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2. Veterans Memorial Etching Application
6. First Name
7. Last Name
9. Was the individual killed or missing in action?

   1. Yes

   1. No
10. Is Hemet the individual's Hometown of Record?

    1. Yes

    1. No
12. Did they serve in a war zone/conflict?

    1. Yes

    1. No
13. Was their death from a Pact Act illness?

    1. Yes
    2. No

    1. Not Sure
15. Branch
16. Rank
18. War/Conflict
19. Type of Discharge
21. Supplemental Information (i.e. special honors, awards, involvement in the community):
25. Applicant Information
27. First Name
28. Last Name
30. Email Address
32. Address1
34. Address2
36. City
37. State
38. Zip
40. Notice

    Applications will go through a City Council selection process and a selected few may be etched twice a year. If your Veteran’s name is not selected you will receive an email notice. There is no cost to the applicant for the etching service. 

    Donations and/or sponsorships are accepted. Donors will be advertised in Memorial/Veterans Day event programs. Questions? Contact admin@hemetca.gov or (951) 765-2301. 

42. Upload First Form of Military Service*
43. Upload a Second Form of Military Service*
45. Upload One form of Proof of Residency*

    This can be a bill/financial statement, rental/lease agreement, employment documents, utility bill, etc.

    
    
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field