RECORD OF PROCEEDINGS 

AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS 

 

 

IN THE MATTER OF: DOCKET NUMBER: BC-2012-04066 

 COUNSEL: NONE 

 HEARING DESIRED: NO 

 

_________________________________________________________________ 

 

APPLICANT REQUESTS THAT: 

 

His Fitness Assessment (FA) dated 16 February 2012 be removed 
from his records. 

 

_________________________________________________________________ 

 

APPLICANT CONTENDS THAT: 

 

He was not given 42 days after the expiration date of his AF Form 
469, Duty Limiting Condition Report, to recondition for his FA; 
which resulted in an incomplete assessment score and worsened his 
injury. 

 

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 
senior airman. 

 

The applicant’s last five FA scores are as follows: 

 

 DATE SCORE 

 

 13 October 2010 UNSATISIFACTORY 

 13 April 2011 SATISFACTORY 

* 16 February 2012 UNSATISFACTORY 

 25 April 2012 UNSATISFACTORY 

 15 August 2012 UNSATISFACTORY 

 

*Contested FA score. 

 

On 9 October 2012, DPSIM advised the applicant to provide 
additional supporting documentation to substantiate his claim 
(i.e., AF Form 422, Notification of Air Force Member’s 
Qualification Status) within 30 days. As of this date, this 
office has received no response. 

 

_________________________________________________________________ 

 



 

AIR FORCE EVALUATION: 

 

AFPC/DPSIM recommends denial. DPSIM states the applicant took a 
FA on 16 February 2012, scoring a composite score of 19.10, an 
unsatisfactory fitness level. According to the AF Form 469, 
dated 21 November 2011, the applicant’s physical 
limitations/restrictions included no high impact activities and 
no repetitive bending of the waist and back. 

 

The applicant failed to provide a copy of the AF Form 422, Physical Profile Serial Report, to validate the effective dates 
or 42-day reconditioning period of the FA components that he was 
cleared to test on. 

 

The DPSIM complete evaluation, with attachments, is at Exhibit B. 

 

_________________________________________________________________ 

 

APPLICANT'S REVIEW OF AIR FORCE EVALUATION: 

 

On 25 January 2013, 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 dated 21 November 
2011 provided is noted; however, in the absence of a copy of his 
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-2012-04066 in Executive Session on 26 March 2013, under 
the provisions of AFI 36-2603: 

 

 

The following documentary evidence pertaining to AFBCMR Docket 
Number BC-2012-04066 was considered: 

 

 Exhibit A. DD Form 149, dated 28 August 2012, w/atchs. 

 Exhibit B. Letter, AFPC/DPSIM, dated 21 January 2013, 

 w/atchs. 

 Exhibit C. Letter, SAF/MRBR, dated 25 January 2013.