Official Data Sheet
SCV National - Grave Committee - Grave Location Project

Name of Soldier:_________________________________________________
Official Service (Rank):_________________________________________________
Regiment/Company:______________________________________
Born:_________________________
Where:__________________________________________________
Died:___________________________________________________
Where:__________________________________________________
Official marker?_________________________________________
The US Gov't will provide a stone if grave is not marked with one. Is one desired? Y/N
What is the state of the headstone? is it in disrepair, unreadable, falling apart or missing?
Explain:_________________________________________________________
Wife's Name:__________________________________________________
When:____________________________
Where:__________________________________________________
Born:____________________________
Died:____________________________
Buried:__________________________________________________
Children:________________________________________________________________________________
Name and Address of known living Descendants:_____________________________________________
Name and Address of individuals / Camp filing data:______________________________________________
Cemetery where soldier is buried:_________________________________________________
Location of Cemetery:______________________________________________
County where cemetery is located:__________________________________________________

Name & number of Camp:_____________________________________________________
Date of Filing form:____________________________________