Philippine Independence Medal
Replacement Recognition Application Form
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 copy of your or the veteran's WD AGO 53-55, NAVPERS 53-55, NAV-MC or other pre-arranged military document(s) to the address below.
Charge card or Debit card applicants: To expedite shipment of your Recognition you may email this form today. Your Recognition will be prepared and awaiting the arrival of your WD AGO 53-55 or other, pre-arranged military document(s).
You will shortly receive a confirmation email/receipt acknowledging your application arrived, or should we have a question or require more information. Please ensure that you have entered a correct email address.
To email this form click the button below. To mail this form address your envelope to:
Print a copy for yourself before clicking the bar below..