First Name:  * required Middle Name: Last Name:  * required Address:  * required City  * required State  * required Zip  * required Phone:  * required Email:  * required Date of Birth (mm/dd/yyyy):  * required Last 4 SSN:  * required Military Branch: Select Branch... Air Force Army Coast Guard Marine Corps Merchant Marine Navy Era of Combat: World War II Korea Vietnam Lebanon Grenada Panama Persian Gulf Somalia Yugoslavia Bosnia Iraq Afghanistan Other Type of Discharge: Honorable Under Honorable Conditions General Other Than Honorable Undesirable Bad Conduct Dishonorable Sex: Male Female Current Compensation Rating: No Rating 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Special Recognition (ctrl click for multiple selections): Air Force Cross Airman's Medal Bronze Star Medal Coast Guard Medal Defense Superior Service Medal Distinguished Flying Cross Distinguished Service Cross Distinguished Service Medal Legion of Merit Medal of Honor Navy & Marine Corps Medal Navy Cross POW Purple Heart Silver Star Soldier's Medal No Special Recognition Special Medical Instructions and/or Medical/Psychological Diagnosis (160 character limit): Military History (Your Hometown, High School, College, Military Training.  Please provide details.) [See Example]: How will you send your document(s) for verification of military service?: Fax Mail USPS How Did You Hear About Us? Select... CBOC Friend Local Newspaper Search Engine Military Magazine Workshop VSO VA Regional Office Job Fair Vet Center Veterans Affairs Active Duty Military Member NSO Link From Another Website Radio Veteran Television 2nd Veteran ID Card 3rd Veteran ID Card 4th Veteran ID Card Other By submitting this form I agree to receive FREE Veteran Newsletters and Alerts. Yes No I give permission to USVCP to publish my online bio: Yes No I give permission to USVCP to allow my military service to be verified online: Yes No Please digitally record and archive the military documents I send as proof of Honorable military service: Select... Digitally record and Archive my military documents Do Not digitally record my military documents Emergency Contact Name: Emergency Contact Telephone Number: Promotional Code: *PLEASE READ:  Verify your data fields to ensure that information is accurate.  USVCP is not liable for inaccurate, misleading, or erroneous data entries.