Right Of First Refusal Verification Form

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North Carolina National Guard
Military Funeral Honors
Right of First Refusal Verification Form
Name of Service Member:
Military / Parent Component: (Please Check One)
AIR FORCE
COAST GUARD
MARINE
NAVY
Funeral Home:
Phone:
Point of Contact:
Alternate Phone:
(Funeral Director)
Branch of Service Requested: (Please Check One and Write in Contact’s Name)
Air Force:
Seymour Johnson AFB Honors- (919) 722-7020
Name of Person You Spoke With:
Shaw AFB Funeral Honors-
(803) 895-6004
Name of Person You Spoke With:
Coast Guard:
Coast Guard Funeral Honors-
(757) 686-4032
Name of Person You Spoke With:
Marines:
Marine Corp Quantico Honors- (703) 432-9524
Name of Person You Spoke With:
Navy:
Navy Mid-Atlantic Honors-
(757) 322-2818
Name of Person You Spoke With:
Date Contact Made With Above Branch:
Time Contact Made With Above Branch:
Reason for Requesting National Guard to Support Service: (Please Check One)
Contact Attempted but with No Answer
Contact Made but No Call Back or Confirmation from Parent Branch
Contact Made but due to limited time / personnel, Parent Branch could not Support
Contact Made but Documentation provided was Inadequate for Parent Branch
Contact Made, and Requesting National Guard to Support Service with Full Military Honors / Live Bugler
Comments: ___________________________________________________________________________
FAX Form to 704-972-6227
Along With DD214 or Honorable Discharge Documentation
And National Guard Military Funeral Honors Request Form

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