The Kentucky Distinguished Service Medal may be awarded to Kentucky Army National Guardsmen for the following:
- Act heroism performed under circumstances, which are of a lesser degree than that required for the award of the Medal for Valor.
- For exceptionally meritorious service to the Kentucky Army National Guardsman in a position of responsibility to merit recognition where the performance is clearly exceptional.
- For many years of service in successive positions of responsibility where the performance of duties has been exceptional.
- Upon retirement for more than 20 years of service in the Kentucky Army National Guard
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