Order Online Form

If the requested information is not provided, it may delay servicing your inquiry because the facility that is servicing the service member’s record may not have all of the information needed to locate it. Your privacy and personal information is a number one priority at Angels Research. If you suspect your records may have been burned in the fire of 1973 you may be asked to provide additional information. If you have any questions regarding the necessary content of the required forms, please contact an Angel Advisor directly and we are delighted to assist you!

SECTION I - INFORMATION NEEDED TO LOCATE RECORDS (Furnish as much as possible.)

Fields marked with * are required to submit the form

1. NAME USED DURING SERVICE (last, first and middle)*

First name
Middle name
Last name

2. SOCIAL SECURITY NO.*

3. DATE OF BIRTH (MM/DD/YYYY)*

4. PLACE OF BIRTH

  DATES OF SERVICE (Please Estimate) CHECK ONE
BRANCH OF SERVICE DATE ENTERED DATE RELEASED OFFICER ENLISTED SERVICE NUMBER
(Pre 1970 Only)
(if unknown, write “unknown”)
a. ACTIVE SERVICE    
   
b. RESERVE SERVICE    
   
c. ARMY/AIR
NATIONAL GUARD
   
   


5. IS THIS PERSON DECEASED? Yes No - MUST provide Date of Death if veteran is deceased:

6. DID THIS PERSON RETIRE FROM MILITARY SERVICE?  Yes No

SECTION II - INFORMATION AND/OR DOCUMENTS REQUESTED

 DD FORM 214 OR EQUIVALENT * 

SECTION III - RETURN ADDRESS AND SIGNATURE

1. REQUESTER NAME *

 Military service member or veteran identified in Section I, above
 Legal guardian (must submit copy of court appointment or power of attorney)

 Next of kin of deceased veteran (must submit copy of death certificate)

2 PURPOSE* (An explanation of the purpose of the request is required. Please be as specific as possible. If this request is for a funeral or burial, please fax or email us a a copy or the death certificate, an obituary, or a note from the funeral home handling the arrangements on letterhead. If this request if for benefits, please state the benefit for which you are requesting. For example, "Aid and Attendance benefit". )

 Benefits  Other (explain)

Explain :

3. SEND INFORMATION/DOCUMENTS TO:

Name*
Phone Number*
Email Address
Street Address*
Apt.
City*
State*
Zip Code*
Your Signature*

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Name on Card (First Name)*

Name on Card (Last Name)*

Card Number*

Expiration Date*

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I have read and understand the estimated completion times on the Turnaround Times page and the Privacy Policy page.


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