Fire and Rescue

CONTACT INFORMATION: Our office is open 8:00AM-4:30PM M-F
12099 Government Center Parkway
Fairfax, VA 22035
John S. Butler
Fire Chief

Honor Guard Request Form

*** Please note: Your information is confidential, and it will be used for Honor Guard Request purposes only ***

* Required

Name of Event *
Purpose of Event *
Date of Event (MM/dd/yyyy) *
Start Time *
Expected End Time *
Expected Number in Attendance *
Location Of Event *
Requestor's Name *
Requestor's Work Phone
Requestor's Cell Phone *
Email *
Submitter Name *


Comments (1000 characters max)


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