Cold War Certificate

Instructions: Fill out this application and mail or fax to the Cold War Office with your proof of service. An acceptable supporting document includes any official government or military document that contains the recipient's name, Social Security Number or Military Service Number or Foreign Service Number, and a date showing at least one day of service during the Cold War era (September 2, 1945 to December 26, 1991). Examples include DD Form 214, a Leave and Earnings Statement, and the Standard Form 50.

You must certify your honorable service by signing and dating the application and returning with supporting document to:

CDR, AHRC
Cold War Recognition, Hoffman II
Attn: AHRC-CWRS, 3N45
200 Stovall Street
Alexandria, VA 22332-0473

- OR -

Fax 1-800-723-9262

*Recipient Name (First, MI, Last):

*Required Field

*ID Type:

(SSN, MSN, or FSN)

*ID Number:

Examples:
SSN 123-45-6789
MSN RA12-345-678

*Street Address:

*City:

*State:

*Zip:


Applicant Name: (Enter only if different from recipient name):

Applicant or Recipient Email Address:

I confirm my (or the recipient's) faithful and honorable service to the nation during the Cold War Era.
Signed: ________________________________________	Date:
Print the application, sign, attach supporting document, and mail or fax to the address listed above.