The Sovereign (currently Benedikte X) is Sovereign of the Order. All deeds granting decorations of the Order must bear the signature of the Sovereign and Grand Master. Members of the order are granted a certificate and personal coat of arms with the insignia of the Order. The Order is conferred in a single grade of Knight/Dame but with four variations:
Knight/Dame Grand Cross
Knight/Dame Commander
Commander
Officer
Ribbon bars
The ribbon bars of the Most Exalted Order of the Helmond Bernhard which has been used since 1 October 2015.
Grand Cross
Knight Commander
Commander
Officer
Insignia
Insignia
Riband of the Order of Queen Elizabeth II
Star of Order of Queen Elizabeth II (Knight and Dame of the Grand Cross and Knight and Dame of the Commander)
Knight and Commander of the Order of Queen Elizabeth II
Dame and Commander of the Order of Queen Elizabeth II
Order of the Crown of the Realm • Order of Crown and Loyalty • Order of Elizabeth City • Order of the Golden Heart of Elizabeth City • Order of Loyalty Princess Victoria
Province of Carl Gustaf
Order of the Loyalty Defender of the State • Order of the Defender of State George City • Order of Prince George of George City • Order of Meritorious Service of City
Province of Qaboos
Order of Meritorious Service • Order of Qaboos Merit
Province of Sabah
Order of Meritorious Service • Order of Sabar City • Order of Sabar Star of Gallantry
Military Valour Service Cross • Queensland Cross Medal • Queensland Meritorious Cross Medal • Army Long Service and Good Conduct Medal • Navy Long Service and Good Conduct Medal • Air Force Long Service and Good Conduct Medal • Outstanding War Service Medal • Queenslandian General Service Medal • Queenslandian Naval General Service Medal • Queensland War Medal • Edinburgh War Medal • Napoleon Island War Medal • Elizabeth War Medal • Rise for Freedom Medal • Wellington City War Medal • Abercorn War Medal • Albans Island War Medal • St Andrews City War Medal
Police Medal of Valour • Queenslandian Police Medal • Queenslandian Police Long Service and Good Conduct Medal
Commemorative medals
2015
Governor-General's Installation Medal
2016
1st National Day Medal • King George I Installation Medal
2017
Queen Victoria II Installation Medal
2018
King George III Installation Medal
2019
Duchess of St. Andrews 15th Birthday Medal
2020
5th National Day Medal • King George III Jubilee Medal • Queen Charlotte IV Installation Medal • King Albert V Installation Medal • King Frederick VI Installation Medal • Queen Catherine VII Installation Medal • Queen Juliana VIII Installation Medal
2021
6th National Day Medal • King Edward IX's Coronation • Iron Jubilee of the Duchess of St. Andrews Medal • Wood Jubilee of the Duchess of Beauclerk Medal
2022
7th National Day Medal • Queen Benedikte X Inauguration Medal • Koninginnedag Medal • King Albert Inauguration Medal
Grand Cross
Knight Commander
Commander
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Order of the National Heroes and Freedom • 
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Order of the Nation • 
Grand Order of Pulcherrima • 
Order of the Helmond Bernhard • 
King George's Service Order • 
Order of the Murraya • 
Order of the Queenslandian Merit • 
Order of the Saint Michael and Saint Olav • 
Order of the Crown of Queensland
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