It is presented to groups or individuals in recognition of a special act or service or sustained outstanding performance.

The award consists of a certificate signed by an assistant secretary, an official of equivalent rank or the Mission Director.

The following criteria are applicable to granting a USAID Meritorious Honor Award:[1] Nominations for USAID employees are submitted on Form JF-66, Nomination for Award, through supervisory channels to the Joint Country Awards Committee for review and recommendation to the Mission Director for final action.

Nominations initiated in Washington are reviewed by the USAID bureau/office with final approval by the appropriate assistant administrator or office head.

Upon authorization, members of the U.S. military may wear the medal and ribbon in the appropriate order of precedence as a U.S. non-military personal decoration.