I Want To Know What Medals I Am Authorized
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I Want To Know All of the
Military Medal and Award
Authorizations I am Eligible For
(Send me my Form 201-A)

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Veteran's Organization or Veteran's Service Officer

    SECTION 1

    VETERAN'S Last Name:
    First Name:
    Middle Name:

    Highest Rank Title or Rating Title
    Example: A1C, SGT, CAPT, PO3C, SP4, T/5, PFC, etc.
    Do NOT Enter your 'O-', 'E-' or 'W-' paygrade):

    SECTION 2

    NOTE: Military serial numbers converted to social security numbers in July, 1969

  • If you/the veteran discharged BEFORE July, 1969 enter your/the veterans full serial number -- NUMERALS ONLY... NO LETTERS, NO SPACES, NO DASHES:

  • If you/the veteran disharged AFTER July, 1969 enter the LAST FOUR DIGITS ONLY of your/the veterans social security number -- NO SPACES, NO DASHES

    • SECTION 3

    I/this veteran did not serve overseas

    COUNTRY #1

    I/this veteran served overseas in the following country or war zone:

    The date I/this veteran began service in the above country or war zone:
    (Month/Day/Year)

    The date I/this veteran ended service in the above country or war zone:
    (Month/Day/Year)

    COUNTRY #2

    I/this veteran served overseas in the following country or war zone:

    The date I/this veteran began service in the above country or war zone:
    (Month/Day/Year)

    The date I/this veteran ended service in the above country or war zone:
    (Month/Day/Year)

    COUNTRY #3

    I/this veteran served overseas in the following country or war zone:

    The date I/this veteran began service in the above country or war zone:
    (Month/Day/Year)

    The date I/this veteran ended service in the above country or war zone:
    (Month/Day/Year)

    COUNTRY #4

    I/this veteran served overseas in the following country or war zone:

    The date I/this veteran began service in the above country or war zone:
    (Month/Day/Year)

    The date I/this veteran ended service in the above country or war zone:
    (Month/Day/Year)

    COUNTRY #5

    I/this veteran served overseas in the following country or war zone:

    The date I/this veteran began service in the above country or war zone:
    (Month/Day/Year)

    The date I/this veteran ended service in the above country or war zone:
    (Month/Day/Year)

    SECTION 4

    Service Branch:

    Month, Day, Year first entered military service (Example: Oct 31 1955 or 10-31-1955):

    Month, Day, Year military service ended (Example: Sep 10 1984 or 09-10-1984):

    SECTION 5 - Units or Vessels Served

    1. Vessel or Unit Name (Do Not Abbreviate):

    (Day/Month/Year) Date arrived at this unit/vessel

    (Day/Month/Year) Date left this unit/vessel

    2. Vessel or Unit Name (Do Not Abbreviate):

    (Day/Month/Year) Date arrived at this unit/vessel

    (Day/Month/Year) Date left this unit/vessel

    3. Vessel or Unit Name (Do Not Abbreviate):

    (Day/Month/Year) Date arrived at this unit/vessel

    (Day/Month/Year) Date left this unit/vessel

    4. Vessel or Unit Name (Do Not Abbreviate):

    (Day/Month/Year) Date arrived at this unit/vessel

    (Day/Month/Year) Date left this unit/vessel

    SECTION 6

    Name of Military Base/Fort/Camp/Field/Installation served at (Do Not Abbreviate):
    1.
    2.
    3.
    4.
    5.
    6.

    SECTION 7

    Please provide YOUR email address where your Report will be sent:
    (Please DO NOT use a Roadrunner email address. Roadrunner dictates what email you are permitted to receive.)
    Please re-enter YOUR email address to ensure that it was entered correctly above...

    If you want a copy of your Report emailed to a friend, relative or a Veteran Service Officer, enter THEIR email address:

    SECTION 8

  • A copy of my/the veteran's DD-214 (Report of Separation) is on file at The War Library because I have personally provided The War Library with a copy within the last....
      Week
      Month
      Year
      I sent a copy of my DD-214 to The War Library in

  • I am faxing within 24 hours an unaltered copy of my/the veteran's DD-214 (Report of Separation) and/or other documents to 1-310-532-0634 to have my 201-A Report emailed to me. If my faxed DD-214 does not arrive within 24 hours please ignore my 201-A request.

  • I am emailing a PDF copy [No JPG, GIF, etc.] of my/the veteran's DD-214 (Report of Separation) and/or other documents to americanwarlibrary@pacbell.net to have my 201-A Report emailed to me. If my emailed DD-214 does not arrive within 24 hours please ignore my 201-A request.

  • I am mailing within 24 hours a copy of my/the veteran's unaltered DD-214 (Report of Separation) and/or other documents along with a Self-Addressed, Stamped Envelope to have my 201-A Form MAILED to me:
    Form 201-A Request
    The American War Library
    16907 Brighton Avenue
    Gardena CA 90247-5420.

    If my mailed DD-214 does not arrive within seven days please ignore my 201-A request.

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