Air Force, Army, Coast Guard, Marine, Navy
Military Service Discharge
Replacement Recognition Application Form
1. Complete this form in full.
2. Print and mail or fax this completed form along with a photocopy of your or the veteran's DD-214, WD AGO 53-55, NA Form 13038, NAVPERS 553, NGB 22, or other pre-arranged military document(s) to the address below.