SEA SCOUT RESTRICTED AWARDS REPLACEMENT REQUEST

The National Sea Scout Support Committee and the National Council of the Boy Scouts of America have restricted the distribution of certain Sea Scout awards and honors. These restrictions are in place to help ensure the integrity and prestige of these awards. You may request replacement awards if your original awards have been lost or stolen, damaged, or otherwise have become unserviceable. Your request MUST be accompanied by payment in full for the award(s) requested and certi cation by your local council that you are eligible to obtain the replacements.
Award Recipient Name Name of Person Requesting Replacement Shipping Address Contact Phone City E-mail State Zip Year Earned Course*

*If you are requesting replacement of a Seabadge, Seabadge Underway, or SEAL insignia, you must indicate the course number. REASON FOR REPLACEMENT Original lost or stolen Original damaged/unserviceable Other (attach detailed explanation)

LOCAL COUNCIL CERTIFICATION

I have veri ed the attached documentation and have determined that the award recipient is eligible to receive the replacement award(s) listed below.
Authorized Signor Council (Name and Number) Printed Name Contact Phone Date E-mail

Order these restricted items from BSA National Supply through your local council o ce. You will be required to show proof of eligibility.

Quartermaster Award (medal) Quartermaster square knot Seabadge (square knot)

14119 5527 5527

$ 51.99 1.59 1.59

Order these items from BSA National Events. You will be required to submit the Local Council Certi cation (above) and payment in full with your order. Send this order form with a check made payable to Boy Scouts of America to: National Events Department Boy Scouts of America PO Box 152079 Irving TX 75015-2079

Quartermaster Award (lapel pin) Quartermaster Award (pendant charm) Seabadge Participant Trident Seabadge Underway Participant Trident SEAL Participant (pin) SEAL Participant (patch) SEAL Director (pin)

4051 NA NA NA NA NA NA

$10.00 10.00 7.95 7.95 0.00 0.00 0.00

All orders subject to veri cation by the National Council. Veri ed recipients may order only one of each eligible item (except square knots). Price subject to change without notice. BSA National Supply and your local council may charge shipping and handling fees. Expect delivery within 3-4 weeks of order. Additional eligibility information may be requested by the Boy Scouts of America.