The Air Force Commendation Medal is awarded to both American and foreign military personnel of any service branch in the U.S. military grade of O-6 and below, the NATO grade of OF-5 and below, or of any other Allied or Coalition nation in the grade of Colonel or equivalent or below, or the naval grade of Captain or equivalent or below, who have performed noteworthy service in any capacity with the United States Air Force. Qualifying service for the award of the medal can be for distinctive meritorious achievement and service, acts of courage involving no voluntary risk of life, or sustained meritorious performance of duty. Approval of the award must be made by an officer in the grade of Colonel or higher.