The Civilian Service Medal recognizes a civilian who provides extraordinary service during the course of an EMS emergency.
|Matthew Young - Clatskanie, Oregon, Dustin Fling - Washougal, Washington and Anthony Bushaw - Buckley, Washington|
Dustin Fling - not pictured
Anthony Bushaw - not pictured
|John Crow - Klamath Falls, Oregon|
|Robert Robeck - Yacolt, Washington|
|Rob Seubert - Colton, Oregon|