APPLICATION FOR RENSSELAER COUNTY HONOR-A-DECEASED VETERAN
Please elaborate on all information concerning the Veteran so that we may have a full biography for our pamphlet and ceremony.
Please complete all fields on application, please DO NOT write “See Obit”. All fields are required, use "N/A" if needed.
Submitted applications must be accompanied by a copy of Veteran’s Report of Separation/DD-214 or Report of Casualty and a copy of Veteran’s obituary.
For questions, please call the Rensselaer County Veterans Service Agency (518)270-2760.
VETERAN INFORMATION (please complete all fields)
This field is not part of the form submission.
* indicates a required field