Guide To Writing For Your
Military Medals
Make a copy of this page to submit to your funeral director.
To obtain initial issue or replacement medals, you must submit a written request for the medals. Make a copy of this page and mail to the
National Personnel Records Center, 1 Archives Drive, St. Louis, MO 63138.
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If you are requesting medals for yourself complete this section:
Print the name of the veteran who earned the medals: _______________________________________________________________
I request that I be issued all award emblems to which I am entitled.
Attached is a copy of my separation document (DD 214 or equivalent).
In lieu of my separation document, I am providing the following information:
Branch of Service: Army Navy Air Force Marines Coast Guard
Approximate date of release from service:_________________________________________________________________________
My Social Security Number is: ________________________________________________________________________________
My service number was: _____________________________________________________________________________________
Date & place of birth: _______________________________________________________________________________________
Name: Last ____________________________________ First _________________________________ M.I. ________________
Mailing address: ___________________________________________________________________________________________
Contact information: Phone __________________________________ E-mail __________________________________________
Signature: _______________________________________________ Date ___________________________________________
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If you are next-of-kin requesting medals, complete this section:
Your relationship to veteran: Parent Spouse Son/daughter Other ________________________________________
Your contact information: Phone _______________________________ E-mail __________________________________________
Your mailing address: _______________________________________________________________________________________
Attached is a copy of the separation document (DD 214 or equivalent).
In lieu of my separation document, I am providing the following information:
Branch of Service: Army Navy Air Force Marines Coast Guard
Approximate date of release from service:_________________________________________________________________________
Please compete the following information about the veteran:
Name: Last ____________________________________ First _________________________________ M.I. ________________
Social Security Number: _____________________________________________________________________________________
Service number: ___________________________________________________________________________________________
Date of death: ____________________________________________________________________________________________
Date & place of birth: _______________________________________________________________________________________
Mailing address: ___________________________________________________________________________________________
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Other options:
1) You may also compete Standard Form 180 and in Section II, check the box labeled “other” and state your request issuance of awards.
2) You may also request military medals online at www.archives.gov
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/www.archives.gov