1.
Residency:
Name being submitted a Delhi Township, Ohio resident for 12 consecutive months.
YES
NO
If yes, in box below the approximate date and location of residency.
2.
Military Qualifications:
The name being submitted must have been honorably discharged or
currently serving honorably on active duty under at least one of the following qualification
rquirements.
A. Served on active duty for at least 12 consecutive months:
YES
NO
B. Served on active duty in a combat zone for at least 30 days:
NO
YES
C. Served on active duty in a combat zone for less than 30 days,
provided that action ended within that 30 day period:
YES
NO
D. Killed in Action:
NO
YES
A person who served in the Reserved or National Guard must meet at least one of the above criteria.
Exceptions:
Notwithstanding the above Military Qualifications, the DTVA Board of Trustees reserves
the right to accept other special and/or unusual circumstances that may have occurred to the names
being submitted while serving on active duty.
No
Is there an exception to the qualifications for this name?
YES
3.
WAR or CONFLICT:
Check all that apply-REQUIRED
WWII
Afghanistan
American Revolution
Korea
War of 1812
Iraq
Vietnam
Civil War
Other-list below
Cold War 1945-1991
Spanish American
Other-Describe
Gulf War/Desert Storm
WWI
4.
Veteran Name
to be Submitted
Military Branch
5.
Military Branch(es)
6.
Contact Information:
Required. All information is kept confidential and is not sold. This
information will be used for any questions that arise about the information provided and to
inform you when the name will be engraved and dedicated. Your email saves us postage.
Ohio
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersy
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Virgin Islands
Puerto Rico
Northern Mariana Is
American Samoa
7.
Proof:
Before sending this application: Did you
send a copy of your DD214 or discharge papers?
YES-REQUIRED
Did you send the proof via email or postal?
Postal
Email
Must be received within 72 hours of submitting application
8. Would you like to become a member of the Delhi Township Veterans Association?
Yes
Click here,
if yes
No
9. Mail Copies of Discharge and DD214 papers to:
Delhi Township Veterans Association
PO Box 389202
Cincinnati, OH 45238-9202
To Email Copies of Discharge and DD214 papers
admin@delhiveteran.com
dtvasecretary@yahoo.com
By submitting this application you agree that the name being submitted
meets the above qualifications. The Delhi Township Veterans Association
reserves the right to disqualify the name being submitted based on the
information provided; and the applicant assumes financial responsibility for
incorrect or false information.
CONFIDENTIALITY: ALL PRIVATE INFORMATION OBTAINED BY THIS
WEBSITE IS KEPT CONFIDENTIAL UNLESS GIVEN PERMISSION BY OWNER
OF THE INFORMATION OR BY COURT ORDER EXCEPT VETERAN NAME,
MILITARY BRANCH AND WAR ERA WHICH WILL BE PUBLICLY DISPLAYED.
Please do not print this form to mail. To submit a name by postal mail
click here
Wall of Honor Application
Back to
Directory
FILL OUT COMPLETELY
QUALIFICATIONS- Questions 1 and parts of Question 2 must be answered "Yes" to qualify to be
approved.
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