Phone: 1-562-422-4100 (Pacific Time Zone)
Email Questions

Military Operations, Crises or Alert Service
Replacement Recognition Application Form

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. Email or Print and mail this completed form, along with a photocopy of the required document(s) described on the Operation's Information Page, or other pre-arranged document(s) to the address below.

Do Not Hilite, Underline, Circle, Colorize
Or Mark In Any Way The DD-214
Or Other Military Document Photocopy
You Will Email or Mail.

Charge card or Debit card applicants: To expedite shipment of your Replacement Recognition you may email this form today. Your Replacement Recognition will be prepared and awaiting the arrival of your DD-214 or other, pre-arranged military document(s).

NAME OF OPERATION, CRISES, ALERT or ASSAULT LANDING

ENTER THE NAME OF THE OPERATION IF IT IS NOT LISTED ABOVE:


Recipient's LAST Name:
FIRST Name:
MIDDLE name:
Title (Must appear on military documentation):Jr Sr II III IV


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


Service Branch:

Rank Title (Please Do Not Abbreviate):

Paygrade
Enlisted
Warrant
Officer

Street Address:

City:
State:
ZipCode:
Phone:

Full and complete contact email address:


SERVICE NUMBER:

  • Enter the veteran's FIRST FOUR DIGITS ONLY (Do Not enter any alphabet letters. Numbers only.) 
  • Enter the SECOND FOUR (or remaining) DIGITS ONLY  

  • Full Name of Your Unit




    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

    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
    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 ($7.50) (No shipping fee)
  • Document shipped ($23.90)...
       Document only with wallet card ($29.90)
  • Document shipped in Bond Enclosure ($28.90)...
       Document in Bond Enclosure with wallet card ($34.90)
  • (The shipping totals above include the USPS - Priority Mail shipping fee)


    LAMINATED OPERATION PATCH FOR SHADOWBOX DISPLAY
    Would you like the Patch for this Operation if it is available? (This laminated patch is designed for your Shadowbox and not for wear on a military uniform)

  • No, I do not want the patch.
  • $8.75 -- Yes, if a laminated patch is available, please include for display in my Shadow Box.

  • 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 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 through the United States Post Office after it has been shipped (for twenty [o-.20] cents extra)?

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

  • OPTIONAL: Please briefly state any comments:


    Your Application Form is now complete. Print, Sign and Mail this completed form to the address below along with the required military-issued Report of Separation or other (pre-approved) document(s). You may (OPTIONAL) email this form for faster processing. However, you must still mail or email a copy of your military document(s).

    Records Chief (REC-AMW)
    The American War Library
    817 East Via Carmelitos Ste 319
    Long Beach CA 90805-7549
    Phone: 1-562-422-4100

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