New Providence, NJ Veteran Application

Hometown Hero // veteran banner program

New Providence, New Jersey

Financial Sponsorship

In order to participate, each banner application requires a $150 sponsorship. Payment may be made any of the following ways:

Checks may be made payable to PBA Local 132 (Memo: Veteran Banner for _____ ); mail to NP Police Dept, 360 Elkwood Ave, New Providence, NJ 07974
or PayPal* (@pbalocal132)
or Venmo* (@NewProvidence-PBA)

* Barcodes for the latter two options are below to scan and take you to a payment portal.

"*" indicates required fields

Submitter Info

Submitter's name

Phone*

Email of submitter*

Enter Email Confirm Email

Veteran Info

Veterans Name?*

(EXACTLY as it should appear on banner; do not include rank here)

First Last

Address

Street Address City ZIP / Postal Code

Branch of Service*

Years of Service*

Please list either years served or name of conflict. (Example: 1940-1944 or World War II. A war or conflict should be listed only if the individual served in a combat zone. If the individual is currently on active duty, simply state "active duty" here.)

Were they killed in action?*

Yes

Veteran Photo*

Accepted file types: jpg, pdf, Max. file size: 15 MB.

Please upload a JPG file of Veteran's image. (Photo should be Veteran in military uniform; best results if photo is high resolution as possible). If this form is not accepting the photo, it likely means that the file is too large or too small. You can check your file size to ensure you're providing a good photo. It should NOT be smaller than 1 MB. If it is, it still may print but image quality will be compromised.

Documentation: DD214*

Accepted file types: jpg, pdf, Max. file size: 15 MB.

Please upload a copy of our Veteran's DD214 to confirm eligibility.

This field is for validation purposes and should be left unchanged.

To be meet eligibility requirements, the nominee must have:

lived in New Providence at some time during their life
served in one of the following branches: Army, Navy, Marines, Airforce, National Guard or Coast Guard
either Honorably Discharged or died in the line of duty and provide DD214 certification