AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD 

NAME OF SERVICE MEMBER (LAW, FIRST MIDDLE INITIAL) 
,.-..-.-..-..-..-..-....~..~..~. 

GRADE 

AFSNISSAN 
------------------- 

C..-..-.-..-..-..-.------------I 
'I'YPE  GEN 

I 

PERSONAL APPEARANCE 

' @oTJN$~L  , 

YES 

No 

I 

NAhllS O F  COUNSEL AND OR ORGANIZATION 

RECORD REV1 EW 

X 
AUURhSb AND OR ORGANIZA I'lON  Oh  I OLINSEL 

1 

1 . - . . . . - . . - . . - . . - . . - - - - - - - - - - - - - - - - - - - - - - :  

ISSUFS  A94.53 

1 

INDEX NUMBER 

A67.90 

-- 

HEARING UA'I'E 

CASE NUMBER 

I 

I 
EXWLBlTS SEIBMITTED TO TIlE BOARD 

I 

1 
2 
3 
4 

1 

ORDER APPOIN'l'IN(;  THE HOARD 
APPLICA'I'ION  FOR  REVIEW OF DISC1 IARGE 
LETTER OF NO'I'IFICAI'ION 
BRIEF OF PERSONNEL FILL 

I  COUNSEL'S  RELEASE TO THE BOARD 

ADDITIONAL tXHlHl f S  SUBMITTED AT TIME O r  
PERSONAL APPEAKANCL 

TAPE REC0RL)INCi Ok PERSONA1  APPEARANCE 

25 May 2006 
APPLICANT  S I S S M  AND THE BOARD'S DECISIONAL  RATIONAL ARE  DlSCUSSED ON THE AK'TACHEL) AIR tORCt: DISCHARGt REVIEW BO4RD DECISIONAL RATIONALE 

FD-2005-00372 

I 

I 

I 

1  Case heard at Washington, D.C. 

Advise applicant of the decision of the Board, the right to a personal appearance with/without counscl, and the right to 
subnlit an application to the AFBCMR 
1  Names and  votes will  be made available to the applicant at the applicant's request. 

"Reason and Authority 

/ 

...p..-..-..-....-y..-..-..-.p..-..-..-..-.-..-..-..-..-....-.p-..-..-..-.-..-..-..-..-....-..-..-..-....-.....-. 

TO: 

SAFIMRBR 
550 C SI'Rkh'l  WkS 1, SUITE 40 
RANDOLPH AFR, TX 7x1 50-4742 

lNDQRSEMENT 

-. - 

FROM 

~ T E :  w@o(i 
. - 

rn 

SLCHE'IARY O F  THE AIR FORCE PERSONNEL COUNCIL 
AIR FORC t DISCHARCrh HhVlEW BOARD 
1535 COMMAND DR.  F F  WING, 3RD FI.OOR 
ANUREWS AFB, MD 20762-7002 

AFHQ FORM 0-2077, JAN 00 

(EF-V2) 

Previous edition will be  used 

I 

1 

I 

AIK FORCE IJISClIAK(;E  KEVIEW BOARD DECISIONAL IUTIONALIS 

CAW; NlIh.1I~I~;K 

FD-2()()5-()()372 

(.;ENEIUI,:  The  applicar~t appcals  for  upgrade  of  discharge  lo  honorable  arid  lo  change  (he reason  i111tl 
ilulhority  for the discharge. 

Tllc applicanl was offered a personal appearance bcforc  the Discharge  Review  Boarcl (DRE) l>ul tlcclincd  lo 
cxcrcise this right. 

'I'llc  ;~ttaclied t ~ r i e i  conlains available pertinent  data on the applicant and I.he Fiiclors leaclirig lo the clisclli~rgc. 

11N UIIVGS:  Upgrade of discharge and change of reason and authorily  lor dischargc arc denied. 

'Phc  Board  finds  thal  neither  the  evidence  of  record  nor  [hat  provided  by  the  applicant  substantiutcs  1111 
inccluity  or impropriety [hat would juslily  a change of discharge. 

ISSUE:  Applicant rcccivcd a Gcneral discharge - Conducl Prejudicial to Good Order and Iliscipli~lc 

actions, the applicant had  ample opportunitics to change his negalive behavior.  'She  DKU 

Applicar~t corltends discharge was based  011 isolated incidents in twenly eight months of service, 1.11~ 
discharge was irnpropcr bccausc his admittance of prior service usc of marijuana was used in dctcrniination 
of his tiischarge,  hc was punished eight monlhs after the last investigation was complete and thc Article  15 
for underage drinking was two years old, and the Arlicle  I5 given lo him  in August 2005 was unjust bccause 
of  pcrsonal  dislike o l  applicant by his commander, the fact that he plcd 1101 gui1l.y to charges which he 
hclievcd had  insufl'icicnt  proof, and he was subsequently punished and involuntarily discharged with no 
regard given to his appcal.  The rccords indicated that over a  Ih month period, applicant  received  two Asticlc 
15s and four Records of Individual Counseling for ~nisconduct to illclude undcragc drinking, unlawfully 
enlcring Ihc Rase Sludent Activity Center, two instances of tardiness, nccding a haircut, hiling to propcrly 
chcck in lor P?',  making a false official slatement to AFOSl investigators, ancl wrongfully co~iceali~ig 
cvidcnce and assisling u fellow airman to descrt the Air Force.  The DKU opined that through h e s c  
:~driii~~istrativc 
found  uo evidence in applicant's  records that thcre was any merit lo his claim that his commander disliked 
him or that his adrnittancc of prior service use of marijuana was used  as a basis for his involuntary  dischargc; 
r ~  l'acl. thc Discharge Notilication Memorandum furnished member by his commander cited only the 
i
misconduct noted abovc as rcasons for initiating discharge action.  Mcmbcr's  allegations that  hc was 
il~volu~lturily discharged wilh no regard givcn to his appeal are withoul merit as a rcvicw of his records 
il~clicates that. four days after being notified  \.hat he was being rcconlmcrided for discharge, rncrnber signed :I 
tloculncnt stating t.liat he had consulted legal counsel and was waiving his right to submil stalclnc~its in his 
I~ellalf. Likewise, member's statement that he was punished eight months aftcr thc last investigatiu~~. alld  tlic 
Arric.1~ IS for undcragc drinking was two years old, are without mcrit, as is his claim that he pled  guilty to 
cl-~argcs which he believed  had  insufficient proof in that he accepted  non-judicial  punishment vicc a court- 
niurtiiil  and dicl  not  appeal the non-judicial  punishment.  The Board concluded the misconduct was a 
signiSic:~nt departure from conduct expected of all military members.  The characterizalion of thc tliscliarge 
rcccived  hy  [lie applicanl was found to be appropriate. 

C:ONC:I,USIONS: 
'The  Dischargc  Review  Board  concludes  that  the  discharge  was  consistcnl  with  thc 
proccdurnl  and  substantive  requirements  of  the  discharge  regulation  and  was  within  the  discrctior~ o f  the 
dischargc nuthority arid that the applicant was provided full administrative due process. 

111 view of the foregoing [indings  the Board furthcr concludes that there exists no  legal or equitable basis f o r  
upgradc of  discharge, thus the applicant's discharge should not  be changed. 

Att;~chmcnt: 
tisarniner's Bricf 

DEPARTMENT OF THE AIR  FORCE 

AIR  FORCE DISCHARGE REVIEW BOARD 

ANDREWS AFB,  MD 

(Former AB)  (HGH AlC) 

1.  MATTER UNDER REVIEW:  Appl recfd a GEN Disch fr Ellsworth AFB, SD on 23 Aug 
05 UP AFI 36-3208, para 5.50.2 (Pattern of Misconduct -  Conduct Prejudicial to 
Good Order and Discipline).  Appeals for Honorable Discharge and Change in Reason 
for Discharge. 

2.  BACKGROUND: 

a. DOB: 4 Jul 83.  Enlmt Age: 19 1/12.  Disch Age: 22 1/12. Educ: HS DIPL. 

AFQT: N/A.  A-76,  E-75,  G-74,  M-73. PAFSC: 2W031 -  Munitions System 
Apprentice. DAS: 15 Mar 04. 

b,  Prior Sv:  (1) AFRes 14 Aug  02 -  21 Apr 03  (8 mos 8 das) (Inactive) . 

3.  SERVICE UNDER REVIEW: 

a. Enlisted as AB 22 Apr 03 for 6 years. Svd: 02 Yrs 04 Mo 02 Das, all AMS. 

b.  Grade Status:  AB -  9 Aug 05  (Article 15, 9 Aug 05) 

AlC -  6 Jun 03 

c.  Time Lost:  None. 

d.  Art 15's:  (1) 9 Aug 05, Ellsworth AFB, SD -  Article 107.  You did, on 

, - - - - - - - - - - - - - - - - - -  

I - . - - - - - - - - - - - -  - - - 

----------------------------. 

,..-.-..-.-..-.-..-.~..~.~.. 

or about 13 Dec 04, with intent to deceive, make to 
5  an official statement, to 
Special Agent 1 
wit :  the last time you had seen A1C I ----------------------------: 
was at dinner after a Christmas party on 10 Dec 04, 
, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
which statement was false in that A I C m  C..-.-..-.-....-...-----------I 
was with you on 12 Dec 04, and was then known by you to 
be so false.  Article 134.  You, having knowledge that 
A1C c-..-.-..-.-..-.-..---------~ 
had actually committed a serious 
offense to wit:  Desertion, did, at or near Rapid City, 
SD, from about 13 Dec 04, to about 27 Dec 04, wrongfully 
conceal such serious offense by not disclosing that you- 
drove A1C c-..-.-..-.-..-.-..---------- 
jto the vicinity of the Rapid 
City Bus Station and fail to make the same known to the 
civil or military authorities as soon as possible. 
Reduction to AB and 30 days extra duty. 
(No appeal) (No mitigation) 

.............................. 

(2) 27 Oct 03, Brooks-City Base -  Article 92.  You, who 

knew of your duties, on or about 28 Sep 03, were 
derelict in the performance of those duties in that you 
willfully failed to refrain from consuming alcohol while 
under 21 years of age, as it was your duty to do. 

Article 134.  You did, on or about 28 Sep 03, unlawfully 
enter Building 722, Student Activity Center.  Forfeiture 
of $50.00 pay per month for 2 months, 10 days extra duty 
and Reprimand.  (No appeal) (No mitigation) 

e.  Additional: RIC, 24 JUN 04 -  Failure to Obey a lawful Order. 
RIC, 01 JUN 04 -  Failure to Obey a lawful Order. 
RIC, 27 MAY 04 -  Late for Duty. 
RIC, 13 MAY 04 -  Failure to Go at the time prescribed. 

f.  CM:  None. 

g.  Record of SV: 22 Apr 03 -  21 Dec 04  Ellsworth AFB  3  (Initial) 

h.  Awards &  Decs:  AFTR, NDSM, GWTSM. 

i.  Stmt of Sv:  TMS:  (03) Yrs  (00) Mos  (09) Das 
TAMS:  (02) Yrs  (04) Mos  (02) Das 

4.  BASIS ADVANCED FOR REVIEW:  Appln  (DD Fm 293) dtd 29 Sep 05. 

(Change ~ i s c h a r ~ e  to Honorable and Change Reason for Discharge) 

ISSUES ATTACHED TO BRIEF. 

ATCH 
1.  Applicant's Issues. 
2.  Eleven pages of OSI Report. 
3.  Response to  onj judicial  Proceedings. 
4.  Article 1 5 ,   1 Aug 04. 
5.  Notification Memorandum. 

APPLICATION FOR THE REVIEW OF DISCHARGE OR DISMISSAL 

FROM THE ARMED FORCES OF THE UNITED STATES 

(Please reed instructions on Pages 3 and 4 BEFORE completing this application.) 

mms- @zz 

Form Approved 
OMB No. 0704-0004 
Expires Aug 31, 2006 

I 

Thb publlc roportlna burden for thls collsction of  information ia errtimated to average 30 mlnutsa per reeporurn,  Including Me Ume  for revlewlnp rn~wctio~, scarchlng exisring data sources, 
pstllerln~ and malntalnlng the dmta  needed. end campleting and rsviawlng the collsctlon of Information.  Send comments rngrrdlng this burden enlrnate or  my other aspest d thls tollectlon 
of  Informaion, includ'hg supgssflo~~ 
for reduchp the burden, to DaparUnmnt of Defense,  Washlnfion  Headquartom Sarvlces,  Dlrectorata for Information Operations and Repom 107040004). 
1216 Jaffarscm Dada Hlghway,  Suite  1204,  Arlington, VA  22202-4302.  Raspondents should be aware that notwithstendlng any  othw provision of  law,  no person rhnll be aubjed l o  any 
pens&  for fainw to comply with a collection of Information If  k does not diaplay a currently valid OM0 control number. 
PLEASE DO NOT RETURN YOUR  FORM TO THE ABOVE ADDRESS.  REFURN COMPLETED FORM TO THE APPROPRIATE ADDRESS ON  BACK OF  THIS PAGE. 

PRWACY ACT STATEMENT 

AUrHORIlY  10 U.S.C.  1553; E.O.  9397. 
PRINCIPAL PURFOSE(S1:  To apply for a change in the characterization or reason for military discharge  issued to an individual. 
ROUTINE USE[SI:  None. 
DISCLOSURE:  Voluntary;  however,  failure t o  provide identifying information riiay impede processing of this application.  The request for 
Social Security Number is strictly to assure proper identification of the individual and appropriate records. 
1.  APPLICANT DATA  (The person whose discharge is to be reviewed).  PLWSE PRINT OR TYPE INFORMATION. 
a.  BRANCH OF SERVICE  LZ one) 
b.  WibX XBEL flr&  MddI~~Iob'iaiI~ I I I I I I I I I I I I I I I - - - 

1 ARMY  1 

X A I R  FORCE 

MARINE CORPS 

NAVY 

1 

' 

c.  GRADEIRANK AT DISCHARGE 
z  1 

( 

L - 1  

2 DATE OF DISCHARGE OR SEPARATION  4.  DISCHARGE CHARACTERIZATION RECEIVED IX one/  5.  BOARD ACTION REQUESTED fX one) 

' 

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> 

1 

(WYMMDD)  (If data is more !hen  15 years 
ago,  submit a DD Form  149) 
27 
'7-9 muP1 ,-&.1'-5  s9 G'drik.  UNCHARnCmlfED 
k d r - k k  AF@  -=j (3 

1 HONORABLE 
GENERAUUNDER HONORABLE CONDITIONS 
UNDER OTHER THAN HONORABLE CONDITIONS 
BAD CONDUCT (Special court-mertlal oonlyl 

U O S  

3.  UNIT AND LOCATION A T  DISCHARGE 

OR  SEPARATION 

OTHER (Explain) 

6.  ISSUES:  WHY AN UPGRADE OR CHANGE IS REQUESTED AND JUSTIFICATION  FOR THE REQUEST lContjnue in Jiem  14.  See instrvctions on 

, 

I  COAST GUARD 
d.,.  $P-CIAA$ECYR(nNVM - - 
: ............-..  ....... -1 
X I  CHANGE TO  HONORABLE 
- - 

.

 

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CHANGE TO  GENERAUUNDER 
HONORABLE CONDITIONS 
CHANGE TO  UNCHAFiACTERIZED 
(Not applicable for Air Force) 

7.  /Xif applicable) AN APPLICATION WAS PREVIOUSLY SUBMITTED ON (YYWMMDD) 

C> 0 5 0 

/ 

AND THIS FORM IS SUBMITTED TO ADD ADDITIONAL ISSUES,  JUSTIFICATION,  OR EVIDENCE. 

8.  IN SUPPORT OF THIS APPLICATION.  THE FOLLOWING AlTACHED DOCUMENTS ARE SUBMITTED AS EVIDENCE:  (Conrinue in ltem 17, 

If military documents or medical records are relevant to your case,  please send copies.] 
f  n u ~ c u s ~ y  s c v r +   o v L d - c r  

anJ  s u p y w = /  dacurutsu,+, 

9. TYPE OF REVIEW REQUESTED /X one) 

CONDUCT A RECORD REVIEW OF MY DISCHARGE BASED ON MY MILITARY PERSONNEL FILE AND ANY ADDITIONAL DOCUMENTATION 
SUBMllTEQ BY ME.  I AND/OR /couflseKrepresentative/ WILL NOT APPEAR  BEFORE THE BOARD.  ' 
I AWlOR4counselhe~resentari~e) WlSH TO  APPEAR  AT A HEARING AT NO  EXPEhlSE TO THE GOVERNMENT BEFORE THE  BOARD IN THE 
WASHINGTON,  D.C.  METROPOUTAN AREA. 
I' AND/OR  Icounsel/representativel WlSH TO APPEAR AT A HEARING AT NO  EXPENSE TO THE GOVERNMENT BEFORE A TRAVELING PANEL CLOSEST TO  - 
(enter city and stare) 

(NOTC  The Navy Discharge Review Bourd does nor have a rraveliiig panel.) 

10.a.' COUNSELIREPRESENTATIVE (If any)  NAME (Last,  Erst,  Middle Initial) AND ADDRESS 

b.  TELEPHONE NUMBER (Include Area Codel 

(Sac ltem 10 o f  the insrrucrlons about counsel/represenretive.l 

c.  E-MAIL 

- 
11.  APPLICANT MUST SIGN IN ITEM 13.a, BELOW.  If the record in question is that of a deceased or incompetent person,  LEGAL PROOF OF 

DEATH OR  INCOMPETENCY MUST ACCOMPANY THE APPLICATION.  If the aaolication is sianed bv other than the a ~ ~ l i c a n t .  
the name [prlntl 
SPOUSE 

and relstioGhip by marking a boi below. 
LEGAL REPRESENTATIVE 

NEXT OF  KIN 

WIDOWER 

WIDOW 

. . 

indicate 

12.a.  CURRENT MAILING ADDRESS OF APPLICANT OR PERSON ABOVE 

.

l

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,

,

, A  

....... 

.... b.  TELEPHONE NUMBER /Include Area Code) 

r.,.,-..-.r.--...c-.c...r 

............. 

, 

I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - r n  

I '-.-.-..-..-.--..-.-------------.------L 
d.  FAX NUMBER (lnclude Area  Code1 

13:  CERTIFICATION.  I make the foregoing statements,  as part of my clajm,  with full knowledgo of the 
penalties involved for willfully making a false statement or claim.  (U.S. Code,  Title 18, Sections 287 
and 1001, provide that 8n individual shall be fined under this title or imprisoned not more than 5 years, 
or both.) 

a.  SIGNATURE - REQUIRED (Applicant or person in Item 11 above) 

. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4 - - - - - - - - - - - - 7  

b.  DATE SIGNED - REQUIRED 

(YYWMMDD) 

DD FORM 293. AUG 2003 

PREVIOUS EDiTlONS ARE OBSOLETE. 

CASE NUMBER 

(Do not wrife in this space.) 

m,.206S- W 3  7d  I 

1.  - ' .  

Page 1 of 4 Pages 

14. CONTINUATION OF ITEM 6,  ISSUES (If applicablel 

15.  CONTINUATION OF ITEM 8,  SUPPORTING DOCUMENTS (If applicable) 

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6 .  REMARKS (/f applicable) 

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' '  .  '  MAIL COMPLETED APPLICATIONS TO APPROPRIATE ADDRESS BELOW. 

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ARMY 

~ 

NAVY AND MARINE CORPS 

Army Review Boards Agency 
Support Division,  St.  Louis 
9700 Page Avenue 
St. Louis,  MO  63132-5200 
(See http://arba.army.pentagon.rnil) 

AIR  FORCE 

Naval Council of  Personnel Boards 
720 Kennon Street, S.E. 
Room 309 (NDRB) 
Washington Navy Yard,  DC  20374-5023 

COAST GUARD 

' 

1 

Air Force Review Boards Agency 
SAFIMRBR 
550-C Street West,  Suite 40 
Randolph AFB, TX  781 50-4742 

I 
DD FORM  293, AUG 2003 

U.S.   oak Guard 
Commandant (G-WPM) 
2100 Second Street,  S.W.  Room 5500 
Washington, DC  20593 

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Page 2 of  4 Pages< 

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DEPARTMENT OF THE AIR FORCE 

HEADQUARTERS 28"  BOMB WING (ACC) 

ELLSWORTH AIR FORCE BASE, SOUTH DAKOTA 

AUG  1 1  2005 

-. . -. . -. . -. . -. . -. . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -b 

: 28 MUNS 

MEMORANDUM FOR AB i 

'  FROM:  28 MLSNSICC 

- 

SUBJECT: Notification Memorandum 

1.  I am recommending your discharge fiom the United States Air Force for a pattern of 
misconduct, specifically, conduct prejudicial to good order and discipline. The authority for this 
action is AFPD 36-32 and AFI 36-3208, paragraph 5.50.2.  If my recommendation is approved, 
your service will be characterized as honorable or under honorable conditions (general).  I am 
recommending that your service be characterized as under honorable conditions (general). 

2.  My reasons for this action are: 

a.  On 28 Sep 03, you were derelict in the performance of your duties in that you failed to 
refrain fiom consuming alcohol while under 21 years of age.  Furthermore, on 28 Sep 03, you 
unlawfully entered Building 722, Studenactivity Center at Brooks City-Base, Texas.  For this 
action, you received nonjudicial punishkent under Article 15, UCMJ, on 27 Oct 03.  Punishment 
consisted of forfeiture of $50.00 pay per month for two months, ten days extra duty and a 
reprimand.  This action established your UIF. 

b.  On 22 Apr 04, you were one hour late for work.  For this action, you received a Record of 

Individual Counseling dated 13 May 04. 

c.  On 27 May 0 4  you were one hour late for work.  For this action, you received a Record of 

Individual Counseling dated 27 May 04. 

d.  On 1 Jun 04, you failed a uniform inspection due to needing a haircut.  This was the 
second time you were told you needed a haircut,  For this action, you received a Record of 
Individual Counseling dated 1 Jun 04. 

e.  On 23 Jun 04, you did not properly check in for schedule PT at 0645 hours. For this action, 

you received Record of Individual Counseling dated 24 Jun 04. 

f.  On 13 Dec 04,y~umad-q-q false official statement to Special Agent ! 

Airman First Class ! ---------------- !investigation. From .-..-..-..-..-. 
concealed evidence concering Airman First Class; --------------: 

---------------- 
-.-..-..-....-.. 
13 Dec 04 - 27 Dec 04, you wrongfully 
: desertion.  For this action, you 
received nonjudicial punishment under Article 15, UCMJ, on 9 Aug 05.  Punishment consisted 
of reduction to the grade of Airman Basic and 30 days extra duty, 

j in 

3.  Copies of the documents to be forwarded to the separation authority in support of this 
recommendation are attached.  The commander exercising SPCM jurisdiction or a higher 
authority will decide whether you will be discharged or retained in the Air Force and, if you are 
discharged, how your discharge will be characterized.  If you are discharged, you will be 
ineligible for reenlistment in the Air Force and any special pay, bonus, or education assistance 
funds may be subject to recoupment. 

4.  You have the right to consult counsel.  Military legal counsel has been obtained to assist you. 
I have made an appointment for you to consult the Area Defense Counsel, on  12 mb @ 
I  lf.Oo 

hours.  You may consult civilian counsel at your own expense. 

5.  You have the right to submit statements in your $'&p wn behalf.  Any statements you want the 
6 o  at  1 3 1 0  hours, unless you 
separation authority to consider must reach me by' 
request and receive an extension for good cause shown, I will send them to the separation 
authority. 

6.  If you fail to consult counsel or to submit matters in your own behalf, your failure will 
constitute a waiver of your right to do so. 

7.  You have been scheduled for a medical examination.  You must report to Flight Medicine I 
Family Practice A I Family Practice B Section of the Base Clinic on  1 
for the examination.  This is a mandatory appointment and you must be in 
report at least 20 minutes in advance to this appointment to complete necessary papenvork. 
Please have the attached Medical Examination for SeparatiodRetirement form completed at this 
time.  Return this form to the Separations office. 

iform.  You must 

05 at 0800  hours + 

8.  You have been scheduled for a pre-separation appointment.  You must report to the 
Separations Section of the Military Personnel Flight (MPF) on 
This is a mandatory appointment and you must be in uniform.  Your signed Medical 
Examination for SeparatiodRetirement will be turned in at this time. 

at 

hrs. 

9.  You have been scheduled for a pre-separation briefing.  You must report to the Family 
Support Center on 
must be in uniform.  You must report at least 15 minutes in advance to this appointment to 
complete any necessary paperwork. 

A u k d r a t   O 9 0 0   hours.  This is a mandatory appointment and you 

10.  Any personal information you furnish in rebuttal is covered by the Privacy Act of 1974. A 
copy of AFI 36-3208 is available for y o u  use in your orderly room. 

1 1.  Execute the attached acknowledgment and return it to me immediately. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  

Attachments: 
1.  Supporting documents 

C.... 

......... ....  yy..  ..,.,-....-..-..- .-..-..-..- 

Commander, 28  Munitions Squadron 

a, AF Form 3070 - 27 Oct 03 
b.  RIC - 13 May 04 
c.  RIC - 27 May 04 
d. RIC - 1 Jun 04 
e.  RIC - 24 Jun 05 
f.  Article 15 - 9 Aug 05 
g.  UIF Summary 

- 

2.  Airman's receipt of notification memorandum 
3.  DPMAR FM-21, Medical Examination for SeparatiodRetirement 
4.  Issuance of Temporary ID Card for Administrative Discharge