Home Page - vetFuneralPortal

Name and Phone of Individual Reporting Death of Veteran *

Name of Funeral Home Reporting*

AJ Holly & Sons

Beil-Didier Funeral Home

Cline Hanson Funeral Home (New London)

Cline Hanson Dahlke Funeral Home (Manawa)

Cline Hanson Dahlke Funeral Home (Weyauwega)

Eberhardt Stevenson Funeral Home (Clintonville)

Eberhardt Stevenson Funeral Home (Marion)

Lewin Funeral Home

Maple Crest Funeral Home

Voie Funeral Home

Other

Would you like a copy of the DD214/Discharge Paperwork?*

Yes

Would you like us to send you a flag application?*

Yes

Is the Next of Kin Interested in a Government Marker?*

Yes

Veteran's Name (First MI Last)*

Veteran's Residence?*

Veteran's Date of Birth (mm/dd/yyyy)?*

Veteran's Social Security Number (xxx-xx-xxxx)*

Veteran's Place of Birth?*

Veteran's Date of Death (mm/dd/yyyy)?*

Veteran's Place of Death?*

Veteran's Date of Burial (mm/dd/yyyy)?

Veteran's Place of Burial (Name of Cemetery and City/Town Located - Include Plot Location (if possible)*

Name and Relationship of Next of Kin:*

Next of Kin Address and Phone Number?*

You can upload the DD214/Discharge Paperwork Here

Additional Comments: