EmailMeForm
Nominee Information
Full name
*
Address
City, State, Zip
(Fairfield County Ohio Residents Only)
Dates & location of Ohio residency
Primary Phone Number
(if available)
Email
(if available)
Was nominee honorably discharged?
Yes
No
Is nominee deceased?
Yes
No
Branch(es) of Service
Years served
Conflict (if applicable)
Nominator Information
Full name
*
Email
*
Address
City, State, Zip
Primary Phone Number
I hereby affirm the information herein is accurate to the best of my knowledge. I also understand that inductees must be available to attend the April ceremony.
I have submitted the following sections in conformance with the rules
(1, 2, 3, 4, 5, 6)
Rules
Signature
Clear
YOUR NOTES FROM DOC
Packets must include:
1. Nomination form
2. Discharge papers
3. Nomination packet following guidelines including: typed by section as indicated; 8.5” x 11” single-sided paper; must not exceed 10 pages; do not include original documents such as certificates or newspaper articles, these must be copied onto 8.5” x 11” paper.
Note: Only the nominator will be notified if the nominee does not advance to the finalist stage. Send nomination form, discharge papers and complete nomination packet to:
Fairfield County Veterans Hall of Fame
Fairfield County Veterans Service Commission, 3044 Columbus-Lancaster Rd., NW, Lancaster, Ohio, 43130.
DEADLINE: SEPTEMBER 1, 2026
