Phone: 1-562-422-4100

Croix de Guerre
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 French Instruction Page and Luxembourg 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).

    Country...

    Recipient's LAST Name:
    FIRST Name:
    MIDDLE name:
    Title (Must appear on military documentation):Jr Sr II III IV

    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:

    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
        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 (full color, printable) ($7.50) ( RECOMMENDED, No USPS shipping fee )
    • Document shipped ($27.43)...
         Document only with wallet card ($33.43)
    • Document shipped in Bond Enclosure ($32.43)...
         Document in Bond Enclosure with wallet card ($38.43)

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

    • Would you like the full-color Wallet Size Certificate along with one of the above full-size color Certificates ($3.50) Yes No

      LAMINATED CROIX DE GUERRE PATCH FOR SHADOWBOX DISPLAY
      This laminated patch is designed for Shadowbox display or pouch uniform wear only. It is not designed for sew-on clothing wear
      It is available ONLY when a published Certificate is shipped. (Not available with emailed Certificates)

    • No, I do not want the Shadowbox patch.
    • $8.75 -- Yes, I want the laminated patch, please include for display in my Shadow Box.

      • 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)

    • 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 to track your package through the United States Post Office after it has been shipped (for seventy-five [.75] cents extra)?

    • Yes, add 75 cents to my total

    • No, I don't want to track my package

      • Click Here if you are a Prior Applicant who's DD-214 is on file
      New Applicants Click Here

      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 hardware 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.)

    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..