Air Force Distinguished Service Anodized Miniature Medal SBBA~Double~11169DBR an additional "rung" may be

an additional "rung" may be added to the badge to denote multiple awards

beneath award ribbons and any primary warfare badges

such as basic training or Officer Training School

a campaign clasp and a Service Star are worn on the First Haitian Campaign Medal

leadership

Air Force Distinguished Service Anodized Miniature Medal SBBA~Double~11169DBR an additional "rung" may beAir Force Distinguished Service Anodized Miniature Medal Criteria: The Air Force Distinguished Service Medal (DSM) is granted to any member of of the U. S. Air Force that has defined themselves by exceptional meritorious service to the U. S. government in a duty of great responsibility. This medal is generally granted only to officers that hold at least the rank of Major General. The DSM is often granted to senior Air Force generals, and was designed