Fallen Heroes Flag Request

The Fallen Heroes Flag Program was signed into law on May 16, 2016. It provides for a United States flag to be flown over the U.S. Capitol in honor of a Fallen Hero who has lost their life in the line of duty.

Please note:

For the purpose of this program, a Fallen Hero is defined as a clergy member, firefighter, law enforcement officer, member of a rescue squad or ambulance crew or public safety officer who died in the line of duty.
Only one request per Fallen Hero will be processed.
The request must be made within 180 days of the Fallen Hero's death.

Required *

Member Name

Member State

Staff First Name

Staff Last Name

Phone Number

Would the member like to sign the flag certificate?

Yes

Fallen Hero Information

Line Of Duty

First Name

Middle Name

Last Name

Name as it should appear on the flag certificate

Date of Death

Relationship to Requestor

Requestor Shipping Information

First Name

Last Name

Address

Address 2

City/Town

State

ZIP Code

Cancel

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