The Honorary Medal for Charitable Assistance rewards 'those who have carried out a charitable act characterised by bravery, leadership and self-sacrifice'.
The Honorary Medal applies to brave conduct displayed entirely voluntarily to benefit other people in life-threatening circumstances.

The Civil Honours Advisory Commission considers the nominations for conferral and advises the 'relevant minister', who in turn submits a recommendation for conferral to Her Majesty The Queen. The conferral is ratified by Royal decree.

Design: a Royal crown onto which an oval medallion is attached. This medallion is 6 cm high. The front shows the 'image of Charity' with along the edge the text 'Voor menslievend hulpbetoon' (for charitable assistance). The reverse shows the words 'de Koningin aan' (the Queen to) above the name of the person being honoured. The medallion hangs from an orange ribbon that is three centimeters wide and has a 0.7 cm wide red band in the middle; the medallion is gold, silver or bronze.