Response

Maine Bureau of Veterans' Services

Maine Veterans' Memorial Cemetery System Eligibility Application

Veterans Personal Information

Prefix

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Phone

Date of Birth

Date of Death (if applicable)

SSN

Branch

EOD

RAD

Service Number (if applicable)

Military Component

Spouse or Qualifying Dependent Personal Information

Prefix

First Name

Last Name

Date of Birth

SSN

Phone

Additional Contact, Next of Kin or Power of Attorney

Prefix

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Phone

I certify, to the best of my knowledge, that all of the information entered on this application as well as the supporting documentation is true and correct. I also certify to the best of my knowledge that the applicant has never committed a capital crime and/or what never convicted of a sexual crime for which they were sentenced to a minimum of life imprisonment.

Where would you like the certificate of eligibility mailed to?

All eligible Veterans, National Guard, and Reservists can be interred at one of the Maine Veteran Cemeteries at no cost.
*Proof of Maine State residency of five years is required for no cost eligibility for National Guard and Reservists.

DD 214

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National Guard and Reservists qualifying documents

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