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Currituck County Veterans Submission Form

Currituck County is proud of our citizens that have served in the Armed Service. We are currently working with the Currituck Historical Society to compile an accurate list of military veterans who have lived or are living in the county. 

We need your help to document any veteran, or citizen with knowledge of a veteran, to provide information for inclusion in the list. Please take a few minutes to complete the online submittal to have the veteran be part of the Currituck County veterans list, so we can give credit to these important men and women in our community. 

* Required items    

Veterans information:

Name
Address
City
State
Zip Code
Email Address
Birth Date
Death Date



Service Information:

Branch of Service
Date of Service - please enter month and year.
From:
To:


Branch of Service
Date of Service - please enter month and year.
From:
To:


Birth
Currituck Connection

Lived During Service
Lived In County


Information Supplied By:

Leave blank if the information is the same as above.

Name
Address
City
State
Zip Code
Email Address
Relationship



Additional Information:



**Only the Veterans Name, Birth Date, Death Date, Additional Information and Service Information will be used on the Veterans list.

Enter the security code.