Kansas Adjutant General's Department
Kansas Adjutant General's Department
Kansas National Guard Military Funeral Honors
Kansas Adjutant General’s Department
2800 SW Topeka Blvd.
Topeka KS 66611

Rod Moyer 785-274-1520
SGT Churchill 785-274-1208
Fax # 785-274-1687

MILITARY FUNERAL HONORS REQUEST
This form is intended to be used only to request military funeral honors for an eligible veteran. Honors request information can be called in, faxed, or e-mailed to the address listed above. It is not mandatory, but helpful if you would please attach or forward an eligibility document or a DD Form 214 for the veteran.

PART ONE: Funeral Home Information

PART TWO: Information – Deceased Veteran

PART THREE: Type of Honors Requested by the Family

PART FOUR: Funeral Honors Location
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