Army Achievement Medal for Civilian Service Lapel Pin SBBA~Pair~85976~85976|2 1942 and was originally issued

1942 and was originally issued as the "American Theater Ribbon" for those who served in the American Theater of Operations during World War II

or as of late 2008

United Nations Miniature Medal

and Five star versions

United States Coast Guard Flight Surgeon Insignia

Army Achievement Medal for Civilian Service Lapel Pin SBBA~Pair~85976~85976|2 1942 and was originally issuedArmy 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