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Veteran/ Military Service Award Emblem Application

Military members or veterans can apply for an emblem packet. Each packet contains a U.S. veteran emblem and either a campaign ribbon and American flag or 2 campaign ribbons. Packets are $18 each.

Requirements• You must provide proof that you are eligible to receive the emblems:

• Former service members: Provide a copy of your DD 214 or other official military orders.• Active duty members: Provide a letter from a military office on their letterhead indicating what type of campaign

medals were awarded.• You must be the legal or registered owner of the vehicle displaying the emblem.

Take this application and supporting documentation to any vehicle licensing office (additional service fees may apply)or mail this application, required documents, and a check or money order for $18 per packet (payable to theDepartment of Licensing) to: Application and Issuance, Department of Licensing, PO Box 9048, Olympia, WA 98507.

Display instructions• When the veteran emblem or military service aware emblem is displayed on a license plate, it must be displayed

between the bottom license plate bolt holes.• U.S. flags and ribbon emblems must be displayed on the outside of each bottom license plate bolt hole. No more than

two flags or small emblems may be affixed to any one license plate.

If you have questions, email CustomerCare@dol.wa.gov or call (360) 902-3770.

ApplicantVeteran name (Area code) Phone number

Mailing address (Street address or PO Box, City, State, ZIP code)

Current Washington plate number Vehicle identification number (VIN) Model year Make

Veterans remembrance/Military service emblem packetsEnter number of emblems requested

Air Force Cross Medal EmblemBronze Star Medal EmblemDistinguished Flying Cross Medal EmblemDistinguished Service Cross Medal Emblem

Navy Cross Medal EmblemSilver Star Medal EmblemU.S. Veteran EmblemU.S. Veteran Woman Emblem

Select 2 ribbons for each emblem

American flag (no eligibility required)Afghanistan Campaign MedalAir Force Cross Medal DecalArmed Forces Expeditionary Medal RibbonArmed Forces Service Medal Remembrance DecalBronze Star MedalDistinguished Flying Cross MedalDistinguished Service Cross MedalIraq Campaign Medal Remembrance DecalKorean Defense Medal Remembrance DecalKorean Service Medal Remembrance DecalKosovo Campaign MedalMerchant Marines Atlantic War ZoneMerchant Marines Middle East War Zone Medal

Merchant Marines Pacific War Zone Medal National Defense Medal Navy Cross Medal Silver Star Medal Ribbon Southwest Asia Service Medal Vietnam Service Medal War on Terrorism Expeditionary Medal War on Terrorism Service MedalWWI Victory Medal (mail request to DOL address above)

WWII American Campaign Medal WWII Asiatic-Pacific Campaign Medal WWII European-African-Middle East CampaignV-Device (must have Distinguished Flying Cross orBronze Star)

Certification

I certify under penalty of perjury under the law of Washington that I am eligible to purchase the veteran remembrance emblems above because I am:

Veteran Member of the National Guard Active duty military Reservist

Date and place (city or county) signed Signature

RCW 46.18.295TD-420-075 (R/4/20)WA