The New York Conspicuous Service Medal is an award of the State of New York given to the New York State Organized Militia. The New York Conspicuous Service Medal is the 2nd highest New York State National Guard military award, after the Medal of Valor. It is awarded to any individual who shall have distinguished themselves by exceptionally meritorious service in a capacity of great responsibility. For each succeeding award, a silver medal device (shield) will be attached to the suspension ribbon and the service ribbon.