Military Form
Register your Military Veteran
Submit information on Pike County Military Veterans - any enlistment connected with Pike County or buried in the county. Honor your living or deceased veteran by submitting a bio, picture and obituary. We have been recording and preserving various records and pictures for over 33 years in Pike County.


Name: _________________________________________Branch of Service:___________
Date of Birth:_______________Place of Birth:____________________________________
Date of Death:______________Place of Death:___________________________________
Place of Burial:____________________________________________________________
War or Conflict:_____________Highest Rank:____________ Wounded in action?________
Enlistment Date:_________________Enlistment Place:____________________________
Discharge Date:__________________Discharge Place:___________________________
Spouse's name:___________________________________________________________
Other comments:__________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

If available, please submit a picture. Also an obituary, if they are deceased.

PERMISSION GIVEN TO THE SOCIETY TO USE AND PRESERVE ALL SUBMITTED RECORD.

Submitted by:_______________________________________________ How related?________
Address:______________________________Town:_______________State:_______Zip:_____
Submitters Email Address:______________________ or Phone:________________________
Submitted date:_________________________________________

Submit to the Pike County Genealogy & Historical Society
 P. O. Box 224, Waverly, Ohio 45690

Email: PikeCoGenSociety@yahoo.com

Back to Home Page