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Combat Readiness Anodized Medal
The Combat Readiness Medals (AFCRM) is awarded to a member of the United States Air Force, Air Force Reserve or Air National Guard who has "accomplished sustained individual combat mission readiness or undertaken the preparedness for direct weapon-system employment".
First created in 1964, the award is presented as a service award and issued by an Air Force Major Headquarters. It is not uncommon when achieving eligibility for this award that one is also eligible for the Air Medal or Aerial Achievement medal, and sometimes all three will be issued at the same time.