Combat Action Ribbon
The Combat Action Ribbon (CAR) is an award for Navy and Marine Corps personnel who render satisfactory performance under enemy fire while actively participating in a ground or surface engagement. Created in February of 1969, it was originally retroactive to March 1st, 1961 to personnel who met the requirements. However President Bill Clinton changed this requirement to December 7th, 1941 to include all personnel who participated in World War II.
Additional awards of the Combat Action Ribbon are represented by wearing a Gold or Silver 5/16th inch stars on the service ribbon.