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 who have served our country.

Veterans Information
Name:
Address:
City:
State:
Zip Code:
Phone Number:
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:

Currituck Connection: BirthLived during serviceLived in County
Service Related Information Provided By
Name:
Address:
City:
State:
Zip Code:
Phone Number:
Email Address
Relationship:

Additional Information
Your Message

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