Veterans Census Form Use this form to submit changes or additional information to include in our Veterans List. Veteran or Active Duty - Full Name:* First Last War(s) or Conflict (s):Branch of Service: Years of Service: Date of Death (If Applicable): Rank Upon Leaving Service: Special Honors, Achievements or Medals:Person Submitting Information (If Different from Veteran): First Last Contact Email: Contact Phone:Comments:CAPTCHA