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
________________________________________________________________
_
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.
________________________________________________________________
_
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 veterans
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.
________________________________________________________________
_
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.
________________________________________________________________
_
AIR FORCE EVALUATION:
AFMOA/SGAT recommends partial relief. SGAT recommends approval
of the applicants request to remove the erroneous medical lab
slip.
SGAT states, the applicants 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.
________________________________________________________________
_
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).
________________________________________________________________
_
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 applicants 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.
________________________________________________________________
_
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.
________________________________________________________________
_
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
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