Veteran Submission Form

HomeVeteran ServicesVeteran Submission Form

Currituck County is proud of our citizens that have served in the Armed Service. We are currently working with the Currituck Historical Society to compile an accurate list of military veterans who have lived or are living in the county.

We need your help to document any veteran, or citizen with knowledge of a veteran, to provide information for inclusion in the list. Please take a few minutes to complete the online submittal to have the veteran be part of the Currituck County veterans list, so we can give credit to these important men and women in our community who have served our country.

NOTE: This form will only work with the following browsers: Edge & Chrome.

Veterans Information
Service Information
Branch of Service


Date of Service - please enter month and year.

Branch of Service




Date of Service - please enter month and year.



Currituck Connection: (required) *
Service Related Information Provided By
Additional Information
Only the:
Veterans Name
Birth Year
Death Year
Additional Information
Service Information
will be posted on the Veterans List.
This form will be submitted to Samantha Evans, Administrative Assistant.