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AF | BCMR | CY2012 | BC-2012-02227
Original file (BC-2012-02227.pdf) Auto-classification: Approved
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS 

RECORD OF PROCEEDINGS 

 
DOCKET NUMBER:  BC-2012-02227 
COUNSEL:  NONE 
HEARING DESIRED:  NO 

IN THE MATTER OF: 
   
   
 
________________________________________________________________ 
 
APPLICANT REQUESTS THAT: 
 
His  Fitness  Assessment  (FA)  dated  2  Jun  2011  be  removed  from 
the Air Force Fitness Management  System (AFFMS). 
 
________________________________________________________________ 
 
APPLICANT CONTENDS THAT: 
 
On  2  Jun  2011,  he  was  directed  to  complete  the  one  mile 
component  of  his  FA  in  accordance  with  his  AF  Form  422, 
Notification  of  Air  Force  Member’s  Qualification  Status,  dated 
25  May  2011.    However,  the  "Profile  Officer  Review"  block  was 
not  executed  by  a  flight  surgeon  as  required  per  AFI  10-203, 
Duty  Limiting  Conditions,  and  should  be  invalid.    His  medical 
records  reflect,  "Patient  states  the  pain  is  sharp  and  hinders 
walking over prolonged period of time."  His AF Form 469,  Duty 
Limiting  Report,  states  "No  repetitive  high  impact  for  lower 
extremity."    The  AF  Form  469  is  not  signed  by  the  Profile 
Officer. 
 
In support of his request, the applicant provides copies of his 
AF  Forms  422,  AF  Forms  469,  extracts  from  numerous  Air  Force 
Instructions  (AFI),  from  his  medical  records,  the  Inspector 
General  (IG)  Compliance  Inspection  and  various  other  documents 
associated with his request. 
 
His complete submission, with attachments, is at Exhibit A. 
 
________________________________________________________________ 
 
STATEMENT OF FACTS: 
 
The  applicant  is  currently  serving  in  the  Regular  Air  Force  in 
the grade of staff sergeant (SSgt, E-5). 
 
 
 
 

 

 

The  remaining  relevant  facts  pertaining  to  this  application, 
extracted  from  the  applicant's  military  records,  are  contained 
in  the  letter  prepared  by  the  appropriate  office  of  the  Air 
Force at Exhibit B.  
 
________________________________________________________________ 
 
THE AIR FORCE EVALUATION: 
 
AFPC/DPSIM  recommends  approval.    DPSIM  states  the  AF  Form 
422 and AF Form 469 were not in compliance and therefore are not 
valid.    It  should  be  noted  that  the  applicant’s  Area  Defense 
Counsel  (ADC)  contacted  the  Flight  Surgeon  who  stated  he  would 
not  have  recommended  the  member  complete  the  one  mile  walk  due 
to his injury. 
 
In a revised advisory dated 16 Aug 12, DPSIM recommends denial.  
DPSIM  states  that  per  AFI  36-2905,  Air  Force  Fitness  Program, 
and AFI 10-203, the applicant’s AF Form 422 and AF Form 469 were 
not  in  compliance;  however,  in  accordance  with  a  325  FW/JA 
Memorandum, dated 3 Aug 2012, the AF Form 469 dated 24 May 2011 
and  AF  Form  422  dated  25  May  2011  underwent  an  independent 
Profile  Officer  Review  and  all  profile  officers  unanimously 
agreed  that  the  AF  Form  422  dated  25  May  2011  accurately 
restricted him from the running component of the FA, however he 
was cleared for the walk component of the FA. 
 
The complete DPSIM evaluations are at Exhibit B. 
 
________________________________________________________________ 
 
APPLICANT'S REVIEW OF THE AIR FORCE EVALUATION: 
 
On  16  Jul  2012,  DPSIM  recommended  that  his  FA  dated  2  Jun 
2011 be  removed  from  the  AFFMS  because  the  Air  Force  failed  to 
comply 
Form 
422 processing.  He also noted the defense paralegal's affidavit 
wherein the flight surgeon who assessed him in May 2011 said he 
probably  would  not  have  recommended  that  he  complete  the  one 
mile walk during the FA. 
 
Additionally,  his  health  record  substantiates  the  fact  that  he 
was  limping  the  day  of  his  visit,  which  clearly  indicates  an 
injury  impairing  his  ability  to  perform  the  walk  component  of 
the FA.  His medical record places the validity of both the AF 
Form 469 and the AF Form 422 into question. 
 
He asserts the 325 FW/JA Memorandum, dated 3 Aug 2012, and the 
revised  DPSIM  advisory  opinion,  dated  16  Aug  2012  recommending 
denial of his request are not compelling.  Neither Lt Col Y--, 
Capt  D--,  nor  Capt  S--  evaluated  him  in  May  2011.    Had  the 
profile officer reviewed the AF Form 422 in May 2011 as required 
per AFI 10-203, he could have asked questions about the profile 
back in May 2011.  This review cannot be re-accomplished today, 

instructions 

regarding 

AF 

with 

its 

own 

 

 

almost  a  year  and  a  half  later.    This  is  the  Medical  Group's 
attempt  to  "fix"  their  procedural  error  15  months  after  the 
fact.  This is wrong and it does not change the fact that when 
he went to the doctor in May 2011, he was limping and it hurt to 
walk, which is reflected in his medical records. 
 
The  applicant’s  complete  response,  with  attachment,  is  at 
Exhibit D. 
 
________________________________________________________________ 
 
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 
partial relief.  We note the OPR initially recommended approval 
stating  the  AF  Form  422  and  AF  Form  469  were  not  rendered  in 
compliance  with  the  governing  AFI  and  therefore  are  not  valid.  
In  a  revised  advisory,  the  OPR  now  states  the  aforementioned 
forms  underwent  an  independent  profile  review  and  all  profile 
officers  unanimously  agreed  the  AF  Form  422,  dated  25  May 
2011 accurately  restricted  the  applicant  from  the  running 
component  of  the  FA  but  cleared  him  for  the  walk  component.  
Although  the  OPR  recommends  his  case  be  denied  based  on  an 
independent  review  conducted  over  a  year  later,  we  find  the 
evidence in this case sufficient to conclude the AF Form 422 and 
AF  Form  469  were  not  rendered  in  compliance  with  AFI  10-203.  
While we note the applicant requests the entire FA dated 2 Jun 
11,  be  removed,  we  believe  the  more  appropriate  remedy  is  to 
only  remove  the  cardio  portion,  which  will  still  result  in  an 
unsatisfactory  score  of  68.75.    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  the 
cardio component of his FA dated 2 Jun 2011 reflect “exempt” in 
the AFFMS. 
 
________________________________________________________________ 
 
The  following  members  of  the  Board  considered  this  application 
in Executive Session on 20 Dec 2012, under the provisions of AFI 
36-2603: 
 

  , Panel Chair 

       , Member 
       , Member 

 
All  members  voted  to  correct  the  record  as  recommended.    The 
following  documentary  evidence  pertaining  to  Docket  number  BC-
2012-02227 was considered: 
 
     Exhibit A.  DD Form 149, dated 18 May 2012, w/atchs. 
     Exhibit B.  Letter, AFPC/DPSIM, dated 2 Jul 2012, w/atch. 
                 Letter, AFPC/DPSIM, dated 16 Aug 2012, w/atch. 
     Exhibit C.  Letter, SAF/MRBR, dated 20 Aug 2012. 
     Exhibit D.  Letter, Applicant, dated 13 Sep 2012. 
 
 
 
 
 
 
 

 
Panel Chair 

 
 

 
 

 
 

 
 

 
 

 
 

 

 



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