You must have JavaScript enabled to use this form. Nominator's Name Nominator's Phone Nominator's Email Who would you like to nominate for Veteran of the Year (must live in Assembly District 39)? Please provide their contact information (email, phone number, address): What have they done that you find inspiring or beneficial as a Veteran?: In what military branch did they serve? How long was their period of service? Does the Veteran belong to any Veteran’s organizations, such as the American Legion, AMVETS, VFW, Vietnam Veterans of America? Leave this field blank
