An Officer Data Form is to be submitted to the Memorial Fund for each officer to be considered for inclusion on the National Law Enforcement Officers Memorial. The form must be completed by an official representative of the department for which the officer served and must be signed by the head of the agency. Otherwise, this form will not be processed.
Names are inscribed on the National Law Enforcement Officers Memorial once a year, in the spring immediately prior to National Police Week. An Officer Data Form must be submitted by the December 31 deadline to be considered for inclusion on the Memorial the following year.
However, please submit your Officer Data Form as soon as possible. Due to the number of COVID-19 related line-of-duty deaths this year, we need to be able to process your information in a timely manner.
National Law Enforcement Officers Memorial Fund
444 E Street, NW
Washington, DC 20001
Click on image of Law Enforcement Agency Officer Data Form below to download.
Click on image of Fallen Officer Notification Form (Not a Law Enforcement Agency Officer Data Form) below to download.
The Memorial Fund will contact the appropriate department:
Process and Criteria for Adding Names to the Memorial
Learn more about how names are added to the Memorial. Please note that the criteria for including an officer’s name on the National Law Enforcement Officers Memorial are separate and distinct from the line-of-duty death criteria used by other entities or programs, including state and local law enforcement memorials and the Public Safety Officers’ Benefits (PSOB) Program, U.S. Department of Justice. Acceptance for inclusion on the National Law Enforcement Officers Memorial is no way impacts decisions made by the federal government regarding the awarding of PSOB benefits. For more information about PSOB, visit https://psob.bja.ojp.gov/or call 1-888-744-6513.