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Republic of Vietnam
1. Life Saving Medal
2. Public Health Service Medal
Replacement Recognition Application Form
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. Click the button at the bottom of this completed form to email it to The War Library, or you can Print and mail this form along with a copy of the DD-214, WD AGO 53-55, NAVPERS 553, NGB or other pre-arranged documents to the Library's mailing address below.