![]() ![]() In case there is any illegible, missing or conflicting information on the claim, we will need to contact you to obtain complete and correct information. The claim must be submitted by an authorized applicant, as explained under "WHO CAN APPLY" on the General Information Sheet. Block 19 and 20 identify the person who is preparing the claim.The authorized emblems of belief are listed on the last page of the form pictures of all available emblems may be viewed on our website. Block 17 indicates the emblem of belief desired. ![]() ![]() ![]() Please check with the cemetery before filling out this block to see what type is accepted. Some cemeteries only accept a certain type of headstone or marker. The second page of the application instructions has photographs of the types of headstones and markers available. Block 15 identifies the type of headstone or marker you would like.These awards will be inscribed at Government expense, if desired. If you do not have documentation of these awards, you may write to the National Personnel Records Center, Military Personnel Records, 1 Archives Drive, St. Documentation proving receipt of the awards must be provided with the claim. Block 14 pertains to certain Valor and Achievement Awards or the Purple Heart.WAAC or Women’s Army Auxiliary Corps WASP or Women Air Force SVC Pilots, etc. If the branch of service is not shown, select the box for “other” and write in the appropriate branch, e.g. Block 13 is for the Veteran’s branch of military service.Block 11 is for the Veteran’s periods of active military duty.If you do not wish this information to be inscribed select “None” in the appropriate area, or leave the block blank. Shaded areas in block 10a and b and in blocks 12, 14, 16, and 17 indicate optional inscription information items.To apply for a medallion, please complete VA Form 40-1330M, Claim for Government Medallion.) (When the grave is already marked, eligible Veterans are entitled to either a traditional headstone or marker or medallion. 1, 1990, a government marker may be furnished for the grave of any eligible Veteran regardless of whether the grave is already marked with a private marker. Block 4 is to let us know if the Veteran's grave is unmarked or if it is already marked with a privately purchased headstone or marker.How to Complete VA Form 40-1330, Claim for Standard Government Headstone or Marker ![]()
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