What information does the Veterans Memorial brick order form request?

It requests the brick inscription, honoree and contact information, payment details, and a short history about who is dedicating the brick and where the honoree served.

Do I need a notary for the Veterans Memorial brick order form?

No. The form does not require notarization or a sworn attachment; it provides a name and date-paid field.

Covert, NY · Seneca County

No notary required

Veterans Memorial Standard Granite Brick Order Form

This form lets a person order an engraved Veterans Memorial granite brick and provide the inscription and information about the honoree.

What this form is

Use this form to order a standard granite brick for the Town of Covert Veterans Memorial. It asks you to lay out an inscription one character per block, print in capital letters, and provide contact and payment details. The form says to use one form per brick, lists a $50 cost, and requests a short history about the dedication and the honoree.

Who needs it

Anyone ordering a Veterans Memorial brick should complete one form for each brick and provide the requested inscription and order details.

How to submit it

Make checks payable to Covert Town Clerk and mail the form with payment to Town of Covert Clerk, P.O. Box 265, Interlaken, NY 14847.

About notarization

This form does not require a notary; it requests no notarized attachment or sworn step, and provides a name and date-paid field.

How to submit this form

1
Download The Form
Download the Veterans Memorial Standard Granite Brick order form.
2
Complete The Inscription
Print in capital letters and designate one character, including spaces, for each block.
3
Add Order Details
Provide contact and payment details and include the requested history about the dedication and honoree.
4
Mail The Form
Include payment by check payable to Covert Town Clerk and mail the form to the address provided.

Frequently asked questions

What information does the Veterans Memorial brick order form request?: It requests the brick inscription, honoree and contact information, payment details, and a short history about who is dedicating the brick and where the honoree served.
Do I need a notary for the Veterans Memorial brick order form?: No. The form does not require notarization or a sworn attachment; it provides a name and date-paid field.
How do I submit the Veterans Memorial brick order form?: Make checks payable to Covert Town Clerk and mail the form with payment to Town of Covert Clerk, P.O. Box 265, Interlaken, NY 14847.

Need something notarized?

This Veterans Memorial Standard Granite Brick Order Form doesn’t need a notary — but if you have another Covert form that does, a commissioned online notary can help.