Honor Guard Request Form

This form is sent to the Cumberland County Office of Veterans Affairs & Services for review. After reviewing, we will reach out with any additional questions and to confirm availability of the honor guard.

1. Full name of deceased veteran*

2. Branch of military they served in*

3. Date and time of arrival at cemetery*

4. Name and address of cemetery*

5. Location within the cemetery where the service will be conducted*

6. Name and address of funeral home*

7. Name, phone number, and email for point of contact at the funeral home*

8. Point of contact and cell phone number for funeral home representative escorting the remains*

9. Name and contact info of next of kin*

10. Which of the following are needed? (Check all that apply)*

Rifle Volly Bugler

Flag Presentation

11. Type of service?*

Cremation Memorial Service at Site

Burial at Cemetery

For help with this form or any questions you may have, please contact us at 717.240.6178 or by email at veterans@cumberlandcountypa.gov.