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Air Force, Army, Coast Guard, Marine, Navy
Military Service Re-Enlistment Status
Replacement Recognition Application Form
To apply for this Display Recognition your DD-214 Re-Code must be One (1)
1. Complete this form in full. ( Click here to email firstname.lastname@example.org if you have any technical problems sending this Application Form after you have completed it )
2. Print and mail or email this completed form along with a photocopy of your or the veteran's DD-214, WD AGO 53-55, NA Form 13038, NAVPERS 553, NGB 22, or other pre-arranged military document(s) to the address below.