It was first designated The Fire Brigade Long Service and Good Conduct Medal and subsequently renamed in 2022 following an updated royal warrant.

The Award is in cupronickel, in the form of a circular Medal, bearing on the obverse the Crown Effigy of the Sovereign and on the reverse the inscription "For Exemplary Fire and Rescue Service" with a design showing two firefighters handling a hose.

The Medal is to be worn on the left side attached by means of a suspending bar to a ribbon one and a quarter inches in width, which is in colour red, with on either side a yellow stripe on which is superimposed a narrow stripe of red.

[1] Individuals may be awarded the medal for 20 years of continuous or aggregate service in an eligible fire brigade or service, so long as they have been very good in conduct and character.

In March 2022, the Royal Warrant was updated by Queen Elizabeth II to grant clasps to officers who completed a further 10 and 20 years of long service post award of the medal.