VETERAN'S Last Name as it appears on the Report of Separation:
First Name as it appears on the Report of Separation:
Middle Name as it appears on the Report of Separation:
Highest Rank Title or Rating Title
Example: A1C, SGT, CAPT, PO3C, SP4, T/5, PFC, etc.
Do NOT Enter your 'O-', 'E-' or 'W-' paygrade):
NOTE: Military serial numbers converted to social security numbers in July, 1969
I/this veteran did not serve overseas
I/this veteran served overseas in the following country or war zone:
The date I/this veteran began service in the above country or war zone:
(Month/Day/Year)
The date I/this veteran ended service in the above country or war zone:
(Month/Day/Year)
I/this veteran served overseas in the following country or war zone:
The date I/this veteran began service in the above country or war zone:
(Month/Day/Year)
The date I/this veteran ended service in the above country or war zone:
(Month/Day/Year)
I/this veteran served overseas in the following country or war zone:
The date I/this veteran began service in the above country or war zone:
(Month/Day/Year)
The date I/this veteran ended service in the above country or war zone:
(Month/Day/Year)
I/this veteran served overseas in the following country or war zone:
The date I/this veteran began service in the above country or war zone:
(Month/Day/Year)
The date I/this veteran ended service in the above country or war zone:
(Month/Day/Year)
I/this veteran served overseas in the following country or war zone:
The date I/this veteran began service in the above country or war zone:
(Month/Day/Year)
The date I/this veteran ended service in the above country or war zone:
(Month/Day/Year)
Service Branch:
Month, Day, Year first entered military service (Example: Oct 31 1955 or 10-31-1955):
Month, Day, Year military service ended (Example: Sep 10 1984 or 09-10-1984):
1. Vessel or Unit Name (Do Not Abbreviate):
(Day/Month/Year) Date arrived at this unit/vessel
(Day/Month/Year) Date left this unit/vessel
2. Vessel or Unit Name (Do Not Abbreviate):
(Day/Month/Year) Date arrived at this unit/vessel
(Day/Month/Year) Date left this unit/vessel
3. Vessel or Unit Name (Do Not Abbreviate):
(Day/Month/Year) Date arrived at this unit/vessel
(Day/Month/Year) Date left this unit/vessel
4. Vessel or Unit Name (Do Not Abbreviate):
(Day/Month/Year) Date arrived at this unit/vessel
(Day/Month/Year) Date left this unit/vessel
Name of Military Base/Fort/Camp/Field/Installation served at (Do Not Abbreviate):
1.
2.
3.
4.
5.
6.
Please provide YOUR email address where your Report will be sent:
Please re-enter YOUR email address to ensure that it was entered correctly above...
If you want a copy of your Report emailed to a friend, relative or a Veteran Service Officer, enter THEIR email address:
If you want a copy of your Report posted on your Facebook page, provide your Facebook web address:
(TECHNICAL NOTE: Because Facebook only allows 'Friends' to post in your Facebook timeline, this optional service is available only to War Library 'Friends'. Send a Friend Request to The Library ASAP.)
Week
Month
Year
I sent a copy of my DD-214 to The War Library in
MAILING ADDRESS: The American War Library
16907 Brighton Avenue
Gardena CA 90247-5420.
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