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Veterans Wall Engraving Application Form

  1. ABOUT THE VETERANS WALL

    The Veterans Wall, located at Oldsmar's Veterans Memorial Park, is engraved upon once a year. Names of those selected by the Veterans Advisory Board are read aloud during the annual Veterans Day Ceremony, held on November 11. Please complete all portions. Applications must be submitted by mid-September for consideration. A copy of the veterans discharge paper is required. Applicants will receive a letter confirming that the Veterans Advisory Board has accepted this application. For questions regarding this application, please call the City Clerk at 813-749-1115.

  2. VETERAN INFORMATION

    (Name to be engraved)

  3. (See definition below)

  4. Does Veteran currently live in Oldsmar?*

  5. Is Veteran deceased?*

  6. APPLICANT INFORMATION

    (If submitting the application on Veteran's behalf):

  7. CHECK WHICH OF THE BELOW CRITERIA APPLIES TO THIS REQUEST*

  8. A copy of the veterans discharge paper is required. Please UPLOAD the file or call 813-749-1115 for additional options on how to submit this required document.

  9. Resident of The City

    A Resident of the City shall mean a person who has physically resided within the jurisdictional limits of the City of Oldsmar for at least one year before submittal of this application to have his/her name placed on the Veterans Memorial Wall.

  10. Engraving Criteria

    Approved by Oldsmar City Council on February 5, 2013.

  11. Leave This Blank:

  12. This field is not part of the form submission.