It was created in 1919 by the Baltic National Committee (Baltischer Nationalausschuss), the political representation of German-Baltic population of southern Livonia and Courland (roughly equivalent to parts of modern Latvia).
The Baltic National Committee in Jelgava, in Courland (now in Latvia) issued numbered warrants for the award.
[1] The Cross was accepted as a state-approved decoration of the German Reich on 16 May 1933 and was allowed to be worn.
The Cross could be worn as a breast pin fixed on the left side of the tunic chest or from the medal ribbon.
Crosses with ribbon, ring and eyelet are irregular and only intended for large orders buckle.