Argent, a trefoil Gules voided bearing a trefoil Vert voided fimbriated of the first, surmounted by a water bouget Sanguine superimposed by a cross fleury Argent.
That for the regiments and separate battalions of the Iowa Army National Guard: From a wreath Argent and Gules, a hawk's head erased Proper.
SAVE TO SERVE AGAIN.
Maroon and white are the colors traditionally used for the Medical Battalions. The water bouget is a medieval heraldic charge symbolizing the carrying of relief to the combatant and weary, while the cross is representative of the humanitarian ideals of medical activity. The cross fleury relates to fleurs-de-lis and is used to represent the unit's campaigns of Normandy, Northern France, Rhineland and Central Europe of WWII. The voided red and green trefoils refer to the Belgian Fourragere awarded the organization for Belgian and Meuse River action.
The crest is that of the Iowa Army National Guard.
The coat of arms was approved on 16 August 2001.