Soldier Search Order Form

Please provide the following information, if known. The * indicates this information is required to process your order.

Veteran's Identification
Veteran's Name * First Last
Veteran's Middle Name
Year of Birth (YYYY)
Year of Death (YYYY)
Place of Birth
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Place of Death
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
If Veteran lived in a Home For Soldiers, give location (at least City and State)
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Please provide any additional information (e.g., alternate spellings of the Veteran's name) or comments here:
Service Description - General
Branch of Service in Which he Served
Rank
Kind of Service
Affiliation *
State from Which he Served *
Record Selection
Type of Record Requested * Compiled Military Service Record $30 Unit Record $35 Pension Record $45 Extended Search Package $150 Soldier Name Search $25
Pension Files can be quite large. There will be a charge of $.15 per page over 20 pages. If you prefer, you can limit your order to the first 20 pages. Please indicate here No Yes
Shipping Information
Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Fax - (###) - ### ####
Email *