The House of Savoy in exile continues to bestow the order on recipients eminent in the public service, science, art, letters, trade, and charitable works. While the continued use of those decorations conferred prior to 1951 is permitted in Italy, the crowns on the ribbons issued before 1946 must be substituted for as many five pointed stars on military uniforms. Eventually, it became a requirement for a person to have already received the Order of Saints Maurice and Lazarus before receiving the Supreme Order of the Most Holy Annunciation.