Stamford Veterans Council - Purple Heart City Project

Stamford Veterans Council

Purple Heart City Project
Stamford’s Veterans Council, Patriotic & Special Events Committee, and Stamford Veterans Park Partnership (SVPP) are supporting an effort to establish Stamford as a Purple Heart City. In this regard we are reaching out to gather information on Purple Heart recipients. The information shared here will be recorded with the Purple Heart City documents and posted the City’s website.

To learn more about the "Purple Heart City" project click on the here.

If you or a loved one received this distinguished honor, please complete the form below to the best of your ability and submit it.

You may also e-mail the information to stamford.vets.council@gmail.com or send to the address indicated below
I wish to also share this information with Stamford Veterans Park Partnership for their veteran and military history education program. Yes No
Veterans Name: *

First Name Last Name
Note: If the veteran is deceased and a family member or friend is completing this form, please include the date of passing.
Date of Birth:

Month Day Year
Date
Date of Passing:

Month Day Year
Date
Years Living in Stamford:
Branch of Service:
Year When Entering into the Service:
Age When Entering into the Service:
Years of Service:
Rank:
Theater of Service/Where You Were Stationed:
The Veteran Named Above was *
Year Awarded

Month Day Year
Date
Reason Why You Were Awarded the Purple Heart. If you are unsure of the circumstances surrounding the Award, state, as an example: "My uncle was a PH recipient, I have no idea what year he joined, age entering service, theater of service, years of service etc. "
Awards / Medals / Decorations / Service Ribbons / Other Recognition:
Recollections / Stories of Note:
If you have a photo, please attach:

Cancel of
I belong to the following veterans organizations:

American Legion Veterans of Foreign Wars Catholic War Veterans Marine Corps League Jewish War Veterans Disabled American Veterans Viet Nam Veterans Association Iraq and Afghanistan Veterans of America Other
Name of Person Completing Form: *
By entering my name I agree to have this information used for the Stamford Purple Heart City Project and if I have so indicated, it may be shared with the Stamford Veterans Park Partnership for inclusion in their veteran and military history program.
Relationship to Veteran .. Is My
Please provide your contact information below so we may keep you informed about upcoming events
Phone Number
Please enter a valid phone number.
Email *
example@example.com
Date *

Month Day Year
Date
You may submit this form directly by clicking on the Submit button below
or
Return this form to:

Email: stamford.vets.council@gmail.com
or
Mail: Steve Fischer, Commander
Stamford Veterans' Council
143 Hoyt Street, Unit 5C I Stamford, CT 06905
Should be Empty:

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