Service Officer Database (Input) - Department of Arizona

What this form is used for:

This form is used for a Service Officer or other American Legion Officer to report that a Veteran (not just an AL member) was assisted, and what assistance was given. This database will return results to those same Service Officers and Officers any results about a veteran who has received assistance somewhere else, in hopes of reducing misuse of American Legion support.

PLEASE do not input information that identifies the person by name or any other information!!!

Please make your "string" look just like the example below, otherwise your entry will be deleted from the database.

String of Information Identifying the Veteran You Assisted: *

This string should be; first initial, last initial, branch of service (using the correct branch code above), date of discharge (all numbers as MMDDYYYY), paygrade at separation (E, O, or WO followed by #).

Branch Codes To Use:

A - Army, N - Navy, AF - Air Force, M - Marines, C - Coast Guard, S - Space Force

Example: JDA01011945E5

This would identify a record for: John Doe, Army, Jan 1, 1945, E5. The likelihood of that same string being possible for another veteran in the same state is very slim.

Date of Assistance: *

Type of Assistance Given: *

Other assistance was selected above. What was the assistance you provided? *

Dollar Amount of Assistance Given In This Single Involvement: *

After Review: *

Assistance was given ONLY at the Post level
Assistance was given at the Post level AND paperwork was forwarded to Department for further assistance
NO assistance was given at the Post level and paperwork was forwarded to Department for assistance

Verification of Veteran Status: *

I verified this person is a veteran and his/her information appeared to be legitimate.
I confiscated a fraudulent document as proof of Veteran status from this individual.
This individual did not have proof of Veteran status.

Name of PSO or Officer Who Assisted This Veteran: *

First

Last

Phone # of PSO/Officer Who Assisted This Veteran: *

Email of PSO/Officer Who Assisted This Veteran:

(If You DO NOT Want A Copy Of This Form Emailed To You When You Hit Submit, You Are Not Required To Provide Your Email)

American Legion Post Who Assisted This Veteran: *

Signature of Service Officer/Officer Submitting This Information: *

Clear Signature