Shield
Sanguine, on a chevron wavy Argent a broken wheel and an aerial bomb between three fleurs-de-lis of the field, in base a yucca plant of the second.
Crest
That for the regiments and separate battalions of the Pennsylvania Army National Guard: From a wreath Argent and Sanguine, a lion rampant guardant Proper, holding in dexter paw a naked scimitar Argent hilted Or and in sinister an escutcheon Argent on a fess Sable three plates.
Motto
CONSILIO ET ANIMIS (By Wisdom and Courage).
Shield
The shield is maroon with the chevron in white (silver), the colors traditionally associated with the Army Medical Department, the predecessor designation. The wavy chevron represents the Vesle River, and the five charges thereon, the five major engagements that the parent organization saw in service during World War I. The broken wheel is representative of the ten ambulances of the 103d Sanitary Train disabled while crossing the Andre Bridge over the Vesle River at Fismes, 10-13 August 1918. The aerial bomb represents the bombs dropped within a few feet of the 112th Field Hospital at Cohan, France, on the night of 12 August 1918. The yucca represents service on the Mexican Border by the 103d Medical Regiment.
Crest
The crest is that of the Pennsylvania Army National Guard.
The coat of arms was originally approved for the 103d Medical Regiment on 13 July 1931. It was amended to change the list of combat service on 25 August 1931. It was redesignated for the 103d Medical Battalion on 1 December 1942. The insignia was redesignated for the 328th Support Battalion with the blazon and symbolism revised on 2 April 1992. It was amended to correct the blazon of the crest on 17 November 2011.