Phone: 1-562-422-4100 (Pacific Time Zone)
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Air Defense Artillery Modular-Training Completion
Display Recognition Replacement 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 photocopy of the required document(s) described on the Instruction Page, 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.

    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

    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):

    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   ☛ 

    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...

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

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

      Select one (or more) of the following Certificates...

      Select... Unselect Assisting Squad Leader In Crew Training
      Select... Unselect Collecting & Consolidating Intelligence Information
      Select... Unselect Coordinating & Supervising PMCS
      Select... Unselect Driving & Operating The Bradley Linebacker
      Select... Unselect Determining Weapon Employment
      Select... Unselect Selecting Targets & Issuing Fire Commands
      Select... Unselect Maintaining & Repairing The Vehicle
      Select... Unselect Operating Communications Equipment
      Select...Unselect Operating Lining Of Sight-Forward-Heavy Weapons
      Select... Unselect Operating Target Sighting Equipment
      Select... Unselect Operating The Onboard NBC System
      Select... Unselect Operating Turrets & Firing Guns
      Select... Unselect Operating 2-Way Radios For Battling Orders
      Select... Unselect Performing Preventiving Maintenancing Checks
      Select... Unselect Performs Gunner Duties During Target Engagements
      Select... Unselect Loading, Unloading, PMCS, & Correctiving Actions
      Select... Unselect Preparing Ranging Card
      Select... Unselect Process Special & Periodic Reports
      Select... Unselect Reading Maps, Compassing & Battling Plans
      Select... Unselect Scouting Techniques
      Select... Unselect Routing Of Movement & Vehicling Positions
      Select... Unselect Understanding Artillery Tactics & Battle Strategy
      Select... Unselect ID Threat & Friendly Aircraft & Armored Vehicles
      Select... Unselect Stinger Weapon Round
      Select... Unselect Launch Tube Assembly
      Select... Unselect Interrogator Friend Or Foe Sys
      Select... Unselect Weapon Round Container
      Select... Unselect Employment Of Stinger
      Select... Unselect Stationary Point Defense
      Select... Unselect Mobile Point Defense
      Select... Unselect Main Gun, 25mm Automatic Gun, M242
      Select... Unselect TOW Missile
      Select... Unselect M240C 7.62 Coaxial Machine Gun
      Select... Unselect Offensive Employment
      Select... Unselect Stinger Cntl Box
      Select... Unselect Bradley Cntl Electronics
      Select... Unselect Cntl Display Terminal
      Select... Unselect Sighting Sys
      Select... Unselect IFF Sys
      Select... Unselect Bradley Missile Countermeasure Device
      Select... Unselect Bradley Linebacker Cmd & Cntl
      Select... Unselect Bradley Linebacker Digital Compass Sys
      Select... Unselect Avenger M3P .50-Caliber Machine Gun
      Select... Unselect Avenger Remote Cntl Unit
      Select... Unselect Avenger Sensor
      Select... Unselect Avenger Forward Looking Infrared Receiver
      Select... Unselect Avenger Optical Sight
      Select... Unselect Avenger Identification Friend or Foe
      Select... Unselect Avenger Laser Range Finder
      Select... Unselect Avenger Offensive Employment
      Select... Unselect Avenger Defensive Employment
      Select... Unselect Avenger Theater High Altitude Area Defense Sys
      Select... Unselect Avenger Antenna Eqpt Unit
      Select... Unselect Avenger Electronics Eqpt Unit
      Select... Unselect Avenger Cooling Eqpt Unit
      Select... Unselect Avenger Operator Cntl Unit
      Select... Unselect Avenger Battle Mgmt/Cmd, Cntl, Commo, & Intell
      Select... Unselect Avenger Tactical Ops Station
      Select... Unselect Avenger Launch Cntl Station
      Select... Unselect Avenger Sys Support Group
      Select... Unselect Avenger Tactical Station Group
      Select... Unselect Avenger Sensor Sys Interface
      Select... Unselect Avenger Communications Relay
      Select... Unselect Avenger Modified PLS Truck
      Select... Unselect Avenger Missile Round Pallet
      Select... Unselect Avenger Electronics Module
      Select... Unselect Avenger Missile Round
      Select... Unselect Avenger Canister
      Select... Unselect Avenger Missile Assembly
      Select... Unselect Avenger Weapon Assignment
      Select... Unselect THAAD Surveillance
      Select... Unselect THAAD Threat Evaluation
      Select... Unselect THAAD Engagement Cntl
      Select... Unselect Avenger Missile Ops Prelaunch
      Select... Unselect Avenger Missile Ops Launch
      Select... Unselect Avenger Missile Ops Boost
      Select... Unselect Avenger Missile Ops Postboost
      Select... Unselect Avenger Missile Ops Midcourse
      Select... Unselect Avenger Missile Ops Hand-over & Acquisition
      Select... Unselect Avenger Missile Ops Target Track
      Select... Unselect Avenger Missile Ops Engage
      Select... Unselect Avenger Missile Ops Impact & Target Destruction
      Select... Unselect Avenger AN/GRC-193A Radio
      Select... Unselect Avenger AN/GRC-226 Radio
      Select... Unselect Avenger AN/GSQ-240 JTIDS Class 2M Radio
      Select... Unselect Avenger Cmder's Tactical Terminal
      Select... Unselect Avenger Compact Digital Switch
      Select... Unselect Avenger Encryption Devices
      Select... Unselect Avenger Fiber Optic Cable
      Select... Unselect Avenger Global Positioning Sys
      Select... Unselect Avenger Mobile Subscriber Eqpt
      Select... Unselect Avenger SINCGARS Radios
      Select... Unselect THAAD Non-Organic MSR & ACUS Connectivity
      Select... Unselect Avenger Battery Mission Ops Network
      Select... Unselect Avenger Battery Wire/Telephone Network
      Select... Unselect Avenger Battery FM Cmd Net
      Select... Unselect Avenger Battery FM Support Net
      Select... Unselect Patriot Air Defense Sys
      Select... Unselect Avenger Information & Coordination Central
      Select... Unselect Avenger Electric Power Unit
      Select... Unselect Avenger Communications Relay Group
      Select... Unselect Antenna Mast Gp Truck Mounted OE-349/MRC
      Select... Unselect Engmt Ctrl Stn Truck Mounted AN/MSQ-104
      Select... Unselect Radar Set, Semi-Trailer Mounted, AN/MPQ-53
      Select... Unselect Avenger Electric Power Plant
      Select... Unselect Launching Stn Guided Msl Semi-Trailer Mntd
      Select... Unselect Avenger Guided Missile Intercept Aerial, MIM-104
      Select... Unselect Avenger Information & Coordination Central
      Select... Unselect Avenger Fire Unit Target Engagement Sequence
      Select... Unselect Avenger AN/ARC-187 UHF Radio
      Select... Unselect Avenger AN/GRC-103 UHF Radio
      Select... Unselect Avenger AN/GSQ-240 JTIDS Class 2M Radio
      Select... Unselect Avenger AN/TRC-170 Radio Terminal Set
      Select... Unselect Avenger AMDPCS Components
      Select... Unselect Avenger Single Channel Ground & Abn Radio Sys
      Select... Unselect Avenger Mobile Subscriber Eqpt
      Select... Unselect Enhanced Position Location Rprtg Sys (EPLRS)
      Select... Unselect Avenger Joint Tactical Information Distribution Sys
      Select... Unselect Avenger Sentinel Radar
      Select... Unselect Patriot Conduct Of Fire Trainer
      Select... Unselect Radar Set March Order & Emplacement Trainer
      Select... Unselect Patriot Communications Sys Task Trainer
      Select... Unselect Patriot Data Link Upgrade Task Trainer
      Select... Unselect Patriot Radar Frequency Comparator Task Trainer
      Select... Unselect Patriot Antenna Element Task Trainer
      Select... Unselect Patriot Embedded Trainers
      Select... Unselect Patriot Empty Round Trainer
      Select... Unselect Patriot Missile Round Trainer
      Select... Unselect Patriot Intermediate Maintentance Trainer
      Select... Unselect Patriot Logistics Support
      Select... Unselect Patriot Ad Battalion
      Select... Unselect Patriot Ad Firing Unit
      Select... Unselect Patriot Support Eqpt
      Select... Unselect Launcher Platoon FM Cmd Net
      Select... Unselect ADA Brigade
      Select... Unselect Patriot Adjacent Patriot Battalions
      Select... Unselect Patriot Supported & Supporting Unit
      Select... Unselect Patriot Internal Communications
      Select... Unselect Bradley Stinger Fighting Vehicle
      Select... Unselect Patriot Multichannel Radio Syss
      Select... Unselect Patriot IHFR-AM
      Select... Unselect Patriot Fire Unit Cmd FM Net
      Select... Unselect Patriot Fire Unit Ops Net
      Select... Unselect Mobile Subscriber Eqpt
      Select... Unselect Remote Cntl Terminal
      Select... Unselect Patriot BSFV Institutional Conduct Of Fire Trainer
      Select... Unselect Patriot BSFV Unit Conduct Of Fire Trainer
      Select... Unselect Patriot Through Sight Video Camera
      Select... Unselect Precision Gunnery Sys
      Select... Unselect Bradley Missile Simulation Round
      Select... Unselect The Force on Force Trainer
      Select... Unselect Stinger Captive Flight Trainer
      Select... Unselect Avenger Institutional Conduct Of Fire Trainer
      Select... Unselect Avenger Captive Flight Trainer
      Select... Unselect Avenger Force-On-Force Trainer
      Select... Unselect Avenger Table Top Trainer
      Select... Unselect Avenger Troop Proficiency Trainer
      Select... Unselect Sentinel Troop Proficiency Trainer
      Select... Unselect Sentinel Institutional Maintenance Trainer
      Select... Unselect Stinger Field Handling Trainer
      Select... Unselect Stinger Tracking Head Trainer Set
      Select... Unselect Stinger Troop Proficiency Trainer
      Select... Unselect Stinger Improved Moving Target Simulator
      Select... Unselect Balanced Fires
      Select... Unselect Defense In Depth
      Select... Unselect Early Engagement
      Select... Unselect Integration
      Select... Unselect Mobility
      Select... Unselect Mutual Support
      Select... Unselect Overlapping Fires
      Select... Unselect Weighted Coverage

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

    • No, I will obtain the free jpg copy

    • Yes, please include a Medal Will for a MALE heir of my Awards & add $4.00 to my total
    • Yes, please include a Medal Will for a FEMALE heir of my Awards & 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 45 cents 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 & 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 & Integrate my DD-214 into my Award Report
      •
    • No, I will accept my Award Report without my DD-214 appearing in the Report
      •

      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 & Hardwear
    Personalized items shipped or emailed with a name & 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.

    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..