01 Hōʻike
ʻO ka Medal-Medal Medal Medal he bronze medaliona 1 3/8 iniha ke anawaena. Hōʻikeʻia ma mua ka pahu kukui, e like me ka Statue of Liberty i hoʻokaʻawaleʻia ma luna me nā hua'ōlelo "Medal Service Service Medal." Aia ma kaʻaoʻaoʻaoʻao heʻaeto, e like me ka mea ma luna o ke sila o ka Department of Defense, ma waena o kahi lei laurel ma lalo a me nā hua'ōlelo "In Prosecution of Democracy" i luna.
02 Kanai
He 1 3/8 'īniha ka laulā o Medal's Medal ka liʻiliʻi a heʻumikumamākahi mau palani:ʻO ka mīkini mua he 1/16 inihi o ka goldlight, a ma hope o 1/8' īniha o ka'ōmaʻomaʻo, o ka palahalaha, 8/8 iniha o ke gula a me ka hapa waena o 1/4 iniha o bluebird. ʻO ka pāʻani o kēia mau maʻi he 1/8 inihi o ke gula gula, he'inoni 'īniha o ke kapuaʻi, he'inoniʻelimaʻelima o ka'ōmaʻomaʻo,ʻewalu kapuaʻi o ka mālaʻula, a he 1/16 inihi o ke gula.
03 Nā kumu
Ua hāʻawiʻia ka Medal Medal Service Medal i nā limahana no nā hana i hikiʻole ai ke kū'ē i nā hakakā a nā haole i ke kauaʻana a me ka hōʻeuʻeu o ka hakakā o ka hakakā, ma nā hana ma kahi i hoʻoholoʻia e ka Department of Defense (DOF).
Pono kekahi māhele o ka 'Oihana Hoʻolālā e hāʻawi i ka mēkala i mea lawelawe ma keʻano he lālā o kahi hui e komo ana no hoʻokahi aʻoi aku paha mau lā ma ka hana me kahi i kohoʻia o ka pono. ʻO nā mea'ē aʻe i hāʻawiʻia i ka medal pono e hoʻokomo i ke kākoʻo kūikawā no 30 mau lā ma hope o kahi kūpono (a no ka piha piha paha o ka hana ma lalo o 30 mau lā hana) aiʻole no 60 mau lā palenaʻole i hāʻawiʻia kēia kākoʻo e komo i ka wahi o ke kūpono a ua komo paha ma keʻano he lālā o ka mākaʻi i hoʻonohonoho ponoʻia i loko o ka mokulele e lele mai ana i loko, mai loko, a ma waho paha o kahi o ka pono e kākoʻo i ka hana.
Ua'āponoʻia nāʻoihana o kaʻoihana US ma lalo nei no ka hoʻokōʻana i ka AFSM e ka luna pelekikena, nā luna kuhikahi o nā limahana (JCF):
(1) Ma nā hana e pili ana i ka Repubalika o Yugoslavia mai ka lā 1 o Iune 1992 a hiki i ka lā e hiki mai ana. ʻO kēia pūnaewele ka pūʻali koa i hoʻonohonohoʻia i nā hana hoʻolaha i ka'ōlelo hoʻolaha, Joint Endeavor, Keʻena Kuleana, Deny Flight, Maritime Monitor, Guardp Guard and Guard Guard ma waena o ka'āina a me ke kikowaena o ka Repubalika o Yugoslavia, ka'āinaʻo Italia (e like me Sicila); a me ka wai a me ka lewa ma luna o kēlā wahi o ke Kai Adriatic e kū ana ma ke kūkulu'ākau o nā aho he kanahā o ka'ākau;
(2) Ma ka hana: Nā Misiona o nā Aupuni Hui PūʻIa ma Haiti (UNMIH); US Haʻi (USFORHAITI) a me ka US Support Group-Haiti (USSPTGP-Haiti) mai ka lā 1ʻApelila 1995 a hiki i ka lā e hoʻoholo ai. ʻO kēia wahi e komo ana i ka nui o ka'āina, ka moana a me ka ea i ho'ākākaʻia e nā kaʻina o kēia mau mea: 16-30N / 71-40W; 18-00N / 71-45W; ma ka palena Haitian / Dominican Republic i 20-00N / 71-44W; 21-00N / 71W; 21-25N / 73-00W; 21-25N / 74-00W; 20-00N / 74-00W; 19-45N / 75-00W; 19-00N / 76-00W; 16-30N / 76-00W; i ka 16-30N / 71-40W "
04 Hōʻike
Ua noiʻia e ke keʻena o ke Kuhina Kuleana Puʻuna (Force Management Policy) (OASD-RMP) ma Malaki 2, 1995,ʻo ka Institute of Heraldry hoahoa he medal a me nā kikokikona no Medal Medal Service Medal. Ua hoʻokumuʻia kēia mekala i nā pūʻali koa i komo i kaʻoihana kaua i nā helu nuiʻole i kū'ēʻoleʻia i ke aupuni'ē aʻe a iʻole i ka hōʻeuʻeu o ka hakakā o ka hakakā, ma nā hana ma kahi i hoʻoholoʻia e ka Department of Defense. Ua hoʻolālāʻia ka mekala e hālāwai i kahi kīnā i nā papahana ma waena o ka Medal Forces Expedition Medal a me ka Medal Service Service . Ua hoʻokumuʻia ka Medal Medal Service Medal e ka Mana Hanohano 12985 i kakau inoaʻia e Pelekikena William J. Clinton ma Ianuali 11, 1996.
05 Hōʻike
ʻO ka kukui, laweʻia mai kahi Statue of Liberty, kū i nā kumumanaʻo o ka hoʻomanakala a me ke alakaʻi a me ka alakaʻiʻana. ʻO kaʻaeto, i laweʻia mai ka hōʻailona o ka Department of Defense, he hōʻailona ia o ke kiʻekiʻe kiʻekiʻe o ka hōʻailona a me konaʻano. Lauʻo Laurel no ka hanohano a me ka holomua.