RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS

IN THE MATTER OF:	DOCKET NUMBER: BC-2012-00771
		COUNSEL:  NONE
		HEARING DESIRED:  NO

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APPLICANT REQUESTS THAT:

1.  The Standard Form (SF) 553, Microbiology I, dated 1 Dec 80, 
incorrectly filed in his records, be removed.

2.  Documentation from his civilian hospitalization be 
documented in his service medical records.

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APPLICANT CONTENDS THAT:

The SF 553, dated 1 Dec 80 does not belong to him.  The person 
it belongs to has the same first letter of the last name and the 
same last four of the social security number (SSN).

Information from his civilian hospitalization for treatment of 
injuries from an automobile accident is not included in his 
military records and may be misfiled in another veteran’s 
record.

In support of his request, the applicant provides a personal 
statement, and copies of medical documents.

The applicant's complete submission, with attachments, is at 
Exhibit A.

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STATEMENT OF FACTS:

The relevant facts pertaining to this application are contained 
in the letter prepared by the appropriate office of the Air 
Force.  Accordingly, there is no need to recite these facts in 
this Record of Proceedings.

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AIR FORCE EVALUATION:

AFMOA/SGAT recommends partial relief.  SGAT recommends approval 
of the applicant’s request to remove the erroneous medical lab 
slip.

SGAT states, the applicant’s request for his civilian medical 
documentation to be filed in his military records should be made 
to the Good Samaritan Hospital in Mount Vernon, Illinois.  This 
information would not be readily available in the government 
medical record unless the applicant authorized a release of 
information from his civilian facility.  The billing information 
would have been sent to the military facility since they have 
financial responsibility, but supporting documentation may not 
have been included.  It is difficult to determine from the 
information provided if the civilian records were misfiled or 
not available.

The complete SGAT evaluation is at Exhibit B.

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APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

On 18 May 12, a copy of the Air Force evaluation was forwarded 
to the applicant for review and comment within 30 days.  As of 
this date, a response has not been received by this office 
(Exhibit C).

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THE BOARD CONCLUDES THAT:

1.  The applicant has exhausted all remedies provided by 
existing law or regulations.

2.  The application was not timely filed; however, it is in the 
interest of justice to excuse the failure to timely file.

3.  Sufficient relevant evidence has been presented to 
demonstrate the existence of error or injustice.  We note the 
Air Force office of primary responsibility (OPR) has recommended 
partial relief, by removing the erroneous lab slip (SF 553, 
Microbiology I) from his master personnel records.  The 
applicant also requests that his civilian treatment records from 
“Good Samaritan Hospital” be filed in his master personnel 
records.  However, as pointed out by AFMOA/SGAT this request 
should be made to the applicant’s civilian treatment facility, 
as this information would not be readily available in the 
government medical record unless the applicant himself 
authorizes a release of information from the civilian facility.  
Therefore, aside from the Board removing the erroneous lab slip, 
we find no basis for further relief in this case.  In view of 
the above, we recommend his records be corrected to the extent 
indicated below.  

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THE BOARD RECOMMENDS THAT:

The pertinent military records of the Department of the Air 
Force relating to APPLICANT, be corrected to show that the 
Standard Form 553, Microbiology I, dated 1 December 1980, is 
removed from his records.

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The following members of the Board considered AFBCMR Docket 
Number BC-2012-00771 in Executive Session on 18 Oct 12, under 
the provisions of AFI 36-2603:

, Chair
, Member
, Member

All members voted to correct the records, as recommended.  The 
following documentary evidence was considered:

     Exhibit A.  DD Form 149, dated 13 Feb 12, w/atchs.
     Exhibit B.  Letter, AFMOA/SGAT, dated 10 May 12.
     Exhibit C.  Letter, SAF/MRBR, dated 18 May 12.



                                   
                                   Chair