Medal, on a short piece of blue and white ribbon, in a case. The medal is of a white metal with spread-eagle emblems, and a blue and white enamelled cross, and an oval enamelled medallion on both sides. On the front the oval is decorated with a male figure with a crown and halo, with Cyrillic script text in gold. On the reverse is the date '1883' in metal against white enamel. The medal is attached to the ribbon by a metal crown, which is pivoted on a pin. The case is hinged at the back, covered with blue leather embossed with a coat of arms on the lid, lined with black velvet. The lid is lined with cream silk.
The medal is the insignia of the Fifth Class of the Order of Saint Sava, which was conferred on Courtney in 1918 by the kings of the Serbs, Croats and Slovenes, for her work with the Serbian Relief fund during the First World War