Army Achievement Medal for Civilian Service Lapel Pin SBBA~Pair~85976~85976|2 Criteria: This is the unit

Criteria: This is the unit crest for the Missouri National Guard

or as of late 2008

United States Coast Guard Flight Surgeon Insignia

and Five star versions

Army Achievement Medal for Civilian Service Lapel Pin SBBA~Pair~85976~85976|2 Criteria: This is the unitArmy Achievement Medal for Civilian Service Lapel Pin Criteria: The Army Achievement Medal for Civilian Service is given by any commander (Lieutenant Colonel and above or civilian equivalent) to Army civilian employees for remarkable achievements of a lesser degree than those recognized by the Commander's Award. A nomination typically covers either a period of continuous superior service or a level of achievement adequate to warrant this recognition