Obverse: On a bronze disc with a narrow border one and a quarter inches in diameter, a laurel wreath surmounted by an atomic symbol In the center of the atomic symbol is a five-pointed star bearing a disc
Bronze conveys the honorary recognition of high performance while contributing to the success of the US strategic nuclear deterrence mission The laurel wreath symbolizes achievement, recognizing the Active, Air National Guard and Reserve forces who support nuclear deterrence The atomic symbol indicates the core responsibility of nuclear prevention The star with the disc denotes the Air Force
Reverse: The circular inscription ''NUCLEAR DETERRENCE OPERATIONS SERVICE,'' which follows the contour of the medal, separated at the base by a triangle In the center, beneath the inscription ''U S / AIR FORCE'' is a five-pointed star, point up, with wings extending from the upper horizontal arms of the star
The triangle alludes to the nuclear triad, signifying the categories of nuclear arsenal: bombs, intercontinental missile and ballistic missiles The five-pointed star with wings is the Hap Arnold symbol and represents the Air Force