Questions About This Form? Use Email
Medal for Humane Action
Replacement Medal and Display Recognition
1. Complete this form in full. ( Click here to email email@example.com if you have any technical problems sending this Application Form after you have completed it )
2. Click the button at the bottom of this completed form to email it to The War Library, or you can Print and mail this form along with a copy of the DD-214, WD AGO 53-55, NAVPERS 553, NGB or other pre-arranged documents to the Library's mailing address below.