Deceased Veteran Registry
Last Name as it appears on your Report of Separation (DD-214): First Name: Name of Cemetery or burial place (required): Year or Date of Death: Last duty station:
Middle Name:
Title: Jr
Sr
II
III
IV
Highest rank:
NOTE: Military serial / service numbers converted to Social Security numbers (SSN) in July, 1969. You will be entering the FIRST EIGHT DIGITS ONLY...NUMERALS ONLY... NO LETTERS, NO SPACES, NO DASHES. You will not enter the last digit of the SSN number.
YOUR First and Last name (Do Not Delete 'c/o'):
YOUR Street Address:
City, State:
ZipCode / Postal Code:
Phone (NO SPACES OR DASHES):
To operate this as a free service your application form is initially 'read' by a computer. This computer requires the correct capitalization for names, addresses, units, etc., in order to provide accurate information to a human reader who finalizes your Award Report. Your application form will be rejected if you do not use capital letters when appropriate, or if you use all lowercase or all uppercase letters. Click here to go back to the beginning