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Page 1 of 2 Veterans Memorial Application for Burial Flag Flying In August 2012, the City of Anaheim in conjunction with veterans-based organizations and Anaheim veterans established the Veterans Working Group. The Anaheim Veterans Working Group explores additional opportunities to provide assistance and well-deserved recognition to Anaheim veterans and active military personnel. The Group consists of veterans, active community members and veteran-based organizations including The American Legion and Veterans of Foreign Wars (VFW). For more information on the Group and veteran resources please visit anaheim.net/veterans INSTRUCTIONS: Please complete the application and return to American Legion or email to [EMAIL REDACTED] The American Legion – Anaheim Post 72 936 N. Lemon St. Anaheim, CA 92805 For assistance and more information please call (714) 635-7960. A. Applicant’s Information 1. Name Last First Middle 2. Address Number Street Apt./Space/Ste. City State ZIP Code 3. Telephone Primary Number Alternate Number 4. Email Primary Address Alternate Address 5. Relationship to Honoree B. Honoree’s Information 6. Name Last First Middle 7. Date of Birth /Death (Age) ~ Month Day Year Month Day Year 8. Branch of Service Army Marine Corps Navy Air Force Coast Guard Other ---PAGE BREAK--- Page 2 of 2 9. Rank / Unit 10. Period(s) of Military Duty ~ Month Day Year Month Day Year ~ Month Day Year Month Day Year 11. War Service World War II Korea Vietnam Persian Gulf Other 12. Award / Medal(s) 13. Remarks C. Attachment(s) 14. Item(s) Description Description D. Burial Flag Flying Protocol Burial Flags are flown at the Veterans Memorial located at 241 S. Anaheim Blvd. A burial flag shall be flown for a period of two weeks at which time the flag will be retired by the American Legion with dignity and respect. Once the burial flag is lowered, a flag will be raised and flown in honor of all veterans. The applicant will be notified of the time and date when a volunteer honor guard will raise and lower the flag for retirement. Upon request the flag is returned to the applicant, if you would like the flag retired, the flag will be retired accordingly and not returned to the family. 15. Flag Request Yes, please return the flag. No, please retire the flag. E. Signature Printed Name Signature Date SIGN