The Air Force Combat Action Medal (AFCAM) is a relatively new medal created for the United States Air Force in March 2007 to recognize Air Force members for active participation in ground or air combat. The AFCAM was first awarded on June 12, 2007 to six Air Force members who were engaged in air or ground combat off base in a combat zone during Operation Enduring Freedom (Afghanistan, October 7, 2001-December 28, 2015) or Operation Iraqi Freedom (Iraq, March 19, 2003-September 1, 2010). The medal is retroactive from September 11, 2001 to a date to be determined and may be awarded posthumously.