Application Form For Cold War Recognition Certificate - U.s. Army Human Resources Command Awards And Decorations Branch

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U.S. ARMY HUMAN RESOURCES COMMAND
AWARDS AND DECORATIONS BRANCH
Application for Cold War Recognition Certificate
PRINT THE APPLICATION, SIGN, ATTACH A COPY OF SUPPORTING DOCUMENTS AND MAIL TO THE ADDRESS LISTED BELOW
Fill out this application and mail with supporting documentation to the U.S
Instructions:
Army Human Resources Command, Awards and Decorations Branch with your proof of service.
To receive a certificate, you must submit supporting documentation
Acceptable Documents:
that demonstrates Honorable service.
An acceptable supporting document includes any official
government or military document that contains the recipient’s name, Social Security Number or
Military Service Number or Foreign Service Number, and a date showing at least one day of
service during the Cold War era (September 2, 1945 to December 26, 1991).
Example:
DD Form
214 (Report of Separation).
DO NOT SEND ORIGINAL DOCUMENTS
You must certify your honorable service by signing and dating the application and returning
it with a copy of supporting documents to:
USAHRC
Cold War Recognition Program
Attn: AHRC-PDP-A, Dept 480
1600 Spearhead Division Avenue
Fort Knox, KY 40122-5408
Awardee Name (First, MI, Last): _________________________________________________________
Or
Requestor’s Name (If it is not the Awardee):
___________________________________________
ID Type: SSN, MSN, or FSN (Circle One):
________________________________________________
Mailing Address:
_______________________________________________________________________
_________________________________________________________________________________________
City:
_________________________ State/Province/Region:
________________________________
Postal/Zip Code:
______________________ Country:
______________________________________
Awardee or Requestor Email Address:
____________________________________________________
I confirm my (or the recipient's) faithful and honorable service to the nation during the
Cold War Era.
Signed:
________________________________________________ Date:
________________________

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