Republic of Vietnam Naval Service Medal
Replacement Recognition Application Form
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, NAVPERS 553, NGB 22, 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.
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).
Print a copy for yourself before clicking the bar below...