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Duotone panel — violet briefing on the left, lime-sealed detail sheet on the right.
Full‑size medals are supplied loose with 8 inches of quality ribbon
including paramedics and emergency medical responders (EMR) as defined by the Health Professions Act
Awarded for an aggregate of 180 days of honourable service performed outside Canada beginning 1 July 2007
The Special Service Medal (SSM) recognizes members of the Canadian Armed Forces (CAF) who have performed service under exceptional circumstances
Miniature Medals come with 5 inches of ribbon
United States Joint Services Commendation Medal excluded-retail only Full‑size medals are supplied looseAwarded in the name of the Secretary of Defense to members of the Armed Forces of the United States who, after January 1, 1963, distinguished themselves by meritorious achievement or service in a joint duty capacity. Full size medal comes loose and with 8 inches of quality ribbon and miniature medals 5 inches. Medal Mounting Services are available at additional cost.