Request Bell Honor – Honor Bell Foundation

Bell Honors Request

Please use this form to request Bell Honors for a funeral or memorial service. Bell Honors are a free service offered to families of deceased veterans. At this time, Bell Honors are primarily available for services at the Fort Logan National Cemetery. Please note that we are now offering services at the Pikes Peak National Cemetery on the 3rd Wednesday and Thursday of each month, please call us directly to schedule a service there. If you have any issues with the form or prefer to speak with someone, please contact us directly at 720-295-8426. Please do not submit duplicate requests.

Fill Out The Form

Honor Bell Request Forms

Requester Name(Required)

**Please do not write in all caps

Requester First Name Requester Last Name

Requestor Email Address(Required)

Requestor Phone Number

Enter in the name of the deceased.

Name

Deceased First Name Deceased Last Name

Deceased Veteran's Rank

Please enter the rank of the deceased veteran as listed on their DD-214 form.

Branch of Service(Required)

Indicate the deceased's veterans branch of service.

Deceased's Date of Birth(Required)

Deceased's gender

Funeral Home(Required)

Please enter the name and location/branch of the funeral home, if applicable. Type "n/a" if not.

Funeral Director(Required)

Please provide the name of your funeral director, if known. Type "n/a" if not.

Funeral Director's Phone Number

Please provide the funeral director's phone number, if available.

Funeral Date

Funeral Time

Commital Shelter

When requesting Bell Honors for a funeral at Fort Logan, please indicate the Committal Shelter to which your service has been assigned.

Please provide the name of the next of kin, if known.

Next of Kin Country

Next of Kin Address Line 1(Required)

Next of Kin Address Line 2

Next of Kin City(Required)

Next of Kin State(Required)

Next of Kin ZIP Code(Required)

Next of Kin Name

Please list the next of kin's name, if known:

Next of Kin relationship to the deceased

Please list the next of kin's relationship to the deceased.

Next of Kin Email

Please provide the email for the next of kin, if known.

Special notes or requests

Please note any other services that are planned, as well as any notes about how the family wishes the deceased to be referred to (nicknames, rank or no rank mentioned, etc.)

Requester Name(Required)

**Please do not write in all caps

Requester First Name Requester Last Name

Requestor Email Address(Required)

Requestor Phone Number

Enter in the name of the deceased.

Name

Deceased First Name Deceased Last Name

Deceased Veteran's Rank

Please enter the rank of the deceased veteran as listed on their DD-214 form.

Branch of Service(Required)

Indicate the deceased's veterans branch of service.

Deceased's Date of Birth(Required)

Deceased's gender

Funeral Home(Required)

Please enter the name and location/branch of the funeral home, if applicable. Type "n/a" if not.

Funeral Director(Required)

Please provide the name of your funeral director, if known. Type "n/a" if not.

Funeral Director's Phone Number

Please provide the funeral director's phone number, if available.

Funeral Date

Funeral Time

Please provide the name of the next of kin, if known.

Next of Kin Country

Next of Kin Address Line 1(Required)

Next of Kin Address Line 2

Next of Kin City(Required)

Next of Kin State(Required)

Next of Kin ZIP Code(Required)

Next of Kin Name

Please list the next of kin's name, if known:

Next of Kin relationship to the deceased

Please list the next of kin's relationship to the deceased.

Next of Kin Email

Please provide the email for the next of kin, if known.

Special notes or requests

Please note any other services that are planned, as well as any notes about how the family wishes the deceased to be referred to (nicknames, rank or no rank mentioned, etc.)

Requester Name(Required)

**Please do not write in all caps

Requester First Name Requester Last Name

Requestor Email Address(Required)

Requestor Phone Number

Enter in the name of the deceased.

Name

Deceased First Name Deceased Last Name

Deceased Veteran's Rank

Please enter the rank of the deceased veteran as listed on their DD-214 form.

Branch of Service(Required)

Indicate the deceased's veterans branch of service.

Deceased's Date of Birth(Required)

Deceased's gender

Funeral Home(Required)

Please enter the name and location/branch of the funeral home, if applicable. Type "n/a" if not.

Funeral Director(Required)

Please provide the name of your funeral director, if known. Type "n/a" if not.

Funeral Director's Phone Number

Please provide the funeral director's phone number, if available.

Funeral Date

Funeral Time

Please provide the name of the next of kin, if known.

Next of Kin Country

Next of Kin Address Line 1(Required)

Next of Kin Address Line 2

Next of Kin City(Required)

Next of Kin State(Required)

Next of Kin ZIP Code(Required)

Next of Kin Name

Please list the next of kin's name, if known:

Next of Kin relationship to the deceased

Please list the next of kin's relationship to the deceased.

Next of Kin Email

Please provide the email for the next of kin, if known.

Special notes or requests

Please note any other services that are planned, as well as any notes about how the family wishes the deceased to be referred to (nicknames, rank or no rank mentioned, etc.) In addition, let us know where at the cemetery we should toll The Honor Bell.

A virtual tolling includes the entire honor process with a Bell Guard but no observers. The tolling is videotaped/filmed, and the recording is sent to the deceased veteran's family. Virtual tolling is performed when a survivor requests, and the Honor Bell was unavailable at the time of the deceased veteran's interment. There are two subcategories of Virtual Tolling. a. When the Honor Bell Foundation cannot attend a requested service because of a scheduling conflict. b. When the request is in memory or in honor of a veteran, when the Honor Bell Foundation is unable to participate in a funeral service outside our service area.

Requester Name(Required)

**Please do not write in all caps

Requester First Name Requester Last Name

Requestor Email Address(Required)

Requestor Phone Number

Enter in the name of the deceased.

Name

Deceased First Name Deceased Last Name

Deceased Veteran's Rank

Please enter the rank of the deceased veteran as listed on their DD-214 form.

Branch of Service(Required)

Indicate the deceased's veterans branch of service.

Deceased's Date of Birth(Required)

Deceased's gender

Please provide the name of the next of kin, if known.

Next of Kin Country

Next of Kin Address Line 1(Required)

Next of Kin Address Line 2

Next of Kin City(Required)

Next of Kin State(Required)

Next of Kin ZIP Code(Required)

Next of Kin Name

Please list the next of kin's name, if known:

Next of Kin relationship to the deceased

Please list the next of kin's relationship to the deceased.

Next of Kin Email

Please provide the email for the next of kin, if known.

Special notes or requests