Only active members of the O.S.V. may wear the bronze medallion of the Order. It is presented upon admission. Replacement medals may be purchased only by members.

The silver medallion is owned and worn only by O.S.V. members who have maintained active membership for ten years. The silver medallion may not be transferred to others.

Only prepaid life O.S.V. members, continuous 25-year O.S.V. members, and those O.S.V. members recommended for gold-medal status by the parish rector, vestry, or warden of lay ministers may own and wear a gold medallion. Gold medallions are not transferable to others under any circumstances.

* – All new medallions are cast using an appropriate alloy to provide continuous appropriate coloring throughout.