The Remembrance Page Form - Borough of Hopatcong

Required fields are marked with asterisks (*)

The Remembrance Page Application Form:
The Borough of Hopatcong wants to publicly recognize anyone who died while in the armed forces who
was from Hopatcong on a special page of our website called “The Remembrance Page.”

If available, please include a digital (jpg version) (non-returnable) photograph and attach it to the
application form to. If desired, you can also attach a brief biography.

Name of person submitting the form

Address of person submitting the form

Phone # of person submitting the form

Today's Date

Information about the person who died while serving in the armed forces

Name of person to honor

Branch of Service and Rank

Dates of service

Professional Military Photo

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Brief biography of person to honor (not required)