Documentation must provide evidence which substantiates on site participation in a humanitarian act or operation.

Nomination should cover a period of service during which the individual performed significant humanitarian actions, deeds, or achievements.

The obverse has a raised circle with two hands palms up each holding a laurel wreath.

The wreath arches up towards top center towards the relief of a five-pointed star.

[2] This article incorporates public domain material from websites or documents of the United States Army.