
It has the Prime Ministers flag in the field with the inscription "Prime Ministers Standard" directly below the flag. The reverse of the second design is close to the first design. Encircling the inside rim are the words "Prime Ministers Medal of Appreciation 1962-6th August-1983." The reverse of the first design has the Prime Ministers flag in the field with the inscription "Prime Ministers Standard" directly below the flag. Encircling the inside rim are the words "The National Flag of Jamaica," with a small pineapple at the bottom separating the wording. The obverses for both the first and second design are the same. However, all medals are presented, for both men and women, with a neck ribbon only. The statutes state that it can be worn either around the neck or on the left breast. It is attached to a ribbon by a small ring, through which larger ring is attached directly to the ribbon.

The medal is round, 2 1⁄ 4 inches in diameter, made of nickel and plated with 24-carat gold. He now lives in San Bernardino, California. Fritz had written a number of articles on Jamaica that were published in international magazines and had also produced three Jamaica Broadcasting Corporation television series. Fritz had also been the Principal of the School for the Blind and Visually Handicapped in Kingston. At the time of the Medal presentation, Fritz was assigned by the International Salvation Army to the Caribbean Territorial Headquarters stationed in Kingston, Jamaica as Social Service Secretary.

This was also the first time that a non-Jamaican was awarded the Medal, as Russell Fritz is a native Californian, but his wife Jacqueline was a Jamaican Citizen.

This was the first time that Jamaican Prime Minister Michael Manley had awarded the Medal. It was awarded to Fritz for "Social and Welfare Services Particularly the Handicapped and the Aged" to the people of Jamaica. The first Medal presentation of the new design was given by Jamaican Prime Minister The Right Honorable Michael Norman Manley on 27 April 1989 to Russell Ralph Fritz, a Major in The Salvation Army. Douce, the Secretary General of the Orders, was tasked with the design and production of a new Medal. It was recommended by the Prime Minister that a new design for the Medal be found to more accurately reflect the current presentations. In 1986, the supply of medals became scarce. Nine other prominent Jamaican was awarded the medal, including Jamaican born actress Marge Sinclair (12 March 1987). Recipients who were personally awarded the medal by the Prime Minister included three Champion Boxers, Michael McCallum (3 June 1986), Lloyd Honeyghan (10 November 1985) and Trevor Berbick (10 April 1986). Since that Sunday, the succeeding Prime Ministers have reserved the privilege of awarding the medal to those Jamaicans who distinguished themselves, usually in the International arena. The following areas of service were recognized for the awards: The Custodes then presented the Medals to those in their County who had been selected for the award. Prime Minister Seaga personally presented the first 10 medals to the County Custos.

The first 1,000 presentations were awarded at the Historic Town Square in Spanish Town, Jamaica on Sunday, 18 December 1983. Douce, the Secretary General of the Orders, Chancery of the Orders of the Societies of Honours, Office of the Prime Minister in Kingston, Jamaica, was commissioned with the design of the Medal. The Prime Minister determined that 1,000 medals would be presented. Recipients to be at least thirty-eight years old at the time of selection.Have not received any of the National Honours.Have served their Community and Jamaica with distinction for at least twenty years and who are held in high esteem by their community.A committee was formed of prominent Jamaicans to select recipients with the following criteria: In 1983, The Right Honorable Edwards Seaga, Prime Minister of Jamaica, felt that, during the twenty-first "coming of age" anniversary of independence, a special recognition should be given to Jamaican citizens who had made significant contributions to the Nation, but who had not received any of the National Honours. Jamaica received its independence from the United Kingdom, changing its status from a British Crown colony to an independent country in the Commonwealth, on 6 August 1962.
