Presidential Memorial Certificate Request Form
The Presidential Memorial Certificate Request Form allows eligible individuals to request certificates for veterans. It's essential for families and friends of deceased veterans to honor their service. This form ensures that the requests are processed efficiently by the VA.
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How do I fill this out?
To fill out the Presidential Memorial Certificate Request Form, first gather all required documents. Ensure you provide accurate information for the veteran and the requester to avoid delays. After completing the form, follow the submission instructions provided.

How to fill out the Presidential Memorial Certificate Request Form?
1
Gather necessary military discharge documents.
2
Fill in the veteran's name and details accurately.
3
Complete the requester's information including address.
4
Check all entries for accuracy before submitting.
5
Submit the form electronically or via mail.
Who needs the Presidential Memorial Certificate Request Form?
1
Families of deceased veterans to honor them with a certificate.
2
Next of kin seeking recognition of a veteran's service.
3
Friends wanting to commemorate the service of a departed veteran.
4
Veterans' spouses applying for memorial certificates.
5
Caregivers or representatives of veterans who require documentation.
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Select the fields you wish to edit and enter the correct information.
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What are the instructions for submitting this form?
Submit the completed Presidential Memorial Certificate Request Form electronically through our Quick Submit option at access.va.gov. You may also mail your application to the NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547. For fax submission, send your documents to 1 (800) 455-7143. Be sure to include all necessary supporting documents and names clearly to avoid delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the Presidential Memorial Certificate request process are key for timely submissions. Ensure you submit your forms before any deadlines, especially around Memorial Day and Veterans Day in 2024 and 2025. Mark August 31, 2026, as the expiration date to ensure compliance.

What is the purpose of this form?
The purpose of the Presidential Memorial Certificate Request Form is to facilitate the honoring of deceased veterans by providing families and friends with the ability to obtain certificates. This certificate serves as a lasting tribute to the service and sacrifice made by veterans for their country. It is a vital form for recognizing the legacy of service members and ensuring that their contributions are acknowledged.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Veteran: First, Middle, and Last name of the veteran.
- 2. Veteran SSN or Service Number: Required identification number for the veteran.
- 3. Race or Ethnicity: Statistical information regarding the veteran's identity.
- 4. Sex: Information regarding the veteran's gender.
- 5. Date of Birth: The birth date of the veteran.
- 6. Date of Death: The date when the veteran passed away.
- 7. Requestor Name: Full name of the person requesting the certificate.
- 8. Mailing Address: Complete mailing address of the requestor.
- 9. Telephone Number: Contact number for the requestor.
- 10. Email Address: Email for correspondence regarding the request.
- 11. Type of Request: Indicates if this is an initial request, replacement, or additional request.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or denial of the certificate request. It's crucial to ensure that all required information and documentation are provided. Incomplete forms can prolong the approval process and hinder the honoring of the veteran's service.
- Delays in Processing: Incomplete submissions may lead to longer wait times for receiving the certificate.
- Denial of Request: Missing information can cause the VA to deny the request for the certificate.
- Inaccurate Information: Errors in the form can lead to issues in verifying the veteran's service.
How do I know when to use this form?

- 1. Honoring Deceased Veterans: To request a certificate that honors the service of a veteran who has passed away.
- 2. Family Commemoration: Used by families to obtain documentation for memorial services.
- 3. Replacement of Certificates: To request a new certificate if the original is lost or damaged.
Frequently Asked Questions
How do I request a certificate?
You can request a certificate by filling out the Presidential Memorial Certificate Request Form and submitting it as per the instructions.
What documents do I need to attach?
You need to attach copies of military discharge documents like the DD Form 214.
Can I edit the form?
Yes, you can easily edit the form using our PDF editor before submitting your request.
How do I submit the form?
Submit the form electronically, by mail, or by fax following the provided submission instructions.
Is there a cost to obtain the certificate?
No, there is no cost associated with requesting the Presidential Memorial Certificate.
What if I make a mistake on the form?
You can edit your entries before finalizing and submitting the form.
How long does it take to receive the certificate?
Processing times may vary, but you should allow several weeks for delivery.
Can I request multiple certificates?
Yes, you can request multiple certificates by completing a new request for each.
Who qualifies for the certificate?
The certificate can be requested by next of kin, relatives, or friends of the deceased veteran.
How can I contact the VA for more information?
You can contact the VA directly using the contact information provided in the form's instructions.