Telephone and Fax: 1-310-532-0634

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 Mail.

    The Replacement Recognition I am applying for is the:

    • Republic of Korea
    • Republic of France
    • 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:
    FIRST Name:
    MIDDLE name:
    Title (Must appear on DD-214):Jr Sr II III IV

    Service Branch:

    Rank Title (Please Do Not Abbreviate):

    Street Address:

    City:
    State:
    ZipCode:
    Phone:

    Full and complete contact email address:

    Recipient's Service/Serial Number:

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

    If you are sending a check or Money Order please indicate:

    • I will mail a check along with my application and documentation

    • I will mail a money order along with my application and documentation

      • (Make payable to "Records Chief")

    Charge or Debit Card applicants, 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

    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 - $9.50 Black & White (No Color)
  • U.S. delivery - $21.10 Document Only
  • U.S. delivery - Bond Enclosure $25.60 Navy
    Regal
    Black
    Military Standard Issue
  • U.S. delivery - EnDurable Frame, Acrylic Brown, $27.60
  • U.S. delivery - EnDurable Frame, Acrylic Black, $27.60
  • U.S. delivery - Gold Color Frame, $32.60 Gold
  • I do not want the Display Recognition. I am requesting the hardware items (medal, badge, ribbon or patch) if they are available for this award, below. (Additional shipping cost applies to non-certificate requests.)

    • 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 hardware.

    • Would you like a published copy of My Military Medal Last Will And Testament?

    • Yes, please include a Medal Will for a male heir of my medals and add $4.00 to my total

    • Yes, please include a Medal Will for a female heir of my medals and add $4.00 to my total

    • No, I will obtain the free jpg copy

      • Would you like to track your package through the United States Post Office after it has been shipped (for sixty-five [.65] 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 FAX 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 by fax or 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
    16907 Brighton Avenue
    Gardena CA 90247-5420
    Phone/Fax: 1 310 532 0634