Questions About This Form? Use Email

NATO Afghanistan Medal
Replacement Recognition Application Form
Use this Form to Apply for any or all of the following:
Certificate, Medal, Ribbon, Miniature

INSTRUCTIONS:

1. Complete this form in full. ( Click here to email amerwar@amervets.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.

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 military documentation):Jr Sr II III IV

    Is this veteran currently living, deceased or KIA:
      LIVING
      DECEASED
      KILLED IN ACTION

    Rank Title (Please Do Not Abbreviate):

    Paygrade
    Enlisted
    Warrant
    Officer

    I have not moved. My current address info is on file from a previous application

    Address:
    City:
    State:
    ZipCode:
    Phone (NO SPACES OR DASHES):

    Your full and complete contact email address:

    SERVICE NUMBER:
    (Do Not enter any alphabet letters. Numbers only.)
    ★ Enter the veteran's 1st FOUR DIGITS ONLY  ☛ 
    ★ Enter the 2nd FOUR (or remaining) DIGITS ONLY   ☛ 

    Month and Year Entered Active Duty:

    Month and Year Completed Active Duty:

    Service Branch:

    If you are sending a Check please indicate:

    • I will mail a Check along with my application and documentation. The Library will receive my envelope within 10 days from today.

      • 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...

      Payment Method

        Check Debit
        Visa
        MasterCard
        American Express
        Discover
        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:

      I want to purchase the Full Color...

    • PDF emailed (full color, printable) ($7.50) ( RECOMMENDED, No USPS shipping fee )
    • Document shipped ($27.43)...
         Document only with wallet card ($33.43)
    • Document shipped in Bond Enclosure ($32.43)... with wallet card ($38.43)

      • (The shipping totals above include the USPS - Priority Mail shipping fee)

      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) Available only when a published certificate is requested. Not available with emailed certificates.

    • 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 NATO Afghanistan medal and/or ribbon... You have TWO options (Full price OR Half price)?

      OPTION ONE (Full price)

    • Yes, please include the official medal and add an additional $19.00 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 $23.00 to my total
    • No, I already have the hardwear

      • OPTION TWO (Half price)

    • Yes, Because I am requesting the display recognition to be shipped to me, please include the official medal and ribbon. Add an additional $11.50 for the medal, ribbon and lapelpin to my total
      (IF a Lapelpin is available, it will be included free.)
    • 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 Medal Will for a MALE heir of my Awards and add $4.00 to my total
    • Yes, please include a Medal Will for a FEMALE heir of my Awards and add $4.00 to my total

      • Would you like to track your package using the internet through the United States Post Office after it has been shipped (for twenty [.20] cents extra)?

    • Yes, add 20 cents to my total
    • No, I don't want to track my package

      • Your Application Form is now complete. After clicking the button below to send this Form you will soon receive a confirmation email containing final instructions on which items, if any, are needed to fulfill your request. Your DD-214 can be mailed or emailed. Non-personalized items such as hardwear may be exchanged or returned within ten days of delivery.

    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)

LINK: Policy Statements On Display Recognitions and Hardwear
Name-personalized items that are produced uniquely for a recipient may not be exchanged or returned. 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..