The Auxiliary Humanitarian Service Award (HSA) is presented to Auxiliarists who distinguish themselves as individuals or as members of an operational unit by meritorious, direct, non-routine participation in a significant act or operation of a humanitarian nature. Direct participation is defined as being physically present at the designated location, having directly contributed and influenced the action.

This award is considered the Auxiliary equivalent of the military Humanitarian Service Medal (HSM). Since Auxiliarists are not eligible to receive the HSM, the Auxiliary Humanitarian Service Award is awarded to Auxiliarists who participate in the same operations where Coast Guard active duty personnel are awarded the HSM.

Participation in domestic disturbances involving law enforcement, equal rights to citizens or the protection of properties are excluded from this award.