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

Korea War: Belgium, France
Greece, Anniversary Service
Replacement Recognition Application Form

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 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 at the bottom of this secure form.

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

    The Replacement Recognition I am applying for is the:

  • Bravery Gold Medal of Greece
  • 60th Anniversary
  • 70th Anniversary
  • Republic of France
  • Medal of Volunteers, Belgium
  • Kingdom of Belgium

    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 DD-214):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):

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

    Address:
    City:
    State:
    ZipCode:
    Phone (NO SPACES OR DASHES):

    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  

    • Month and Year Arrived Korea:
    Month and Year Departed Korea:

    If you are sending a check or USPS 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 USPS money order along with my application and documentation. The Library will receive my envelope within 10 days from today.

      • (Make payable to "Records Chief")

    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 ($7.50) (No shipping fee)
  • Document shipped ($23.30)...
       Document only with wallet card ($29.30)
  • Document shipped in Bond Enclosure ($28.30)...
       Document in Bond Enclosure with wallet card ($34.30)

    • (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 to receive the Official, full size Republic of Korea replacement medal and/or ribbon?

  • Yes, please include the official medal and add an additional $21.50 to my total.
  • Yes, please include the official ribbon and add an additional $4.00 to my total.
  • Yes, please include the official medal and the ribbon, and add an additional $25.50 to my total.
  • No, I already have the hardwear.

    • 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 forty-five [.45] cents extra)?

  • Yes, add USPS's 45 cent tracking fee to my total
  • No, I don't want to track my package

    • Ignore this final Question if you will EMAIL or have previously EMAILED a copy your DD-214...

    Would you like your mailed DD-214 scanned by The War Library and integrated into your 201A Award Report that will be emailed to you when your requested item(s) are sent to you? The scanning fee is $3.00 (a one-time fee)

  • Yes, add a one-time $3.00 to my total to Scan and Integrate my DD-214 into my Award Report
  • No, I will accept my Award Report without my DD-214 appearing in the Report

    • Click Here if you are a Prior Applicant
    New Applicants Click Here

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..