Qualification:
Orderlies (Verzorgers) qualify for the medal when they support a registered marching group during the entire four day march. They do not qualify for the Vierdaagse cross.
Each registered group is allowed an orderly on a bicycle (not motor assisted) to support them during the marches, carrying food, drink and first aid supplies. To qualify, orderlies must be registered in advance. Groups of between 11–20 participants may register one orderly and groups of 21 or more, a maximum of two.
Being an orderly can be hard work. Groups typically march 40 km per day for the 4 days. The team Orderly usually cycles about 60 km per day since there are sections of the walking route where cyclists are not allowed as the path is too narrow and crowded.
The conditions of award for orderlies to both civilian groups and military detachments are the same.

The bronze medal can also be awarded to others who give support to Vierdaagse walkers:
In 1968 it was awarded to KNBLO Board member Wim van der Laaken for meritorious service. This was a unique award of the bronze medal, all later Verzorgingsmedaille awards for merit being in silver or gold.
From 2008, an adult who accompany a child between 12 and 15 years throughout the march and thereby walks less than their own regulation distance also qualifies for the medal, provided they have registered as a companion in advance.

Further awards:
The medal is only awarded once. If an orderly qualifies again, the relevant number is attached to the ribbon.

Wearing in military uniform:
The medal is not recognised by the Netherlands Ministry of Defence and is not approved for wear on Dutch military uniform. The medal and ribbon bar are however worn by some service personnel, especially in the Royal Dutch Air Force, (Koninklijke Luchtmacht). It is therefore sometimes seen mounted with official Dutch medals.

1965 – 1976.  

Manufactured by Koninklijke Begeer
Further awards.
The same design of ribbon numeral was used as for the Vierdaagse Cross.

Suspension:
Issued with a safety pin sewn behind the ribbon. Some recipients added the brooch bar inscribed ‘4-daagse Nijmegen’ sold seprately at the marches, and which was initally intended to be added to the Vierdaagse Cross.

1977 – to date.  

Manufactured by W. van Veluw.
Further awards.  A bronze octagon bearing the relevant number is awarded for further service as a Vierdaagse orderly, attached to the ribbon. Only the number most recently received number is worn. By 2008 the highest number awarded appears to be 34.
The ‘75’ pin to be added to the Cross ribbon to commemorate the 75th March in 1991, was also given to those who qualified for the bronze medal that year.

Suspension:
From 1977 to 1982 a pin, as illustrated, was used. From 1983 the medal was awarded with a bronze version of the standard ‘Vierdaagse Nijmegen’ brooch bar used for the Vierdaagse Cross.

Miniature versions.  

Supporter’s Medal (Verzorgingsmedaille) in Silver and Gold.