Page "Achievement Medal" Paragraph 4

Additional awards of the Achievement Medal are denoted by oak leaf clusters, except for the Navy and Coast Guard which issues award stars.

Oak leaf clusters are awarded by all services for the Joint Services Achievement Medal.

The Valor device may also be awarded for the Navy, Air Force and Coast Guard versions of the Achievement Medal.

The Operational Distinguishing Device may also be authorized for wear on the Coast Guard Achievement Medal, upon approval of the awarding authority.