• Plaque DeliveriesPlaque Application (Sponsored by Til Valhalla Project)
    You will need to know several pieces of information to complete this form.


    1.) Hero's Branch, Rank, Name, DoB, and DoD.
    2.) Hero's marital status, number of children, etc.
    3.) Next of Kin information.
    4.) Verified address for the Next of Kin.
    5.) Photo(s) of the Hero in uniform.
    6.) Obituary links, links to the Hero's story, and links to articles about the Hero.

     

    IF YOU DO NOT HAVE ALL OF THIS INFORMATION, PLEASE SEND THIS FORM TO SOMEONE WHO CAN ANSWER THESE QUESTIONS WITH 100% ACCURACY!

  • Read this disclaimer FULLY before filling out the application for a Memorial Plaque. 

    Every plaque we produce holds a special significance as it is presented to the Next of Kin of a Fallen Hero. Our intention is to honor and commemorate all Fallen Heroes. While we empathize with the desire to provide multiple plaques to their families, we face certain limitations that prevent us from doing so. Therefore, we strive to ensure that each Fallen Hero is honored with a single plaque, symbolizing their sacrifice and our deep respect for their service. We wish we could create multiple Memorial Plaques for every family; unfortunately, it is not possible if we want to uphold our mission of honoring all Fallen Heroes. 

     

     

    Failure to submit the application for the Next of Kin, unfortunately, results in the denial of the Plaque request. Submitting the application with the proper information is a vital step in our process to maintain accuracy, accountability, and fairness. Only by providing the required documentation and information can we effectively verify and validate the request. Our utmost responsibility is to uphold the integrity of our Mission to properly Honor Fallen Heroes. We strongly urge individuals to complete the application with comprehensive details to increase the likelihood of approval and fulfillment of the Plaque request.

  • Your Relationship to the Fallen Hero & Family

  • Will you be hand delivering this plaque to the Next of Kin?*

  • Great! Continue filling out the form so we can get started honoring your Hero. Please input your mailing address in the following fields.

  • Not a problem! We will find someone to deliver it for you! Continue filling out the form so we can get started honoring your Hero.

  • You have our deepest condolences for your loss. Continue filling out the form so we can get started honoring your Hero.

  • About your Fallen Hero

  • Heroes Date of Birth*
     / /
  • Heroes Date of Passing*
     / /
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  • Are you able to link an Obituary or do you have a physical copy?*
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  • What is this Hero's marital status at the time of passing?*
  • Are the parents of the Hero with us? (Used for determining if we need to include additional items with the package).*

  • About the Next of Kin

  • Who is the Next of Kin (NOK) for this Hero?*

  • Your Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • A lot of people forget about this form and lose the opportunity because we cannot reach them.

     

    Be different - take the time and save our number (904) 579-3422 as "Til Valhalla Project" into your phone right now so you know it's us if/when we call. In addition to our phone number, please also whitelist our email address fallenheroteam@tilvalhallaproject.com, to ensure none of the emails in regard to this application get sent to spam. 

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