Honor Guard Notification of passing

Full name of deceased

Nickname

Date of passing

CAMC Department(s) worked in

Date retired or last worked for CAMC

Please select one

I am requesting the CAMC Honor Guard to attend a planned service

I am requesting the CAMC Honor Guard to organize an on-site or on unit tribute

I am requesting the CAMC Honor Guard to include in the annual recognition tribute

Other…

If other, please explain

Date of Funeral / Service

Funeral / Service details

Requestor name

Requestor phone number

Requestor email

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