Response

Nominee Information

First Name

Last Name

Home Address Line 1

Home Address Line 2

County

Home City

Home State

Home Zip

Phone

Date of Birth

Branch of Service

Unit and Branch

Dates of Service From

Date of Service To:

War Conflicts (if applicable)

Final Rank at Discharge

Discharge Date

Medals, Awards, and Commendations

Civilian Service to Community

Please provide a detailed explanation as to why you believe your nominee should receive the Congressional Veteran Commendation. Include any actions that the nominee performed that you believe were a commendable and/or heroic nature during his/her time of service to the United States and meritorious service to veterans and/or to their community subsequent to military service. Please attach additional information or documentation relevant to the veteran and his/her service, including their DD-214.

Nominator Information

First Name

Last Name

Home Address Line 1

Home Address Line 2

Home City

Home State

Home Zip

Phone

Relationship to Nominee

Please upload a recent color photo of nominee.

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Please upload a copy of the veteran's DD-214. Which clearly lists type of separation and character of service.

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Please attach any additional information or documents. (Up to 4 attachments accepted.)

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Today's Date

Certification of Nomination: I have completed this form in its entirety and can attest to the accuracy of its contents. It is my honor to nominate this nominee for the 24th Congressional District of Texas' 2026 Congressional Veteran Commendation. In addition, I understand if the aforementioned nominee is selected as a CVC recipient, any announcement to the press and upon social media will be made solely by Congresswoman Beth Van Duyne's office.

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