DAV Department of South Carolina Resolution Data Sheet for Deceased Members
Deceased Member Information:
Chapter Name: Select Chapter Name	Chapter Number: Select Chapter No.
Name of Deceased: Input Name
Membership No.: Input Membership No.
Office Held: Input Offices Held
Date of Death: Select date
Note: On all dates, you can just select the day and month and change the year by typing it in.
Branch of Service: Choose Branch
Note: Hit the plus to the right to add additional branches
Decorations (Medals): Enter Decorations
Note: Hit the plus to the right to add additional Decorations
Date of Enlistment: Select date	Date of Discharge: Select date
Family Contact Information:
Does member have a spouse? Select Yes or No
If not spouse, how are they related to member? Enter Relationship
Name: Enter Name
Address: Enter Address.
City: Enter City	State: Enter State	Zip: Enter Zip
Phone Number: Enter Phone Number
Form Submitted by:
Submitted by: Enter Name
Date of Submission: Select date
Office Held: Enter Title
Form Received
Received by:
Date Received: