Questions About This Form? Use Email

Phone: 1-562-422-4100 (Pacific Time Zone)
Questions About This Form? Use Email

Cold War Era
Replacement Recognition
Medal and Ribbon
Application Form
ELIGIBILITY PERIOD:
Army, Air Force, Marine, Navy, Coast Guard Service between
26 September 1945 through 31 December 1991

INSTRUCTIONS:

1. Complete this form in full. ( Click here to email amerwar@amervets.com if you have any technical problems sending this Application Form after you have completed it )

2. Print and mail or email this completed form, along with a copy of your or the veteran's DD-214, WD AGO 53-55, NAVPERS 553, NGB 22, or other pre-arranged military document(s) to the address below.

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

Charge card or Debit card applicants: To expedite shipment of your Replacement Recognition you may email this form today. Your Replacement Recognition will be prepared and awaiting the arrival of your DD-214 or other, pre-arranged military document(s).

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

Is this veteran currently living, deceased or KIA:
  LIVING
  DECEASED
  KILLED IN ACTION

Service Branch:

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 (NO SPACES OR DASHES):

Your full and complete contact email address:

SERVICE NUMBER:

  • Enter the veteran's FIRST FOUR DIGITS ONLY (Do Not enter any alphabet letters. Numbers only.) 
  • Enter the SECOND FOUR (or remaining) DIGITS ONLY  

    • If you are sending a Check or Money Order please indicate:

    • I will mail a Check along with my application and documentation. The Library will receive my envelope within 10 days from today.
    • I will mail a Money Order 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
        American Express
        Discover
        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:

      I want to purchase the Full Color...

    • PDF emailed (full color, printable) ($7.50) (No shipping fee)
    • Document shipped ($24.50)...
         Document only with wallet card ($30.50)
    • Document shipped in Bond Enclosure ($29.50)...
         Document in Bond Enclosure with wallet card ($35.50)

      • (The shipping totals above include the USPS - Priority Mail shipping fee)

      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) Available only when a published certificate is requested. Not available with emailed certificates.

    • 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 Medal Will for a MALE heir of my Awards and add $4.00 to my total
    • Yes, please include a Medal Will for a FEMALE heir of my Awards and add $4.00 to my total

      • Would you like to track your package through the United States Post Office after it has been shipped (for twenty [.20] cents extra)?

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

      • Your Application Form is now complete. After clicking the button below to send this Form you will soon receive a confirmation email containing final instructions on which items, if any, are needed to fulfill your request. Your DD-214 can be mailed or emailed. Non-personalized items such as hardwear may be exchanged or returned within ten days of delivery.

      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
      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..