Telephone: 1-562-422-4100 (Pacific Time Zone)

USMC Enlisted Promotion
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, NAVPERS, NAVMC 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.


    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

    Please Select Badge Type:

    Private First Class
    Lance Corporal
    Corporal
    Sergeant (Current) | Sergeant (Pre-1959
    Staff Sergeant (Current) | Staff Sergeant (Pre-1959)
    Gunnery Sergeant
    Master Sergeant
    First Sergeant
    Master Gunnery Sergeant
    Sergeant Major
    Sergeant Major of the Corps

    Year Promoted:

    Street Address:

    City:
    State:
    ZipCode:
    Phone:


    Full and complete contact email address:

    Recipient's Service/Service Number:


    TOTAL ADMIN PROCESSING/DELIVERY:

  • .PDF Emailed - $7.50 Full Color
  • U.S. delivery - $22.45 Full Color Document Only
  • U.S. delivery - $27.45 Full Color Document in Bond Enclosure
  • U.S. delivery - $7.50 Full Color printable PDF Document on CD-Rom (when requesting a minimum of 25 certificates). $8.45 USPS shipping added to total
  • 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.)

    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.
  • 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...


  • 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 paper-published Certificate (not emailed Certificate) has been requested.)
    Yes, Unlaminated ($3.50)
    Yes, Laminated ($6.00)
    No

    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 obtain the Official insigina?


    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 75 cent tracking fee to my total

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

  • Ignore this final Question if you will EMAIL or have previously EMAILED a copy your DD-214...

    Would you like your mailed DD-214 scanned by The War Library and integrated into your 201A Award Report that will be emailed to you when your requested item(s) are sent to you? The scanning fee is $3.00 (a one-time fee)

  • Yes, add a one-time $3.00 to my total to Scan and Integrate my DD-214 into my Award Report

  • No, I will accept my Award Report without my DD-214 appearing in the Report


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

    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..

    Please lower your mouse then wait a moment for your info to be logged.

    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 (Pacific Time Zone)

    Back To The USMC Rank Enlisted Recognition Replacement

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