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Are you a member of a federally recognized tribe, a Native Hawaiian, or a Native Alaskan? Or in the State of Louisiana, are you a member of The United Houma Nation?
Yes
No
Are you a veteran?
Yes
No
If yes, are you currently in the active military or have you been discharged under conditions other than dishonorable?
Yes
No
Are you the spouse of a veteran?
Yes
No
If yes, is the service member missing in action, captured, or forcibly detained for at least 90 days or does the veteran have total service-connected disability, per VA evaluation?
Yes
No
In what County/Parish do you live?
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Non-Service Area
Anderson
Angelina
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Archer
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Bee
Bell
Blanco
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Cass
Chambers
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Hamilton
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Henderson
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Hunt
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Jackson
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Jim Wells
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Montague
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Nacogdoches
Navarro
Newton
Nueces
Orange
Palo Pinto
Panola
Polk
Rains
Red River
Refugio
Robertson
Rusk
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Shelby
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Stephens
Titus
Travis
Trinity
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Vanzandt
Victoria
Walker
Waller
Washington
Wharton
Wichita
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Wilson
Wood
Young
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