VA Headstone/Marker Application

Who & Where

Veteran Info

Service & Eligibility

Marker & Inscription

Delivery & Signatures

Step 1: Who & Where

About this step: We'll establish your authority as the applicant, identify the cemetery, and determine the request type.

Type of Request

Initial Request - First headstone or marker for this Veteran

Replacement - Replacing an existing headstone or marker

If replacement, you'll provide the reason in Step 5 (Remarks)

Who are you?

Remains Not Buried (Memorial Request)
Check if this is a memorial marker (remains were not buried)

Cemetery Type

VA National Cemetery

VA State Cemetery

Private/Family Cemetery

Step 2: Who is the Veteran

About this step: Provide the Veteran's identity and key dates to verify eligibility.

First Name

Middle Name

Last Name

Suffix

Important: Use the legal name only. Nicknames and titles should not be entered here.

Veteran Identifier Provide at least one of the following

Social Security Number

Service Number

Place of Birth - Optional but recommended

Date of Birth

Date of Death

Is the grave currently marked?

Yes

Step 4: Marker & Inscription

About this step: Select the marker type and customize the inscription. We'll show you a live preview with character limits.

Marker Type

Section and Grave Number

Section

Grave Number

Required for State Veterans and National Cemeteries

Emblem of Belief Select from authorized emblems or request review for unlisted emblems

Additional Inscription - Optional

0 lines used 0 characters

Character Rules: Only letters (A-Z) and numbers (0-9) are allowed. No punctuation or special characters. Terms must be in English or use the Latin alphabet.

Spousal Inscription (Optional)

Presidential Memorial Certificate Free certificates honoring the Veteran's service

Inscription Preview

IN MEMORY OF

VETERAN NAME

U.S. ARMY

1950 - 2023

This preview shows how your inscription will appear on the marker

Step 5: Delivery, Signatures & Finish

About this step: Provide delivery and contact information, then finalize with required signatures.

Applicant Information

First Name

Last Name

Street Address

City

State

ZIP Code

Phone Number

Email Address

Consignee for Delivery

Delivery Information: The consignee must be available to receive, inspect, and unload the headstone/marker upon delivery. P.O. Boxes are not allowed.

Business/Organization Name

Street Address

City

State

ZIP Code

Phone Number

Representative Name (person receiving)

Cemetery Official Certification

The cemetery official certifies that the marker type and placement comply with cemetery policies.

Cemetery Official Name (or Property Owner) If no official is on duty, provide the responsible property owner

Cemetery Phone Number

Cemetery Address Full street address of the cemetery

Remarks Include replacement reason if this is a replacement request, or any special delivery instructions

Required Signatures

Important: By signing, you certify that the information provided is accurate and that you understand the eligibility requirements.

Applicant Signature

I certify that:
• The headstone/marker will be placed at the cemetery listed in this application
• To the best of my knowledge, the Veteran has no disqualifying convictions (life imprisonment, 99+ years, or sexual offenses)
• All information provided is true and accurate

Type Your Full Name to Sign

Date:

Consignee Signature

The consignee acknowledges responsibility for receiving, inspecting, and unloading the headstone/marker.

Consignee Representative - Type Full Name to Sign

Date:

Cemetery Official Signature

The cemetery official certifies that the marker type and placement comply with cemetery policies.

Cemetery Official - Type Full Name to Sign

Date:

Application Summary

Ready to Submit: Please review all information before submitting. You can go back to any step to make changes.

Application Summary

Request Type: -

Veteran: -

Cemetery: -

Marker Type: -

Signatures Required

✓ Applicant Signature (You)
✓ Consignee Signature (Delivery Contact)
✓ Cemetery Official Signature

Apply for a 40-1330 Headstone or Marker—without the paperwork headache

Preparation service for Standard Headstone or Marker

Step 1: Who & Where

Step 2: Who is the Veteran

Step 3: Service & Eligibility

Step 4: Marker & Inscription

Step 5: Delivery, Signatures & Finish

Applicant Information

Consignee for Delivery

Cemetery Official Certification

Required Signatures

Application Summary

Application Summary

Signatures Required