Secure Order Form | Aardvark Research Group

Name used during Service*

Branch of Service*

Officer or Enlisted:

Approximate Year of Separation

Social Security No.*

Date of Birth (MM/DD/YYYY)*

Phone Number (Cell Preferred)*

Email Address*

Proceed to Next Step

Information
Information and/or Documents requested
DD Form 214 or Equivalent
Additional Documents Requested Please Explain

Choose Delivery Method *

$99.00

Official Copies Via Secure Email

$139.00

Official Copies Via Email & Hard Copies Via USPS Mail

Purpose*

Proceed to Next Step

Requester is:

Military Service Member or Veteran

Next-of-Kin of Deceased Veteran

Legal Guardian or POA

Payment Information

Total Amount Payable:

Name on Card *

Card Number*

Expiration Month/Year*

Billing Zip Code*

I Authorize ARG to Access and Deliver the Military Records I have Ordered.

Veteran's Signature*