To begin the DD214 request process, please fill out the form below COMPLETELY,  print it
out and either drop it off at the post or mail the completed form to;

American Legion Post 310
ATTN: Victor Ruggiero
100 Liberty Street
Little Ferry, NJ 07643

We will contact you shortly so that you may sign the official DD214 request form.

Today's Date:       
First Name:          
Middle Name:       
Last Name:          
Daytime Phone:  
Email Address:     
Date of Birth:       
Service Number:  

Please type an 'X' in the appropriate boxes below;
Branch of Service: Air Force:                  Service Status:            Active:          
                                 Army:                                                   Reserve:     
                                 Marine Corps:                             National Guard: 
                                 Navy:             
Officer/Enlisted:
Officer:         Enlisted:

City and State of Birth:
Month and Year Veteran Left the Service (mm/yyyy):
Mailing Address: