To qualify for the decoration, which is officially designated the "NATO non-Article 5 Medal," soldiers must have been awarded the medal by NATO headquarters, or a NATO theater commander who has been delegated award authority by the Supreme Allied Commander, Europe.
As provided by a NATO representative, the medal may include a ribbon clasp denoting the specific operation for which the award was made.
Soldiers are authorized to accept and retain the ribbon clasp, but they are not allowed to wear the device. Soldiers are only allowed to wear the basic medal and service ribbon.
A bronze service star should be affixed to the NATO Medal suspension ribbon and service ribbon to recognize participation in subsequent Defense Department approved NATO operations.
In accordance with the Army's military awards regulation, AR 600-8-22, the NATO Medal should be worn immediately after the United Nations Medal, and before the Multinational Force and Observers Medal.
The Defense Department has authorized U.S. military members and civilians to accept and wear the NATO Medal for participation in the following international missions:
• Operations related to Kosovo, Oct. 13, 1998 – Dec. 2, 2002.
• Operation Eagle Assist (airspace of North America), Oct. 12, 2001 – May 16, 2002.
• Operation Active Endeavor (Mediterranean Sea), Oct. 26, 2001 – TBD.
• International Security Assistance Force-Afghanistan, June 1, 2003 - Dec. 31, 2014.
• Operations in the Balkans, Jan. 1, 2003 – TBD.
• NATO Training Implementation Mission-Iraq, Aug. 18, 2004 – Dec. 31, 2011.
• NATO Training Mission-Iraq, Aug. 18, 2004 – Dec. 31, 2011
• Operations Allied Provider, Allied Protector and Ocean Shield, Jan. 2008 – TBD.
• Operation Resolute Support-Afghanistan, Jan. 1, 2015 – TBD.