Report a Quilt of Valor Award

Please use this form for reporting the following types of QOV awards:

QOVs you have awarded through local requests
Multiple awards done at the same time can be reported on one form

If your award was made at the request of a State Coordinator or other Request Coordinator, do not fill out this form. Instead, please contact them and let them know the award has been completed.

First Name	Last Name	Army, Marine Corps, Navy, Air Force, Coast Guard, Space Force, WWII Merchant Marine	Service Dates (YYYY-YYYY)	Rank (i.e. E-5, W-2, O-3, etc)

Name of Recipient - Press the PLUS sign at the end of the line to enter up to 30 individual names

Names provided will be used only in the fulfillment of our mission statement. We respect the privacy of the individuals awarded as determined by the privacy policy.