This medal is awarded to members who in the line of duty perform an act far above and beyond the normal call of duty and due so under extreme personal risk, rescue or attempted rescues of trapped firefighters and/or trapped civilians.

This medal is awarded to members who on or off duty perform an act far above and beyond the normal call of duty and due so under significant personal risk, with bravery and involving a high degree initiative and/or capability.

This medal is awarded to members who on or off duty perform an act far above and beyond the normal call of duty and due so under moderate personal risk involving bravery and involving a high degree of initiative and/or capability.

This medal is awarded to members who on or off duty perform an unusual act or service worthy of recognition that promotes good will and reflects highly on the Watertown Fire Department.

This medal is awarded to members who are involved in he successful resuscitation of a patient who was without pulses and respirations, and the patient is resuscitated in the field and makes a complete and full recovery with little to no detrimental effects.

Recognition of an entire company for outstanding company operations on an incident that was primarily dependent upon teamwork and cooperation.

Recognition of any member for an outstanding contribution to the community on or off duty.

These are special one time only awards that are  presented to members who participated in an incident of great magnitude far above any normal emergency operation. The medal design is used only once for each incident and will never be repeated for any future incident of a magnitude that would warrant the issuance of this award.