Flag Request Form

Our office is pleased to provide flags at no cost to community not-for-profit organizations, such as veterans groups and fire and ambulance companies, and to local government entities. To obtain a flag or flags, please complete the form below. In addition, please send via email a formal request for the flag(s) on your organization’s letterhead.

Flags request may be submitted every 12 months for qualified organizations. Please allow 30 days to process.

First Name *

Last Name *

Organization *

Email Address *

Leaving this box checked verifies that you would like to receive email updates from this state representative

Telephone Number *

Mailing Address Line 1 *

Mailing Address Line 2

City *

Zip Code *

Flag Type Requested
Choose all that apply. *

3 X 5 Pennsylvania Flag
3 X 5 United States Flag
3 X 5 POW Flag

Additional Information