Bell Honors Request

Please use this form to request Bell Honors for a funeral or memorial service.  At this time, Bell Honors are only available for services at Fort Logan National Cemetery (memorial service requests outside Fort Logan may be accommodated on a case-by-case basis). We will respond to requests within 24 hours. You may also contact us directly at 720.295.4582.  Please do not submit duplicate requests.  

Requestor Name *
Requestor Name
Enter in your name.
Phone
Phone
Your phone number.
Deceased's Name *
Deceased's Name
Enter in the name of the deceased.
Please enter in the rank of the deceased as listed on their DD-214 form.
Indicate the deceased's branch of service. Use "other", if branch not known, or does not appear on this list.
Deceased's Date of Birth *
Deceased's Date of Birth
Please select the deceased's gender
Please enter the phonetic pronunciation of the deceased's name.
Please enter the name and location/branch of the funeral home, if applicable. Type "n/a" if not..
Please enter the name of your funeral director, if applicable. Type "n/a" if not.
Funeral Director's Phone Number
Funeral Director's Phone Number
Please provide the funeral director's phone number, if available.
Funeral/Memorial Date *
Funeral/Memorial Date
Funeral/Memorial Time *
Funeral/Memorial Time
If requesting Bell Honors for a funeral, please select the Committal Shelter to which your service has been assigned.
Please provide the name of the next of kin, if known.
Next of Kin Address
Next of Kin Address
Please provide the address for the next of kin.
Please list the next of kin's relationship to the deceased.
Please note any other services that are planned, as well as any notes about how the family wishes the deceased to be referred to (nicknames, rank or no rank mentioned, etc.).