Lincoln Veterans Memorial Coalition

Thank you for supporting the Placer County Veterans Monument.

The Placer County Veterans Monument was dedicated on November 11, 2019, at 11:11 am at McBean Park. It was the 101st anniversary of the Armistice, celebrating the end of World War I. It was also the 100th anniversary of Armistice Day, established a year later. Today we call it Veterans Day.

The Monument will be a dedicated place to express gratitude for those who have served and currently serve; but further, to deeply honor those who have lost their lives in the service of the United States. It is our goal to create a Monument that honors our Veterans’ while at the same time promoting civic pride.

Mark your calendar to attend the Veteran's Day ceremony at the Placer County Veterans Monument site on Veterans Day, November 11th at 11:11 AM at McBean Park! Please plan to attend. We do try and Facebook Live the ceremony at Facebook.com/LincolnVeteransMemorial

Complete this form, once for each Veteran or Active Duty service person

Did the Veteran or Active Duty service person serve in the United States Military and if a Veteran honorably discharged?*

YesNo

NOTE: The memorial is open to any US honorably discharged Veteran, reservist or active duty regardless of where you lived.

Purchaser Name*

First NameMiddle InitialLast Name

Purchaser Email*

example@example.com

Cell Phone Number*

Area CodePhone Number

Home Phone Number*

Area CodePhone Number

Did you complete and pay for your order on our website?

YesNo

Before completing this form, visit our website to complete your initial monument plaque purchase at Placer County Veterans Monument.

Thank you!

Veterans Name for Monument Plaque*

Last NameFirst NameMiddle Initial

Are we creating a Replica Plaque for this Veteran?*

YesNo

Branch of Service*

Rank*

1st Enlistment Years of Service (i.e., 1941 - 1945)*

Enter beginning and ending years of service above

2nd Enlistment Years of Service

For non consecutive years of service, indicate additional years above

Examples of the monument and replica plaques:

COOK

JOHN M.

USMC SSGT

1960 - 1966

THOMPSON, THOMAS

ARMY LT

2003 - 2011

Upload a redacted DD214 or proof of honorable military service here. If you're unable to upload the document here, you may email it to PlacerCountyVeterans@gmail.com or mail it to: Placer County Veterans Monument, PO Box 867, Lincoln, CA 95648-0867

Browse Files

If you do not have proof of honorable military service, click here. Once you find your military record or that of the Veteran for whom you are applying, you may take a screenshot and upload on the link above or send a copy via mail (the above link is difficult to navigate).

If you need help, complete this submission form to finalize your purchase and note in the Additional Information box below that you need help locating proof of military service. Include the Veteran's full name, date of birth, branch, etc.

If you’re not able to upload the document needed, please let us know what submittal option below you will use.

Do you need to enter information for more than one Veteran plaque purchase?*

YesNo

If you would like to have more than one monument plaque, next to a relative or friend, we MUST have all monument plaques purchased at the same time for anyone to be placed together. We will do our best to accommodate this request, but can not guarantee.

No, I did not purchase multiple monument plaquesYes, I did purchase multiple monument plaques

Please list the names of the Veteran relative or friend below, including yourself if you are a Veteran. Multiple Veteran names may be listed below as long as their plaque has been purchased within 24 hours of this submission.

We will do our best to accomodate seperately purchased plaques for Veteran relatives or friends to be placed together. We do need these plaques to be purchased within 24 hours of each other to make this accomoation request.

Additional monument plaques can be purchased at Placer County Veterans Monument

For each additional Veteran purchase, please complete a new Veteran Submission Form. Click here to copy the URL and open a new browser tab for your next Veteran submission.

Additional Information

REPLICA AND COIN PURCHASES: Provide your address below if you purchased a replica or coin to be shipped to you.*

No, I will pick up my replica or coin purchase locally.Yes, please ship my replica or coin purchase to the address below.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If your purchase is for gift-giving, we have provided a printable gift certificate for you below. If you have any trouble printing this certificate, email the PCVM at PlacerCountyVeterans@gmail.com

Veteran Information Submission for Placement of Veteran's Name on the Placer County Veterans Monument or Replica Plaque

Complete this form, once for each Veteran or Active Duty service person