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AF | BCMR | CY2013 | BC-2012-02827
Original file (BC-2012-02827.pdf) Auto-classification: Denied
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS 

RECORD OF PROCEEDINGS 

 
 
DOCKET NUMBER:  BC-2012-02827 
COUNSEL:  NONE 
HEARING DESIRED: NO 

IN THE MATTER OF: 
   
   
 
_________________________________________________________________ 
 
APPLICANT REQUESTS THAT: 
 
His  Fitness  Assessment  (FA)  dated  29  December  2011  be  removed 
from his records. 
 
_________________________________________________________________ 
 
APPLICANT CONTENDS THAT: 
 
He  was  prescribed  medication  called  Trazodone  and  was 
administered steroid injection treatments in his lower back since 
October  2011.    Weight  gain  and  swelling  are  some  of  the  side 
effects of these injections. 
 
The  applicant’s  complete  submission,  with  attachments,  is  at 
Exhibit A.  
 
_________________________________________________________________ 
 
STATEMENT OF FACTS: 
 
The applicant is currently serving on active duty in the grade of 
staff sergeant. 
 
The applicant’s last five FA scores are as follows: 
   DATE 
 
   6 August 2010 
  30 December 2010 
   8 January 2011 
  18 April 2011 
* 29 December 2011 
 
*Contested FA score. 
 
On  10  July  2012,  DPSIM  advised  the  applicant  to  provide 
additional  supporting  documentation  to  substantiate  his  claim 
(i.e., AF Form 469, Duty Limiting Condition Report, AF Form 422, 
Notification  of  Air  Force  Member’s  Qualification  Status, 
documenting  his  limitations  and  exemptions,  and  AF  Form  108, 
Physical  Fitness  Education  and  Intervention  Processing, 
indicating  he  had  a  pre-existing  condition  that  contributed  to 
his FA failure, signed fitness assessment score sheet and signed 

SCORE 
UNSATISFACTORY 
UNSATISFACTORY 
EXEMPT 
SATISFACTORY 
UNSATISFACTORY 

 

 

fitness  questionnaire)  within  30  days.    As  of  this  date,  this 
office has received no response. 
 
_________________________________________________________________ 
 
AIR FORCE EVALUATION: 
 
AFPC/DPSIM  recommends  denial.    DPSIM  states  on  10  July  2012,  a 
memorandum  was  sent  to  the  applicant  requesting  additional 
documentation.  The applicant did not respond. 
 
The complete DPSIM evaluation, with attachments, is at Exhibit B. 
 
_________________________________________________________________ 
 
APPLICANT'S REVIEW OF AIR FORCE EVALUATION: 
 
On  14  December  2012,  a  copy  of  the  Air  Force  evaluation  was 
forwarded to the applicant for review and response within 30 days 
(Exhibit C).  As of this date, no response has been received by 
this office.  
 
_________________________________________________________________ 
 
THE BOARD CONCLUDES THAT: 
 
1.  The applicant has exhausted all remedies provided by existing 
law or regulations. 
 
2.  The application was timely filed. 
 
3.  Insufficient  relevant  evidence  has  been  presented  to 
demonstrate  the  existence  of  error  or  injustice.    After 
thoroughly  reviewing  the  evidence  of  record  and  noting  the 
applicant's contentions, we are not persuaded the contested FA is 
in error or unjust.  The AF Form 469 is noted; however, in the 
absence  of  a  signed  fitness  assessment  score  sheet  and  signed 
fitness  questionnaire,  AF  Form  108,  and  AF  Form  422,  we  find 
insufficient evidence to warrant disturbing the record.  However, 
should the applicant provide such evidence,  we would be willing 
to  reconsider  his  request.    In  view  of  the  above  and  in  the 
absence  of  evidence  to  the  contrary,  we  find  no  basis  to 
recommend granting the relief sought in this application. 
 
_________________________________________________________________ 
 
THE BOARD DETERMINES THAT: 
 
The  applicant  be  notified  the  evidence  presented  did  not 
demonstrate  the  existence  of  an  error  or  injustice;  the 
application  was  denied  without  a  personal  appearance;  and  the 
application  will  only  be  reconsidered  upon  the  submission  of 

newly  discovered  relevant  evidence  not  considered  with  this 
application. 
 
_________________________________________________________________ 
 
The  following  members  of  the  Board  considered  AFBCMR  Docket 
Number  BC-2012-02827  in  Executive  Session  on  12  February  2013, 
under the provisions of AFI 36-2603: 
 
 
The  following  documentary  evidence  pertaining  to  AFBCMR  Docket 
Number BC-2012-02827 was considered: 
 
   Exhibit A.  DD Form 149, dated 12 March 2012, w/atchs. 
   Exhibit B.  Letter, AFPC/DPSIM, dated 5 October 2012,  
               w/atchs. 
   Exhibit C.  Letter, SAF/MRBR, dated 14 December 2012. 
 
 
 
 
 
 



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