Statement of Hmong or Highland Lao Tribal membership

Revised date

Statement of Hmong or Highland Lao Tribal Membership

I declare, under penalty of perjury, that I was a Hmong or Highland Laotian tribe member when the tribe assisted the U.S. military during the Vietnam era (8/5/64 to 5/7/75).

Signature

Date

Please report broken links or content problems.