Ahead of Veterans Day, Congresswoman Lauren Underwood will host a pinning ceremony to honor veterans from the 14th District of Illinois who served during the Vietnam War Period. In 2008, the National Defense Authorization Act established the United States of America Vietnam War Commemoration to thank and honor veterans of the Vietnam War, highlight their service, and pay tribute to their contributions. The pinning ceremony is part of an ongoing national effort to honor all Vietnam War period veterans who served from November 1, 1955, to May 15, 1975. As part of the ceremony, honored veterans will be recognized with a Vietnam Veteran Lapel Pin and Certificate of Honor. Please complete the application below to be considered for a future Vietnam Veterans Pinning Ceremony with Rep.Underwood. During COVID-19 pandemic, all ceremonies and events will comply with recommendations by the Centers for Disease Control and Prevention and the Illinois Department of Public Health for public gatherings. All attendees will be required to wear masks during pinning ceremony and will be expected to follow coronavirus social distancing guidelines. Face masks and hand sanitizer will be available for all attendees. To participate in the October 2020 ceremony, deadline to submit the completed application with DD-214 is October 2, 2020 by 6:00 p.m. CST. Please email a copy of your DD-214 to Underwood.DistrictOffice@mail.house.gov or mail to 490 East Roosevelt Road, Suite 202, West Chicago, IL 60185. Please note that per Department of Defense regulations, “veterans who served on active duty in the US Armed Forces at any time during the period of November 1, 1955 to May 15, 1975, regardless of location, are eligible to receive on lapel pin”. Veterans InformationVeteran’s Full Name: First Name: * MI: Last Name: * Street Address: * Street Address Continued: City: * State: * Zip Code: * +4 Extension: Email: * Confirmation will be sent to this address. Phone Number * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone. Birthdate of Veteran: * Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Gender * Female Male Are you a U.S. citizen? * Yes No Are you a legal resident of the state of Illinois? * Yes No Service Information Branch of Military: * Air Force Army Army Air Forces/Corps Coast Guard Marine Corps Merchant Marine Navy Civilian Dates of Service: * Location(s) of Service: * DD-214 Upload Applications can be uploaded or emailed as a scanned pdf to Jacqueline.muhammad@mail.house.gov or mailed to our West Chicago District Office by February 14, 2020: 490 E Roosevelt Rd., Suite 202 West Chicago, IL 60185 Files must be less than 4 MB.Allowed file types: pdf. Privacy Release Form * If you do not have a DD-214, have you submitted your Privacy Release form? Yes No Accepting Pin on Behalf ofIf the veteran is deceased, please list the name and relation of the family member accepting the pin on First Name: MI: Last Name: Email: Confirmation will be sent to this address. Will you be attending? * Yes No Number Attending * Would you like to sign up for Congresswoman Underwood’s newsletter? Yes, I would like to subscribe to Representative Underwood's newsletter. Note: Information submitted with your application cannot be returned. Information submitted with your application is subject to the Privacy Act of 1974, 5 U.S.C. Section 552 (a), as amended and to the Freedom of Information Act, Section 552, as amended. CAPTCHAPlease help prevent spam; Thank You
