Memorial Service Volunteer Registration Form

The Virginia Fallen Firefighters & EMS Memorial Service honors men and women who selflessly dedicated themselves to careers of helping and saving others.

We invite and encourage all fire departments and emergency service organizations statewide to participate in the Memorial Service as Honor Guard, through the display of apparatus, and as department representatives.

Please fill out the form to indicate how your fire department or emergency services organization will participate. Your participation is appreciated tremendously by the families and Virginia Fallen Firefighters & EMS Planning Committee members. We thank you in advance for your interest. 

Contact the the VDFP PIO Office at if you need further assistance.