Purple Heart Medal, Wound Chevron, Wound Ribbon
Replacement Recognition and Medal Application Form
1. Complete this form in full.
2. Click the button at the bottom of this completed form to email it to The War Library, along with a copy of your or the veteran's DD-214, DD-215, WD AGO 53-55 or other pre-arranged military document(s) to the address below.
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, DD-215, WD AGO 53-55 or other pre-arranged military document(s).
Print a copy for yourself before clicking the bar below..