Fleet Memorial Submission Form

Fleet Memorial

Your Name (name of submitter)

Your Email Address

First Name(Required)

Last Name(Required)

Please enter the SCC & date of passing for the member being submitted to the Fleet Memorial, as well as the CQ’s “Final Mission” logs.

SCC of the deceased member(Required)

Date of member’s passing(Required)

Fleet Number (Region)(Required)

Chapter Name (Do not add the NCC)(Required)

Please do not capitalize the chapter name.

Choose Rank Type(Required)

Please select the rank type, Fleet, Marines or MACO.

Starfleet Rank

Please choose “Federation citizen” if they have no rank, or if previous rank could not be determined.

Marine Rank

Please choose “Federation citizen” if they have no rank, or if previous rank could not be determined.

MACO Rank

Please choose “Federation citizen” if they have no rank, or if previous rank could not be determined.

Is this a posthumous rank?

YES

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