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
Army, Air Force, Marine, Navy, Coast Guard Service between
26 September 1945 through 31 December 1991


1. Complete this form in full. ( Click here to email 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:

Service Branch:

Rank Title (Please Do Not Abbreviate):


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


Your full and complete contact email address:


  • 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
        American Express
        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...


      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.)
      City, State, Zip

      Would you like to receive the official, full size Cold War Medal and Ribbon in a Case?

    • Yes, please include the official medal, ribbon and case, and add an additional $64.00 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 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..