- The First Provisional Regiment medal commemorates service by New York Guard members and by members of the Veteran Corps of Artillery, State of New York (VCA) serving in the First Provisional Regiment during World War I to guard the NYS Aqueducts. Over 100 shots were fired at soldiers of the regiment doing their duty and over 40 soldiers of the regiment gave their lives during this mission. The VCA has served as guardian of this medal for over 60 years and now shares authority for the wearing of this medal with the Conunander, New York Guard. The Commander, New York Guard therefore, grants authorization to wear the First Provisional Regiment Medal to all members of the New York Guard.
- The ribbon design is green with thin gray and red stripes at the edges.
- The authorization to wear is granted once.