Air Force Combat Action Medal

The Air Force Combat Action Medal is awarded to individuals that:

A) have been outside the defended perimeter to conduct official duties and come under enemy attack by lethal weapons while performing those duties, and are at risk of grave danger.
B) defending the base and come under fire and engage the enemy with direct and lethal fire, and are at risk of grave danger.
C) personnel in ground operations who actively engage the enemy with direct and lethal fire may qualify even if no direct fire is taken, as long as there was risk of grave danger.