Canadians and foreigners, and nominations may be submitted by any person. In all cases, however, the event being recognized must have taken place in Canada or involved Canadian citizens. As of August 2009, the Meritorious Service Medal has been presented to 568 people—279 in the military division and 289 in the civilian—all of whom are permitted to use the post-nominal letters MSM. See also Meritorious Service Cross Canadian order of precedence (decorations and medals) State decoration References Military awards and decorations of Canada Civil awards and decorations of Canada Long and Meritorious Service Medals of Britain and the Commonwealth