How to Fill Out DAF Form 104

DAF Form 104 at a glance

What it is: DAF Form 104 is the Service Medal Award Verification.

Who signs: The persons verifying eligibility fill in the SIGNATURE BLOCK, the SIGNATURE and the DATE.

Award approval authorities use the form to determine qualification for recognition of individuals through an award or a military decoration.

A filled-in DAF Form 104 example: a service member's medal award verification

DAF Form 104 example filled out, example: a service member's medal award verification
Staff Sergeant Jane A. Sample files this Service Medal Award Verification. Her one award entry ends with the words Last Entry. MEMBER'S INITIAL is optional, so MEMBER'S INITIAL stays empty. The picture shows one verifier, and none of its entries is real.

How to fill out DAF Form 104, box by box

SSN, NAME and RANK

DAF Form 104 example filled out, sSN, NAME and RANK

Enter the SSN, the NAME as Last, First, Middle Initial, and the RANK.

Providing the SSN is voluntary, but failure to provide the SSN may impede proper placement in the member's military personnel file.

AWARD, UNIT and INCLUSIVE PERIODS

DAF Form 104 example filled out, aWARD, UNIT and INCLUSIVE PERIODS

Under UNIT, each time the form is posted, the words "Last Entry" must be included after last item.

Enter the AWARD and the INCLUSIVE PERIODS. For the INCLUSIVE PERIODS, for additional instructions, see AFI 36-2803.

The MEMBER'S INITIAL is optional.

Signature block of persons verifying eligibility

DAF Form 104 example filled out, signature block of persons verifying eligibility

The persons verifying eligibility fill in the SIGNATURE BLOCK, the SIGNATURE and the DATE.

Sources

[1] DAF Form 104, 20250807, Service Medal Award Verification, Department of the Air Force (the Official source link on this page).

AF Form 104 PDF Details

AUTHORITY: 10 U.S.C., Chapter 857, Decorations and Awards and Executive Order 9397 (SSN), as amended.

Operation / Unit: Each time the form is posted, the words "Last Entry" must be included after last item

Name: Last, First, Middle Initial

Member's initial: Optional

Signature block: Persons verifying eligibility, signature, date

Inclusive periods: For additional instructions, see AFI 36-2803

Disclosure: Voluntary. Failure to provide SSN may impede proper placement in member's military personnel file

QuestionAnswer
Form NameAF Form 104
Also Known AsService Medal Award Verification Form
Form Length1 page
Fillable?Yes
Fillable fields25
Avg. time to fill out5 min
Edition20250807
Other namesDAF Form 104, AF Form 104, AF 104, DAF 104, AF104
Issuing AuthorityDepartment of the Air Force
Official sourceDAF Form 104, 20250807, Service Medal Award Verification, Department of the Air Force