Phone: 1-562-422-4100 (Pacific Time Zone)

Air Force Unit Service
Replacement Recognition Application Form

INSTRUCTIONS:

    1. Complete this form in full.
    2. Click the button at the bottom of this completed form to email it to The War Library, along with a copy of your or the veteran's DD-214, WD AGO 53-55, NGB 22, or you can Print and mail this form and the required documents to the Library's mailing address below.

    Do Not Hilite, Underline, Circle, Colorize
    Or Mark In Any Way The DD-214
    Or Other Military Document Photocopy
    You Will Be Sending.

    Type the name of the Unit in the box below...
    Please do NOT abbreviate any of the words in the name

    Recipient's LAST Name (as it appears on the Report of Separation):
    FIRST Name (as it appears on the Report of Separation):

    MIDDLE name (as it appears on the Report of Separation):
    Title (Must appear on military documentation):Jr Sr II III IV

    Rank Title (Please Do Not Abbreviate):

    Paygrade
    Enlisted
    Warrant
    Officer

    I have not moved. My current address info is on file from a previous application

    Address:
    City:
    State:
    ZipCode:
    Phone:

    Full and complete contact email address:

    SERVICE NUMBER:
    (Do Not enter any alphabet letters. Numbers only.)
    ★ Enter the veteran's 1st FOUR DIGITS ONLY  ☛ 
    ★ Enter the 2nd FOUR (or remaining) DIGITS ONLY   ☛ 

    Date unit service began:

    Date unit service ended:

    If you are sending a check please indicate:

    • I will mail a check along with my application and documentation. The Library will receive my envelope within 10 days from today.

      • CHARGE or DEBIT CARD applicants:

      -- My current Card information is already on file from a previous Application

      If your Card information is not on file, please Complete the following...

      Your Name as it appears on your charge or check debit card:

      Payment Method
        Check Debit
        Visa
        MasterCard
        Discover
        American Express
        Diners Club
        Carte Blanche

      Card number:
      Expiration Date
      Card Verification Number (CVV Code) (See below)
      American Express: 4 digits on front of card
      All other cards, 3 digits on back

      After printing this form for mailing, please sign here:

      International shipping cost (U.S. veteran living outside the United States, please add the shipping cost you were quoted...

      TOTAL ADMIN PROCESSING/DELIVERY:

    • PDF emailed (full color, printable) ($7.50) ( RECOMMENDED, No USPS shipping fee )
    • Document shipped ($27.43)...
         Document only with wallet card ($33.43)
    • Document shipped in Bond Enclosure ($32.43)...
         Document in Bond Enclosure with wallet card ($38.43)

    • I do not want the Display Recognition. I am requesting the hardwear items listed below (medal, badge, ribbon or patch) if they are available for this award. (Shipping cost applies to non-certificate requests.)
    • Would you like the full-color Wallet-Size Card Certificate along with one of the above full-size color Certificates (Wallet Cards are available only when a Certificate is requested now or previously.)
      Yes, Laminated ($6.00)
      No

      LAMINATED PATCH FOR SHADOWBOX DISPLAY
      This laminated patch is not designed for wear on clothing

      -- No, I do not want the patch
      -- Yes, if a laminated patch is available, please include for display in my Shadow Box. $8.75

      Would you like an archive (black&white) copy of the Certificate you are applying for to be mailed from the Records Chief directly to your Commanding Officer -or- to your Employer -or- to your School Administrator for inclusion into your permanent personnel file jacket?
      (Fee: $3.50)

    • No.
    • Yes, please mail an embossed, B&W copy of my Certificate to the following person and address:


      • Official's name

      Official's Title

      Official's Agency Name (name of unit, vessel, office, school, etc.)

      Address

      City, State, Zip

      Would you like a published copy of My Military Medal Last Will And Testament?

    • No, I will obtain the free jpg copy

    • Yes, please include a PUBLISHED VERSION of the Medal Will for a MALE heir of my Awards and add $4.00 to my total
    • Yes, please include an EMAILED VERSION Medal Will for a MALE heir of my Awards and add $2.50 to my total

    • Yes, please include a PUBLISHED VERSION of the Medal Will for a FEMALE heir of my Awards and add $4.00 to my total
    • Yes, please include an EMAILED VERSION Medal Will for a FEMALE heir of my Awards and add $2.50 to my total

      • Would you like to track your package through the United States Post Office ) after it has been shipped (for seventy-five [.75] cents extra)?

    • Yes, add 20 cents to my total
    • No, I don't want to track my package

      • Click Here if you are a Prior Applicant who's DD-214 is on file
      New Applicants Click Here

      Your Application Form is now complete. Print, Sign and Mail this completed form to the address below along with the required military-issued Report of Separation or other (pre-approved) document(s). You may (OPTIONAL) email this form for faster processing. However, you must still mail or email a copy of your military document(s).

      Records Chief (REC-AMW)
      The American War Library
      817 East Via Carmelitos
      Virginia Building 319
      Long Beach CA 90805-7549
      Phone: 1-562-422-4100 (Pacific Time Zone)
      LINK: Policy Statements On Display Recognitions and Hardwear

LINK: Policy Statements On Display Recognitions and Hardwear
Name-personalized items that are produced uniquely for a recipient may not be exchanged or returned. However, although typographical errors are very rare, there is no time limit on requesting corrections to errors.

Print a copy for yourself before clicking the bar below..