The decoration is awarded upon completing a required conditions (positive evaluation report, First Aid Course, NBC Test, Basic Fitness Test, Pistol Marksmanship Event, Foot March, 100 meter swim in Military Uniform) and worn by German soldiers of all ranks. Allied soldiers may also be awarded the badge, subject to their nations' uniform regulations.
The badge is a III Class (gold, the highest) with a number "20" at the bottom. A number is added at the bottom when the gold grade badge is awarded for multiple (20 in this case) years of achieving this grade.
Brooch-like vertical pin on the reverse. Signed by the manufacturer "A" for Assmann on the reverse.