The Ambulance Service Medal (ASM) is awarded for distinguished service by a member of an Australian ambulance service. The ASM was introduced in 1999.

Awards are made by the Governor-General, on the nomination of the responsible minister in each state and territory. The total number of awards made each year must not exceed the following quota:

• one award for each 1,000, or part of 1,000, full-time permanent members of a state’s ambulance service
• one award for each 5,000, or part of 5,000, part-time, volunteer or auxiliary members in a state
• one award for ambulance members in each of the ACT
  Australian Capital Territory
  The Australian Capital Territory, often abbreviated ACT, is the capital territory of the Commonwealth of Australia and is the smallest self-governing internal territory...
  
  , NT
  Northern Territory
  The Northern Territory is a federal territory of Australia, occupying much of the centre of the mainland continent, as well as the central northern regions...
  
   and the combined External Territories.

Recipients of the Ambulance Service Medal are entitled to use the post-nominal letters "ASM".

Description

• The Ambulance Service Medal is circular and of silver and bronze tones. The front of the medal displays the Federation Star
  Commonwealth Star
  The Commonwealth Star is a seven-pointed star symbolising the Federation of Australia which came into force on 1 January 1901....
  
   superimposed on a modified Maltese cross
  Maltese cross
  The Maltese cross, also known as the Amalfi cross, is identified as the symbol of an order of Christian warriors known as the Knights Hospitaller or Knights of Malta and through them came to be identified with the Mediterranean island of Malta and is one of the National symbols of Malta...
  
  , which is representative of ambulance services. This rests on a bed of Australian wattle. The Federation Star is surrounded by twenty-four balls signifying the twenty-four hours per day the Ambulance Service is available to the community.
• The back of the medal bears the inscription ‘For Distinguished Service’.
• The 32 millimetre-wide ribbon features a chevron or V-shaped pattern. The angles are derived from the open end of the arm of the cross. The chevrons are in alternate red, white, red, silver-grey.