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Army Air Corps Service
Army Air Force 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. 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 WD AGO 53-55 or other pre-arranged military document(s) to the address below.

Do Not Mark Your WD AGO 53-55
or Other Military Document!!!

Do Not Hilite, Underline, Circle, Colorize
Or Mark In Any Way The WD AGO 53-55
Or Other Military Document Photocopy
You Will Be Sending.

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 WD AGO 53-55 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


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  

  • Name of Veteran's AAC or AAF unit:



    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
    Diners Club
    Carte Blanche
    American Express
    Discover

    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 ($24.65)...
       Document only with wallet card ($30.65)
  • Document shipped in Bond Enclosure ($29.65)...
       Document in Bond Enclosure with wallet card ($35.65)
  • (The shipping totals above include the USPS - Priority Mail shipping fee)


    Would you like to order the full size World War II Victory replacement medal and/or ribbon?

  • Yes, please include the official medal and add an additional $22.00 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 $26.00 to my total
  • No, I already have the hardwear

  • Would you like to track your package using the internet 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. 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)
    Policy Statements On Display Recognitions and Hardwear
    Personalized items shipped or emailed with a name and SN/PSN number cannot be returned or refunded. 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..