
The point of contact name, phone number and/or email address:
______________________________________________________________
______________________________________________________________
______________________________________________________________
6.)
Submitted by: __________________________________________________
(Please print your name)
Flag(s) will be held no longer than 30 days from the date of receipt.
PFPA Form 55, 29 Sep 05
PREVIOUS EDITION IS OBSOLETE