DECEASED MEMBER FORM

  • Please complete and submit for members who died JULY 1, 2019 – JUNE 30, 2021.

    This list must be submitted by August 30, 2021 to be included in the VSFA Conference Memorial Services. Names received after that date will be included the following year. PLEASE INCLUDE A PICTURE AND COMPLETE ALL INFORMATION BELOW FOR PROPER RECOGNITION.

  • NameDOBDate of DeathYears of Vol. Service 
    Click the + symbol to add additional lines.
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    Accepted file types: jpg, jpeg, png, pdf, tif, tiff.