Vietnam War Commemoration

As a wife and a sister of veterans, I understand and appreciate the sacrifice of all the nation’s men and women who answered the call of their country. We must never forget their service and sacrifice in defending our freedom. 

The Vietnam War concluded nearly 50 years ago, and my Congressional office will be helping to honor all of our Vietnam veterans with recognition through the United States of America Vietnam War Commemoration program. 

If you served in the military during the Vietnam era (between November 1st, 1955 and May 15th, 1975) – or if you have a family member, friend, or neighbor who served – please complete the veteran information below and our Office will follow-up to extend appreciation for their service. 

Prefix*

First Name*

Middle Initial

Last Name*

Suffix*

Address*

Address (cont.)

City*

State*

Zip Code*

Email Address*

Phone Number*

Your relation to the Veteran*

Veteran's Information

Prefix*

First Name*

Last Name

Suffix*

Birthday(if known)

Branch of Military Service*

Dates of Service*

Approximate dates are acceptable.

Location(s) of Service*

Approximate location(s) are acceptable.

Please provide any other information you would like to share about the veteran, such as their rank, their military occupation, or a brief story.

Is the Veteran being honored posthumously?*

Family Member's Information

Because the Veteran is being honored posthumously, please fill out the information below of a family member of the Veteran who will accept their honors on his or her behalf.

Family Member's Name

Family member’s relation to the veteran

Family member’s phone number

Family member’s email

*I swear under penalty of perjury that to the best of my knowledge the information I have provided in this form is accurate.

Office Locations

WASHINGTON DC OFFICE

ANAHEIM HILLS OFFICE

MISSION VIEJO OFFICE

WED-FRI 9AM-5PM