This manual provides detailed information regarding Defense/Joint decorations and awards, including the Defense Distinguished Service Medal (DDSM), Defense Superior Service Medal (DSSM), Defense Meritorious Service Medal (DMSM), Joint Service Commendation Medal (JSCM), Joint Service Achievement Medal (JSAM), and the Joint Meritorious Unit Award (JMUA). It provides procedures for preparation and submittal of: recommendations for the Medal of Honor (MOH) and Defense/Joint Decorations and awards; out-of-service requests for awards; lost award recommendations; posthumous awards; award replacements; and reconsideration of award recommendations.