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Home / Online Cemetery Registration Form

Online Cemetery Registration Form

If an individual has already passed away, please do not complete this form. Please call the cemetery to schedule burial services.

Southern Nevada Veterans Memorial Cemetery – (702) 486-5920

Northern Nevada Veterans Memorial Cemetery – (775) 575-4441

Cemetery Registration

Select Cemetery
- SNVMC - Boulder City, Nevada (South)
- NNVMC - Fernley, Nevada (North)
Person completing this form?
- Veteran
- Spouse
Email address
Veteran Applicant Name
Prefix First Middle Last Suffix
Veteran Applicant Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hidden
Veteran Applicant SSN#*
Veteran Applicant Date of Birth
MM slash DD slash YYYY
Veteran Applicant Marital Status*
- Single
- Married
- Divorced
- Widowed
Veteran Applicant Gender
- Male
- Female
- other
Veteran Applicant Phone
Is a Spouse to be interred with Veteran?
- Yes
- No
(If Spouse is to be interred, a copy of the marriage certificate is required)
Spouse or Next of Kin Name
Prefix First Last
Relationship to veteran
- Spouse
- Next of Kin
Spouse or Next of Kin Phone
- Address same as above
Spouse or Next of Kin Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hidden
Military Service Number
Military Service Highest Rank
Military Service Branch
- Army
- Navy
- Air Force
- Marine Corps
- Coast Guard
- Army Air Corps
- Other
Upload DD-214, Marriage Certificate, or Equivalent*
Drop files here or

Max. file size: 10 MB, Max. files: 4.
Upload scans or legible pictures of required documents.
Comments?

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