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AF | BCMR | CY2012 | BC-2012-00106
Original file (BC-2012-00106.pdf) Auto-classification: Approved
RECORD OF PROCEEDINGS 

AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS 

 
DOCKET NUMBER: BC-2012-00106 
IN THE MATTER OF: 
COUNSEL:  NONE 
   
HEARING DESIRED:  NOT INDICATED 
   
 
_________________________________________________________________ 
 
APPLICANT REQUESTS THAT: 
 
The fitness assessment (FA) failure he received on 30 Dec 11, be 
removed from the Air Force Fitness Management System (AFFMS). 
 
_________________________________________________________________ 
 
APPLICANT CONTENDS THAT: 
 
He had extreme sickness before and during his fitness assessment 
test.  He was seen by his medical provider and was diagnosed with 
Pericarditis. 
 
His commander supports his request to remove the failed FA score. 
 
In  support  of  his  request,  the  applicant  provides  copies  of  a 
letter  from  his  commander  and  Standard  Form  600,  Chronological 
Record of Medical Care. 
 
The  applicant's  complete  submission,  with  attachments,  is  at 
Exhibit A. 
 
_________________________________________________________________ 
 
STATEMENT OF FACTS: 
 
The applicant is currently serving in the Air Force in the grade 
of staff sergeant. 
 
His FA dated 30 Dec 11 reflects a total score of 70.90, which was 
recorded as “Unsatisfactory.”   
 
_________________________________________________________________ 
 
AIR FORCE EVALUATION: 
 
AFPC/DPSIM  recommends  denial.    DPSIM  states  on  21  Mar  12  a 
memorandum  was  sent  to  the  applicant  requesting  additional 
documentation, specifically, the member’s completed AF Form 108, 
Physical  Fitness  Education  and  Intervention  Processing;  and  AF 
IMT 422, Notification of Air Force Member’s Qualification Status 
indicating his limitations/exemptions. 
 
DPSIM  states  all  members  must  complete  the  Fitness  Screening 
Questionnaire  (FSQ)  prior  to  their  FA.    AFI  36-2905,  Fitness 
Program, paragraph 2.3.2.1 states the FSQ should be completed no 
earlier  than  30  calendar  days  (90  days  for  Air  Reserve 

Component), but no later than seven days prior to FA to provide 
time for medical evaluation, when indicated.  Paragraph 2.3.2., 
states all members must complete the FSQ prior to FA. 
 
The complete DPSIM evaluation, with attachment, is at Exhibit B. 
 
_________________________________________________________________ 
 
APPLICANT'S REVIEW OF AIR FORCE EVALUATION: 
 
On 30 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 timely filed. 
 
3.  Sufficient  relevant  evidence  has  been  presented  to 
demonstrate  the  existence  of  an  error  or  injustice  warranting 
relief.    We  note  the  office  of  primary  responsibility  (OPR) 
recommends denial based on the fact the applicant did not provide 
any  evidence  indicating  his  limitations/exemptions.    However, 
after  reviewing  the  evidence  submitted,  to  include  the  medical 
documentation and a letter from his commander, we believe in the 
interest of justice, the 30 Dec 11 FA should be removed.  In view 
of the above, we recommend his records be corrected as 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  his  Fitness 
Assessment (FA), dated 30 Dec 11 be removed from the Air Force 
Fitness Management System (AFFMS). 
 
_________________________________________________________________ 
 
The  following  members  of  the  Board  considered  AFBCMR  Docket 
Number BC-2012-00106 in Executive Session on 4 Oct 12, under the 
provisions of AFI 36-2603: 
 
Panel Chair 
Member 
Member 

 
 
 

 

 
 

2

All  members  voted  to  correct  the  records,  as  recommended.    The 
following  documentary  evidence  pertaining  to  Docket  Number     
BC-2012-00106 was considered: 
 
     Exhibit A.  DD Form 149, dated 9 Jan 12, w/atchs. 
     Exhibit B.  Letter, AFPC/DPSIM, dated 10 May 12, w/atch. 
     Exhibit C.  Letter, SAF/MRBR, dated 30 May 12. 
 
 
 
                                    
                                   Panel Chair 

 

3



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