State of Delaware - Delaware Veterans Affairs

Department of State >>Commission of Veterans Affairs>>Veterans Memorial Cemeteries

Application for Burial

Veteran's Information

* = Required Field


Title	*First Name	MI.	*Last Name	Suffix

*Address(1):
Address(2):
*City: *State: *Zip: *County:
Home Phone: (xxx-xxx-xxxx) Work Phone: (xxx-xxx-xxxx)
*Date of Birth: / / (mm/dd/yyyy) *Gender:
Race: Other Race:
Email Address:
Year of Del. Residency: (yyyy) Branch of Service:*
Date Entered Service: / / (mm/dd/yyyy) Date Separated:* / / (mm/dd/yyyy)
Service Number: Type of Discharge:
Social Security Number: Highest Rank:*
*Preference of Burial Location: New Castle Cemetery Sussex Cemetery


Spouse Information

*Does the spouse wish to be buried in the same site as the veteran? Yes No N/A
Title	First Name	MI.	Last Name	Suffix

Date of Birth: / / (mm/dd/yyyy) Social Security Number:
Remarks:" (Maximum of 400 characters) characters left


Please submit this application using the below "Submit" button and then also you must send a copy of your Discharge, Separation (DD-214) to the cemetery of burial choice: (Do not send the original)

Delaware Veterans Memorial Cemetery 2465 Chesapeake City Road Bear, DE 19701 Phone: (302) 834-8046 Fax: (302) 834-3787 Email DVMC Bear: DOS_DCVA_DVMCBear@delaware.gov		Delaware Veterans Memorial Cemetery 26669 Patriots Way Millsboro, DE 19966 Phone: (302) 934-5653 Fax: (302) 934-5647 Email Gregory Bee: gregory.bee@state.de.us

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