Outstanding volunteers, members of the Canadian Armed Forces and emergency services, and other people who made a positive impact on society were deemed eligible to receive the medals, with particular focus in some provinces on the response to the COVID-19 pandemic, reconciliation with First Nations and Inuit, and protection of the environment.

[13] The decision was criticized by the Royal Canadian Legion and the Monarchist League of Canada[14][15] and the provinces of Prince Edward Island, Nova Scotia, New Brunswick, Manitoba, Alberta, and Saskatchewan each instituted their own Platinum Jubilee medal.

The provincial shield of arms is in the centre, on both sides of which are renderings of the official flower of the province and, appearing at the base, is the motto VIVAT REGINA ("long live the Queen!").

The Queen Elizabeth II Platinum Jubilee Recognition Act was introduced in the Legislature of Alberta on 22 February 2022 and received royal assent on 24 March of the same year.

[18] Lieutenant Governor Janice Filmon and Premier Heather Stefanson announced, on 28 April 2022, the creation of the Queen's Platinum Jubilee Medal for Manitoba,[24][25] the design of which was unveiled on 2 June in the same year.

[5] A specific focus was placed on those individuals who played a significant role in New Brunswick's COVID-19 pandemic response at the local level over an extended period of time; made a tangible contribution to New Brunswick's reconciliation efforts with Indigenous peoples; made a contribution to New Brunswick's diversity and inclusion goals; provided volunteer service at the local level; served or are serving in the Canadian Armed Forces, Royal Canadian Mounted Police, and other emergency services; and/or made a positive impact on the preservation of the environment.

On the same day, the names of the first 70 recipients were released and the inaugural investiture ceremony took place at the Westin Nova Scotian hotel in Halifax on 4 August.

[36] The inaugural investiture took place in the Regency Ballroom of the Hotel Saskatchewan, in Regina, on 30 August, during which Mirasty presented 70 Saskatchewanians with jubilee medals.

During their visit to Antigua and Barbuda on 25 April, the Earl and Countess of Wessex and Forfar presented Platinum Jubilee medals to three people at Government House to recognise their service to national security.

[40] On 29 July 2022, Governor-General Sir Patrick Allen presented jubilee medals during the Armed Forces Day Parade at Up Park Camp in Kingston.