Instructions

  • All applications for officer’s names to be added to the BC Law Enforcement Memorial must be received by the Foundation prior to June 1st of each year to ensure adequate time for inscription.
  • All applications must be accompanied by substantiating documentation wherever possible but when the application is Historical (more than one year old) news accounts, coroner’s reports, etc. are recommended.
  • Applications must be approved by the Chief Constable or Officer in Charge of the respective agency although the researcher should be listed as agency contact.

Online Application Form

Type of Application
Present Year SubmissionHistorical Submission

Agency Submitting Application Contact Person
Agency Name: Name:
Address: Work Phone:
Phone: Cell Phone:
Email:
The Deceased
Surname: Date of Birth:
Given Name 1: Date of Hire:
Given Name 2: Years of Official Service:
Given Name 3: Date of Death:
Name to be Inscribed on Memorial: Date of Incident Causing Death:
Rank: Cause of Death:
Agency:
Marital Status Number of Children
Never MarriedMarriedCommon LawSeparatedDivorced
Next of Kin
Funeral Details
BuriedCremated Location:
Photograph
Crest of Agency
Substantiating Documentation
Full Details of the Incident