EMS & Fire Challenge Coins
Star of Life coins for EMTs and paramedics, Maltese cross coins for every firehouse: custom challenge coins and pins for the crews who answer the call.

From Idea to Coin in Three Steps
Send Your Idea
Send a patch, crest, or rough sketch, or just describe what you want. Our artists take it from there.
Quote, Then Free Proof
Your written quote arrives within one business day. Accept it and a real artist sends a digital proof within 24 hours. No payment until you approve it.
Approve & We Produce
Approve the design and we craft and ship your coins, designed in the US and quality-checked at our Florida facility before they reach you.
Fire / EMS Custom Coins
Fire departments and EMS agencies honor their crews with coins that carry the weight of the job, from station houses and ladder companies to paramedics and rescue teams. The Maltese cross and the Star of Life are among the most enduring symbols of the service.
For EMS & Paramedic Crews
- ✓Star of Life designs for EMTs & paramedics
- ✓Ambulance service, medic unit & district numbers
- ✓EMS Week recognition coins for the whole crew
- ✓EMT & paramedic class graduation coins
- ✓Flight medic, rescue squad & critical care teams
For Fire Departments
- ✓Maltese cross shapes & department seals
- ✓Engine, ladder & rescue company numbers
- ✓Station identifiers & apparatus art
- ✓Red-line & thin-line tributes
- ✓Line-of-duty memorial designs
How It's Made
- ✓Antique gold, antique silver, or black nickel
- ✓Solid hard-enamel color that stays crisp
- ✓Your choice of edge treatment
- ✓Free digital proof from a real artist
- ✓You pay nothing until you approve
Finishes & Edges
Choose the metal finish and edge treatment that fits your unit, previewed on your free proof.






Don't see the edge you want? We do fully custom edges too.
Start a Quote →Popular Fire / EMS Coin Types
Not just "challenge coins," but coins built for the moment they mark. Each links to a dedicated page.

Unit Heritage Coins
Unit crests, insignia, and mottos in raised metal and enamel.
Explore →
Line-of-Duty & Memorial
Tribute and memorial pieces with names, dates, and department seals.
Explore →
Promotion & Command
Change-of-command and coin-of-excellence pieces for a new rank.
Explore →
Retirement Coins
Heirloom coins with service dates and a personal message.
Explore →Beyond Challenge Coins
More First Responder Coins
Fire / EMS Coin FAQs
Yes. We die-strike custom shapes, so a Maltese cross or Star of Life outline works, along with apparatus and department imagery in raised metal and enamel.
Yes. Company and station numbers, apparatus striping, department seals, and mottos all reproduce cleanly on the front or back of the coin.
We do, and we treat memorial designs with the care they deserve: names, dates, and red-line or thin-line tributes. Send the details and we build a proof for your review.
Yes. We Pantone-match your colors in hard enamel so the reds, blues, and golds stay crisp across the whole order.
Yes. EMS Week recognition coins for a whole crew and class coins for EMT and paramedic graduations are common orders. Add the Star of Life, your service name, and the year, and a real artist sends a free proof within 24 hours of you accepting your quote.
Challenge coins and belt buckles both start at 25 pieces. Per-coin pricing improves with quantity, and the coin mold fee is waived at 300 or more.
Honor the Fire / EMS
Custom coins, pins, and patches designed with pride for every member.
Get a Free Quote →

