A silver circular medal with a crest on the front with two rowboats, shaking hands, and a ship at sea. Above the word "refuge" is a house. Inscription: (front): "Humane Society of Massachusetts, Refuge, 1791." (back): "Reward of Merit, Courage, and Perserverance. To Ida Lewis, the heroine of Lime Rock, for her many heroic and successful efforts in saving human lives."