Telephone: 1-562-422-4100

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:


    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
      Discover
      Carte Blanche

    Card number: _______________________________________
    Enter your Card Number after printing this form

    Card Expiration Date ________________
    Enter your Exp Date after printing this form

    After printing this form for mailing or emailing, 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 - $27.35 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
    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 obtain the Official insigina?


    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 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

Print a copy for yourself before clicking the bar below..