State of Minnesota Department of Veterans Affairs
Military Funeral Honors Stipend Request, July 1 June 30
MDVA HGR (06/20) The Military Funeral Honors Stipend Request Form can be found at: https://mn.gov/mdva/memorials/militaryfuneralhonors.jsp
A Veterans Service Organization (VSO) should submit this form to request a stipend for performing military
funeral honors. The responsibility for proper completion and submission of this form rests with the VSO.
Stipend will not exceed $50.00 from the Minnesota Department of Veterans Affairs for each honors being
provided.
Requests are preferred within 15 days of honors being provided.
The VSO is responsible for obtaining the mandatory signatures from the Honor Guard Leader
and the Funeral Director.
Service for each veteran must be verified by DD-214. Do not submit a DD-214 with this form.
An incomplete form will be returned to the VSO.
PART ONE: VSO Performing Honors
Honor Guard Unit: SWIFT Vendor #:
Unit Address: City & Zip:
Point of Contact (please print): Phone #:
Honors performed (check box that apply):
Full Honors (Rifle Detail, Taps, Flag Folding) Basic Honors (Flag Folding, Taps)
Signature of Honor Guard Leader: Date:
PART TWO: Information – Deceased Veteran DD-214 Form Confirmed
Name of Veteran Last: __________________________ First: ___________________ M: ________
Date Honors Performed: Date of Birth:
Location of Honors: City: County:
Branch of Service: U.S. Army U.S. Navy U.S. Coast Guard
U.S. Marine Corps U.S. Air Force Merchant Marine
PART THREE: Funeral Director Verification (to be completed by the Funeral Director)
Were the military honors performed in an acceptable manner? Yes No
Name of Funeral Home:
City: Phone #:
Funeral Director Printed Name:
Funeral Director Signature: Date:
Mail or fax this form to: MDVA, Fiscal Services, Accounts Payable Coordinator, Veterans Service
Bldg, 20 West 12
th
St, St Paul, MN 55155. Office: (651) 296-2562 Fax: (651) 757-1575
For Office Use Only PAYMENT INFORMATION
Amount:
_________
Input Date:
__________
Voucher #:
________________
Entered By:
Approved by:________________________________________________ Date: ____________________________
click to sign
signature
click to edit
click to sign
signature
click to edit
Additional Military Funeral Honors (copy as needed – must attach to completed page 1)
MDVA HGR (06/20) The Military Funeral Honors Stipend Request Form can be found at: https://mn.gov/mdva/memorials/militaryfuneralhonors.jsp
Honor Guard Unit: SWIFT Vendor #:
Full Honors (Rifle Detail, Taps, Flag Folding) Basic Honors (Flag Folding, Taps)
PART TWO: Information – Deceased Veteran DD-214 Form Confirmed
Name of Veteran Last: _______________________________ First: ___________________ M: __________
Date Honors Performed: Date of Birth:
Location of Honors: City: County:
Branch of Service: U.S. Army U.S. Navy U.S. Coast Guard
U.S. Marine Corps U.S. Air Force Merchant Marine
PART THREE: Funeral Director Verification (to be completed by the Funeral Director)
Were the military honors performed in an acceptable manner? Yes No
Name of Funeral Home:
City: Phone #:
Funeral Director Printed Name:
Funeral Director Signature: Date:
For Office Use Only PAYMENT INFORMATION
Amount:
_________
Input Date:
__________
Voucher #:
________________
Entered By:
Approved by:________________________________________________ Date: ____________________________
Full Honors (Rifle Detail, Taps, Flag Folding) Basic Honors (Flag Folding, Taps)
PART TWO: Information – Deceased Veteran DD-214 Form Confirmed
Name of Veteran Last: _______________________________ First: ____________________ M: _________
Date Honors Performed: Date of Birth:
Location of Honors: City: County:
Branch of Service: U.S. Army U.S. Navy U.S. Coast Guard
U.S. Marine Corps U.S. Air Force Merchant Marine
PART THREE: Funeral Director Verification (to be completed by the Funeral Director)
Were the military honors performed in an acceptable manner? Yes No
Name of Funeral Home:
City: Phone #:
Funeral Director Printed Name:
Funeral Director Signature: Date:
For Office Use Only PAYMENT INFORMATION
Amount:
_________
Input Date:
__________
Voucher #:
________________
Entered By:
Approved by:________________________________________________ Date: ____________________________
click to sign
signature
click to edit
click to sign
signature
click to edit
State of Minnesota Department of Veterans Affairs
Military Funeral Honors Stipend Request, July June 30
MDVA HGR (06/20) The Military Funeral Honors Stipend Request Form can be found at: https://mn.gov/mdva/memorials/militaryfuneralhonors.jsp
Instructions to apply for the benefit
A local unit of a congressionally chartered Veterans Service Organization (VSO) or its auxiliary is
eligible under Minnesota Statute Chapter 197 Honor Guards [197.231] to receive a stipend of up to $50
for each time the local unit provides an honor guard detail at the funeral of a deceased veteran. If the
local unit provides a student to play “Taps,” the local unit may pay some or all the stipend to the student.
To be eligible to receive the reimbursement:
The VSO must have registered as a state supplier and received a SWIFT (Statewide Integrated
Financial Tools) vendor ID number. Instructions on how to obtain your current or new SWIFT
vendor ID number can be found at:
https://mn.gov/mmb/accounting/swift/vendor-resources/
If you have any question regarding vendor registration, please contact
SWIFT helpline at 651-201-8106 or 651-201-8100
Services must be for a veteran whose service has been verified by DD-214 through the funeral
director. If assistance is required to verify service, contact your County Veterans Service Officer.
Do not submit DD-214’s with the Military Funeral Honors Stipend Request.
The VSO is responsible for obtaining all original signatures and submitting the Military Funeral
Honors Stipend Request.
The VSO is required to submit a Military Funeral Honors Stipend Request, which will verify that
the veterans group, post or chapter has performed honors on a given date.
Forms should be submitted within 15 days of honors performed.
Forms should be mailed to the address listed on the form or faxed to: (651) 757-1575.
The VSO must perform honors in accordance with the National Defense Act of 2000 (Public Law
106-65.) Military funeral honors detail shall, at a minimum, perform at the funeral a ceremony that
includes the folding and presentation of the U.S. flag and play “Taps,” either by a high-quality
recording or by a bugler. The law defines a military funeral honors detail as two or more former or
active uniformed military persons, with at least one being a member of the veteran's branch of
military service. Additional honors such as a firing (rifle) detail may be provided if resources are
available.