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Get TX Military Funeral Honors Request Form

MILITARY FUNERAL HONORS FORT HOOD TX REQUEST FORM Time Date /Time of Request Date of Form 08 FEB 2013 Fort Hood Funeral Honors Area Rep Edward B. McCray Jr. Phone 254 287-7200/6968 Fax 254 288-5620 Air Force Honors Dyes AFB Honor Guard Phone 325 696-5532 DFW National Cemetery Phone 325 696-1597 Fax 325 696-5707 REQUESTS MUST BE RECEIVED NLT 48 or 72 HRS PRIOR TO SERVICE DATE IAW SOP location tfda*com dtd April 2013 FUNERAL INFO Date/Time Honors desired URN CASKET Name of Deceased Last First Middle Rate/Rank SSN Date of Death Date Of Birth OTHER I. e. memorial Svc Br. of Service Status Yrs in Svc Eligibility Verified YES DD214 Rec d LOCATION OF FUNERAL OR SERVICE CEMETERY CHAPEL FUNERAL HOME OTHER Specify in remarks Phone Place Address City/State/Zip Code NEXT OF KIN INFORMATION Person to received flag Relationship to Deceased POC MORTUARY/ FUNERAL HOME INFORMATION Name Verified mortuary has flag YES CHAPLAIN INFORMATION For Retired Decedents Only Chaplain Desired Chaplain assigned Yes No Protestant Catholic Other Specify other Time / Date assigned Chapel Service NO Spoke to FUNERAL DETAIL INFORMATION For Funeral Honors Office Use Only Command Faxed Time/date REMARKS Given to Full Detail Flag Presentation Time/Date Live Bugler Tape / CD. McCray Jr. Phone 254 287-7200/6968 Fax 254 288-5620 Air Force Honors Dyes AFB Honor Guard Phone 325 696-5532 DFW National Cemetery Phone 325 696-1597 Fax 325 696-5707 REQUESTS MUST BE RECEIVED NLT 48 or 72 HRS PRIOR TO SERVICE DATE IAW SOP location tfda*com dtd April 2013 FUNERAL INFO Date/Time Honors desired URN CASKET Name of Deceased Last First Middle Rate/Rank SSN Date of Death Date Of Birth OTHER I. e. memorial Svc Br. of Service Status Yrs in Svc Eligibility Verified YES DD214 Rec d LOCATION OF FUNERAL OR SERVICE CEMETERY CHAPEL FUNERAL HOME OTHER Specify in remarks Phone Place Address City/State/Zip Code NEXT OF KIN INFORMATION Person to received flag Relationship to Deceased POC MORTUARY/ FUNERAL HOME INFORMATION Name Verified mortuary has flag YES CHAPLAIN INFORMATION For Retired Decedents Only Chaplain Desired Chaplain assigned Yes No Protestant Catholic Other Specify other Time / Date assigned Chapel Service NO Spoke to FUNERAL DETAIL INFORMATION For Funeral Honors Office Use Only Command Faxed Time/date REMARKS Given to Full Detail Flag Presentation Time/Date Live Bugler Tape / CD. .

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