Obverse: The Coast Guard Commendation Medal is a bronze hexagon (one point up), 1-1/4 inches wide and 1-3/8 inches wide, point-to-point. In its center is the Coast Guard seal.
Reverse: The reverse contains a circle consisting of the word AWARDED at the top and OUTSTANDING SERVICE in the lower third, separated by laurel leaves. Inside the circle are the words TO and FOR, separated by a space for engraving the recipients name. The inscription is configured to read, AWARDED TO [recipients name] FOR OUTSTANDING SERVICE. The inscription describes the purpose of the award, and the laurel leaves represent achievement.