Veteran of the Year Nomination


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2019 Veteran of the Year Award Nomination Form

Download application form below and enter your information,
then upload the completed PDF at the bottom of the page.


  • Must be an active or retired veteran of the five Armed Forces of the United States, including Reserve or National Guard, or the United States Merchant marines. 
  • Must be able to attend ceremony in Sacramento on June 26, 2019.
  • Nominated Veterans must live within the 19th Assembly District, which encompasses Western San Francisco, Daly City, Broadmoor, Colma, and portions of South San Francisco.
  • Any questions, contact Vivian Liang at 415-557-2312.

Nomination Deadline: 4/30/2019

Please submit nomination form to:

455 Golden Gate Ave, Suite 14600
San Francisco, CA 94102

Or use the electcronic submission below.

Download Application Form

Application PDF+