The reverse features a design of both Geneva and St Andrew's crosses to denote the two qualifying organisations.
Medal of Honor | Harvard Medical School | BBC World Service | National Park Service | Internal Revenue Service | Distinguished Service Order | Special Air Service | United Parcel Service | Meritorious Service Medal (United States) | United States Postal Service | National Health Service | Meritorious Service Medal | Bronze Star Medal | Metropolitan Police Service | American Medical Association | United States Forest Service | German Academic Exchange Service | Secret Intelligence Service | Immigration and Naturalization Service | Distinguished Service Cross | Royal Army Medical Corps | National Defense Service Medal | National Service | medical | United States Secret Service | Royal Naval Air Service | National Weather Service | Agricultural Research Service | Special Broadcasting Service | Distinguished Service Cross (United States) |