Telephone: 1-562-422-4100

Govt of Korea, Belgium or France
Korean War (U.N./Allied) Service Medal
Replacement Recognition Application Form

INSTRUCTIONS:

    1. Complete this form in full.
    2. Print and mail 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 at the bottom of this secure form.

    Do Not Hilite, Underline, Circle, Colorize
    Or Mark In Any Way The DD-214
    Or Other Military Document Photocopy
    You Will Be Sending.


    The Replacement Recognition I am applying for is the:

    • Bravery Gold Medal of Greece
    • 60th Anniversary, United Nations (for non-US veterans)
    • 60th Anniversary, United States (for US veterans)
    • Republic of Korea
    • Republic of France
    • Medal of Volunteers, Belgium
    • Kingdom of Belgium (*)
      (*) (NOTE: the Belgium Replacement Recognition was originally restricted to all members of the U.S. Navy, Marine Corps, Air Force and Coast Guard and U.S. Army issue was restricted to "RA" Service Numbers and Officer personnel only; "US" Service Numbers were ineligible]. The Belgium award has since been authorized to all US servicepersonnel.)

    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 DD-214):Jr Sr II III IV

    Service Branch:

    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:

    Recipient's Service/Service Number:

    Month and Year Arrived Korea:
    Month and Year Departed Korea:


    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.
    • (Make payable to "Records Chief")


    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
      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:

  • .PDF Emailed - $7.50 Full Color
  • U.S. delivery - $22.35 Full Color Document Only
  • U.S. delivery - Full Color Document in Bond Enclosure
  • I do not want the Display Recognition. I am requesting the hardwear items listed below (medal, badge, ribbon or patch) if they are available for this award. (Shipping cost applies to non-certificate requests.)
  • Would you like the full-color Wallet-Size Card Certificate along with one of the above full-size color Certificates (Wallet Cards are available only when a Certificate is requested now or previously.)
    Yes, Unlaminated ($3.50)
    Yes, Laminated ($6.00)
    No
    SKIP THIS SECTION IF YOU ARE NOT REQUESTING A CD-ROM...
    I want Certificates in pdf format on a CD rom...


  • I want of my Certificates (minimum 20) in full color; $7.50 per Certificate on CD-ROM. I will be emailing a list of the Certificates I want

  • No CDrom

    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 receive the Official, full size Republic of Korea replacement medal and/or ribbon?

  • Yes, please include the official medal and add an additional $21.50 to my total.

  • Yes, please include the official ribbon and add an additional $4.00 to my total.

  • Yes, please include the official medal and the ribbon, and add an additional $25.50 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 PUBLISHED VERSION of the Medal Will for a MALE heir of my Awards and add $4.00 to my total
  • Yes, please include an EMAILED VERSION Medal Will for a MALE heir of my Awards and add $2.50 to my total
  • Yes, please include a PUBLISHED VERSION of the Medal Will for a FEMALE heir of my Awards and add $4.00 to my total
  • Yes, please include an EMAILED VERSION Medal Will for a FEMALE heir of my Awards and add $2.50 to my total

  • 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 USPS's 45 cent tracking fee to my total

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

  • SENDING INSTRUCTIONS

    Please do the following, in order:

    1. Print this Form now.
    2. If using your charge/debit card, enter the card number and the card's expiration date. Sign the form.
    3. After completing the form mail it, along with a photocopy of your DD-214 to the address below (for faster processing and delivery, charge/debit applicants may mail or email this application and their DD-214). (PRIOR APPLICANTS: If you have previously mailed your DD-214 to The War Library you do not need to mail it again. Simply click the SEND button below.)

    4. Click the SEND button below to notify The War Library that your DD-214 will be arriving within a few days by mail.

Click Here if you are a Prior Applicant
New Applicants Click Here

MAILING ADDRESS
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
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..