Montclair, CA · San Bernardino County
Veteran's Memorial Wall Plaque Application
This application lets someone submit a Montclair veteran’s information and payment to request a bronze plaque on the city’s Veteran’s Memorial Wall.
What this form is
The application requests the veteran’s name and the applicant’s name, address, email address, and phone number. It is for requesting a bronze plaque honoring a deceased Montclair veteran; the document says the City will contact the applicant to verify the plaque’s information. The application lists a $425 cost per plaque and states that applications and payment were due March 22, 2024.
Who needs it
Anyone requesting a bronze plaque for a deceased Montclair veteran should complete this application and submit it with payment.
How to submit it
Mail or deliver the completed application and payment to the City of Montclair, Attn: Jordi Ubaldo, 5111 Benito St., Montclair, CA 91763, or fax the application to (909) 621-1584. The listed cost is $425 per plaque; checks should be payable to City of Montclair.
About notarization
This document does not require a notary and includes no sworn or notarized attachment; the applicant completes the application and submits it with payment.
How to submit this form
- 1
Download The Application
Download the Veteran's Memorial Wall Plaque Application PDF.
- 2
Complete The Application
Provide the veteran’s name and your name, address, city, ZIP code, email address, and phone number.
- 3
Prepare Payment
Include payment of $425 per plaque. Make checks payable to City of Montclair.
- 4
Submit To The City
Mail or deliver the application and payment to the listed address, or fax the application to the listed number.
Frequently asked questions
- What information does the Veteran's Memorial Wall application request?
- It asks for the veteran’s name and the applicant’s name, address, city, ZIP code, email address, and phone number.
- How much does a Veteran's Memorial Wall plaque cost?
- The application lists a cost of $425 per bronze plaque and says checks should be made payable to City of Montclair.
- How do I submit the Veteran's Memorial Wall application?
- Mail or deliver the completed application and payment to the City of Montclair, Attn: Jordi Ubaldo, 5111 Benito St., Montclair, CA 91763, or fax the application to (909) 621-1584.
- Do I need a notary for the Veteran's Memorial Wall application?
- No. This application does not require a notary and has no sworn or notarized attachment; complete it and submit it with payment.
Need something notarized?
This Veteran's Memorial Wall Plaque Application doesn’t need a notary — but if you have another Montclair form that does, a commissioned online notary can help.