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OSS ORDER FORM
Name Used During Service
Last
First
Be sure to fill in all years of service include If you know it.
Middle
Date of Birth
Month
JanFebMarAprMayJunJulAugSepOctNovDec
Day
Year
Date Entered
Date Discharged
County & State of Birth
OSS Service Period
Other Documents Needed
Purpose of Documents (Optional)
Requester is the veteran named above.
Next of kin of deceased veteran
Date of Death
Legal Guardian
PRINT NAME ABOVE & DATE ABOVE
Street address City State Zip
Day Phone Night Phone Email