Phone: 1-562-422-4100 (Pacific Time Zone)
Email Questions

Cold War Era
Replacement Recognition Application Form
ELIGIBILITY PERIOD:
Army, Air Force, Marine, Navy, Coast Guard Service between
26 September 1945 through 31 December 1991

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 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:
      LIVING
      DECEASED
      KILLED IN ACTION


    Service Branch:

    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:

  • 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 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.

    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:

Make your selection from one of the following options...
(Fees listed below INCLUDE shipping (USPS):
   Certificate (Printable PDF, emailed) $7.50

   Certificate only $23.30 (shipped)
   Certificate & Wallet Card $29.30 (shipped)
   Certificate (Bond Enclosure) $28.30 (shipped)
   Certificate (Bond Enclosure) & Wallet Card $34.30 (shipped)

   Cold War medal $45.00 (shipped)
   Cold War medal & Certificate $59.30 (shipped)
   Cold War medal & Certificate & Wallet Card $65.30 (shipped)
   Cold War medal & Certificate (Bond Enclosure) $64.30 (shipped)
   Cold War medal & Certificate (Bond Enclosure) & Wallet Card $70.30 (shipped)

   Cold War ribbon $16.60 (shipped)
   Cold War ribbon & Certificate $31.30 (shipped)
   Cold War ribbon & Certificate & Wallet $37.30 (shipped)
   Cold War ribbon & Certificate (Bond Enclosure) $36.30 (shipped)
   Cold War ribbon & Certificate (Bond Enclosure) & Wallet Card $42.30 (shipped)

   Cold War medal & ribbon in Case $61.60 (shipped)
   Cold War medal & ribbon in Case & Certificate $76.30 (shipped)
   Cold War medal & ribbon in Case & Certificate & Wallet Card $82.30 (shipped)
   Cold War medal & ribbon in Case & Certificate (Bond Enclosure) $81.30 (shipped)
   Cold War medal & ribbon in Case & Certificate (Bond Enclosure) & Wallet Card $87.30 (shipped)


    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 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 45 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. Name-Personalized items such as Certificates that are produced uniquely for a recipient may not be exchanged or returned.)

    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...