Deceased / MIA Veteran Biography Form

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
Your Name
Your E-mail
Address
City
State
Zip
Country
Phone Number
Veteran's Name
Branch of Service
Years of Military Service
Rank
Specialties
Foreign countries where stationed
Medals / Honors received
Highlights of military service
Your message on the importance of voting
Attach Pictures
Send  Reset
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

Designed by the Nassau County Supervisor of Elections Office  |  All rights reserved copyright 2013