Ribbon: Grey with 4 central blue stripes, and 4 blue stripes at each edge.

Instituted: 12 October 1980 as Air Force Achievement Medal.
Renamed: 16 November 2020.

Awarded: To members of the Armed Forces of the United States (and to foreign military personnel) below the grade of colonel who, while serving in any capacity with the Air Force distinguish themselves by outstanding achievement or meritorious service.