Requests For Military Honors Form

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REQUESTS FOR MILITARY HO ORS
1. First, it is important to obtain as much personal information as you can about the requestor
and the veteran being honored.
Requestor or Organization Name: _______________________________________________________
Requestor Address:
_____________________________________ City: ____________________
Requestor Phone #:
____________________ ( ) H ( ) C
eMail: _________________________
Veteran’s Name:
______________________________________
Branch of Service: ( ) ARMY ( ) USMC ( ) USN ( ) USAF ( ) USCG ( ) Army Air Corps
( ) Seabee ( ) National Guard ( ) Reserve Unit ( ) Other: __________________
Veteran’s Rank (If known): ______________
Veteran’s Period of Service: ( ) WWII ( ) Korea ( ) Cold War ( ) Viet Nam ( ) Gulf
( ) Afghanistan ( ) Iraq
Veteran’s Affiliations:
( ) American Legion * ( ) VFW ( ) AMVETS ( ) PVA
( ) Viet Nam Veterans ( ) Marine Corp League ( ) Other ____________
Veteran’s Service Record:
( ) Yes? ( ) No?
Required for flag procurement and National Cemetery
Interments (Copy of DD-214, NGB22, or similar - see page 2)
2.
ext, it is important to obtain the type of honor ceremony requested.
Date/Time of Wake or public viewing: ___________/______ Location: ___________________________
Silent Watch requested: ( ) Yes ( ) No
Date/Time of Burial: _______/______ Location: ______________________ Officiating: _____________
( ) Full military burial honors, including flag presentation, rifle volley, and bugler
( ) Active duty military support for burial honors including: ( ) Firing Team ( ) Bugler
( ) Memorial Service including: ( ) Flag Presentation ( ) Rifle Team ( ) TAPS ( ) Medal presentation
3. Finally, it is important to obtain who will be coordinating the funeral service.
Lynch and Sons: ( ) Milford ( ) Walled Lake
Coordinator: ___________ Phone: ______________
Elton Black:
Coordinator: ___________ Phone: ______________
Other Funeral Home: _____________________
Coordinator: ___________ Phone: ______________
Private or Other Organization: ______________ Coordinator: ___________
Phone: ______________

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