1 Application 2 Complete Former, living American military Vietnam POWs from the Vietnam War by the Department of Defense - None -YesNo Immediate family members of Vietnam Veterans - None -YesNo Immediate family members only (parents, children, siblings, spouse) of American military personnel who are listed as missing and unaccounted for from the Vietnam War by the Department of Defense In Memory Of - None -YesNo Immediate family members only (parents, children, siblings, spouse) of a veteran who is listed on the Vietnam Veterans Memorial in Washington, D.C. and who is not listed as missing or unaccounted for by the Department of Defense. Surviving Spouse of Vietnam Veteran - None -YesNo Surviving spouse at time of death of a veteran who served on active duty in the U.S. Armed Forces at any time during the period 1 November 1955-15 May 1975, regardless of location of service. Ceremony or Post - None -Presentation at a Ceremony pleasePost it to me please Would you like the certificate and lapel pin posted to your mailing address? Or presented to you at a ceremony (once we know how many people would like a ceremony we can organize the date of presentation) Name, rank, date of death/retirement/incident, and branch of Service of deceased/retired/unaccounted for military member: Name of family member to be placed on the certificate. Relationship of the family member to the military member [widow (remarried or not), each parent (mother, father, stepmother, stepfather), sister/half/step, brother/half/step, child/step/adopted: Address, phone number, email, and name to whom the certificate is to be mailed for presentation purposes:
