Presidential Memorial Certificate request
NCA FP Evidence Intake Center
PO Box 5237
Janesville, WI 53547
VA Form 40-0247 — Request a Presidential Memorial Certificate
Request a Presidential Memorial Certificate honoring an eligible deceased Veteran.
Use the current official form
Revision: August 2026.
These are reviewed, scoped methods. Read the current official program and PDF instructions for conditions, signatures, additional methods and exceptions.
Submission instructions
Fax
40-0247 and supporting copies
800-455-7143
Official references
Upload
Completed certificate request
QuickSubmit
Official destination instructions