Joint Service Achievement Anodized Miniature Medal PICK_PAIR_MIRRORED~83825 Nominations for this award are

Nominations for this award are commissioned to the Army Incentive Awards Board through command channels

and healthcare administrators

Personnel eligible to wear other secondary insignias

• Sealed Zippers to keep nature out

Sewn to military specifications with Near Infrared (NIR) technology

Joint Service Achievement Anodized Miniature Medal PICK_PAIR_MIRRORED~83825 Nominations for this award areJoint Service Achievement Anodized Miniature Medal The Joint Service Achievement Medal (JSAM) is a decoration presented by the United States Secretary of Defense to officers below the grade of O 6 and enlisted members below the grade of E 7 who, while serving in a joint military command or activity, have performed either an exceptional achievement or commendable service that has not been recognized by a Commendation Medal. Subsequent awards are