Flag Half-Staff Order Request Form
Submit your request to fly the flag at half-staff. Please provide complete details to assist with review and processing.
Requester Full Name
*
First Name
Last Name
Organization or Agency Name (if applicable)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reason for Half-Staff Order
*
In honor of a deceased individual
National or state observance
Other (please specify)
Name of Honoree (if applicable)
Date(s) for Flag to be Flown at Half-Staff
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Flag Location(s) (please specify building, address, or site)
*
Upload Supporting Documentation (e.g., obituary, official letter)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Special Instructions
Date of Submission
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
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