Phone: 1-562-422-4100

Transportation Corps Training Completion
Display Recognition Application Form

INSTRUCTIONS:

    1. Complete this form in full.
    2. Print and mail or fax this completed form, along with a copy of your or the veteran's DD-214, WD AGO 53-55 or other pre-arranged military document(s) to the address below.
    3. If you will be requesting a minimum of three Display Recognitions today, please select a 4th to receive for free.

    Do Not Hilite, Underline, Circle, Colorize
    Or Mark In Any Way The DD-214
    Or Other Military Document Photocopy
    You Will 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, WD AGO 53-55 or other, pre-arranged military document(s).

The name of the training course you completed:
Other training course not yet listed above:

The name of the school or academy where this training was completed:

The military installation where this school/academy is located:

The month and year this training was completed:


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

Service Branch:

Rank Title at completion of trainind:(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:


Full and complete contact email address:

Recipient's Service Number:

Your complete Specialty Code:

Your complete Specialty Code title:


If you are sending a check or Money Order please indicate:

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

  • I will mail a money order 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...

This section for Charge Card and Debit Card applicants. If you are sending a check or Money Order please skips this section:

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 would like the following Display Recognition...

  • .PDF Emailed - $7.50 Full Color
  • U.S. delivery - $21.15 Full Color Document Only
  • U.S. delivery - $26.15 Full Color Document in Bond Enclosure
  • I do not want the Display Recognition. I am requesting the hardware items listed below (medal, badge, ribbon or patch) if they are available for this award. (Shipping cost applies to non-certificate requests.)
  • Would you like the full-color Wallet Size Certificate along with one of the above full-size color Certificates ($3.50) Yes No
    SKIP THIS SECTION IF YOU ARE NOT REQUESTING A CD-ROM...
    I want Certificates in pdf format on a CD rom...


  • I want of my Certificates (minimum 20) in full color; $7.50 per Certificate on CD-ROM. I will be emailing a list of the Certificates I want

  • No CDrom

    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?

  • Yes, please include a Medal Will for a male heir of my medals and add $4.00 to my total

  • Yes, please include a Medal Will for a female heir of my medals and add $4.00 to my total

  • No, I will obtain the free jpg copy

  • Would you like to track your package through the United States Post Office after it has been shipped (for seventy-five [.75] cents extra)?

  • Yes, add 75 cents to my total

  • No, I don't want to track my package

  • Click Here if you are a Prior Applicant who's DD-214 is on file
    New Applicants Click Here

    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, faxed or emailed. (Non-personalized items such as hardware may be exchanged or returned within ten days of delivery. Name-Personalized items such as Certificates that are produced uniquely for a recipient may not be exchanged or returned.)

    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
    Policy Statements On Display Recognitions and Hardwear

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