Defense Superior Service Medal SBBA~Double~11125DBR While these items are available

While these items are available to order through the website

United States Army Dress Uniform Shoulder Knots

the justification of the award may increase by virtue of exceptionally meritorious service in a sequence of higher positions of great significance

There are no additional devices authorized on the Coast Guard AM

a campaign clasp and a Service Star are worn on the First Haitian Campaign Medal

Defense Superior Service Medal SBBA~Double~11125DBR While these items are availableDefense Superior Service Medal Criteria: The Defense Superior Service Medal (DSSM) is the second highest award bestowed by the Department of Defense. Awarded in the name of the Secretary of Defense, the award is presented to members of the U. S. Armed Forces who perform "superior meritorious service in a position of significant responsibility." Created on February 6th, 1976 by President Gerald R. Ford's Executive Order 11904, it is typically awarded