Riverview Executive Park 1100 E Main Cross St. STE 123
Main Office: 419-424-7036 TRANSPORTATION: 419-424-7408
Mon - Fri 8:30-4:30 Every other Tues: 8:30-3:00
Veterans Crisis Line

Memorial Application

Hancock County War & Veterans Memorials Application

Name as you wish to appear on memorial

Veterans Qualifying Information

Current address or final resting place
How is veteran connected to Hancock County?
Lived here: State years and address
Graduated from school here: State school & year

Military Information

Required Documentation

Each application must be submitted with a copy of the veterans DD214.
Please not that any Serial or Social Security Number may be deleted before sending, if you desire.

Contact Information for Person Submitting Application, if not Veteran named above.

By submitting this form, I certify that I have permission of the above named Veteran or Veterans family, if deceased, to submit this application for inscription.