RECORD OF PROCEEDINGS

IN THE MATTER OF:	DOCKET NUMBER: BC-2018-00302

XXXXXXXXXX	COUNSEL: XXXXXXXXXX

	HEARING: YES

APPLICANT REQUESTS THAT:

His AF Form 422, Notification of Air Force Member’s Qualification Status, be corrected to reflect it was completed in 2014.

APPLICANT CONTENDS THAT:

His AF Form 422 is dated 28 Aug 14, however the electronic signature dates range from 4 Sep 13 to 5 Sep 13.  The applicant’s complete submission is at Exhibit A.

STATEMENT OF FACTS:

On 29 Apr 15, the applicant was furnished an honorable discharge as an Air Force staff sergeant and was credited with 16 years, 1 month, and 6 days of active service.

On 28 Aug 14, per AF Form 422 provided by the applicant, this document was digitally signed by a Health Care Provider with a date of 4 Sep 13, a Force Health Manager with a date of 5 Sep 13, and a Profile Officer Review with a date of 5 Sep 13.

On 28 Aug 14, per AF Form 469, Duty Limiting Condition Report, provided by the applicant, the same individuals that signed the AF Form 422, signed this document electronically with a date of 3 Sep 14.

For more information, see the excerpt of the applicant’s record at Exhibit B and the advisory at Exhibit C.

AIR FORCE EVALUATION:

AFPC/DP2NP recommends granting the application.  Based on the documentation provided by the applicant and analysis of the facts, AFPC/DP2NP has determined by their medical standards section, that the review-in-lieu of a medical board was referred to them in Aug 14.  Based on the dates of the FL-4 and the AF Form 469, it is apparent that the dates entered on the AF Form 422 are incorrect and should reflect the year 2014,

The complete advisory is at Exhibit C.

APPLICANT’S REVIEW OF AIR FORCE EVALUATION:

The Board sent a copy of the Air Force evaluation to the applicant on 19 Jun 18 for comment (Exhibit D), but has received no response.

THE BOARD CONCLUDES THAT:

1.  The application was timely filed.

2.  The applicant exhausted all available avenues of non-judicial relief before applying to the Board.

3.  After thoroughly reviewing all Exhibits, it is the Board’s opinion that the applicant is the victim of an error or injustice.  The Board concurs with the rationale and recommendation of AFPC/DP2NP and finds that a preponderance of the evidence substantiates the applicant’s contentions.  Therefore, the Board recommends the applicant’s records be corrected as indicated below.

4.  The applicant’s case is adequately documented and it has not been shown that a personal appearance with or without counsel will materially add to the Board’s understanding of the issues involved.

THE BOARD RECOMMENDS THAT:

The pertinent military records of the Department of the Air Force relating to the APPLICANT be corrected to show that the signature dates on the AF Form 422 be changed from 2013 to the year 2014 to match the year it was initiated and referred to AFPC, Medical Standards.

The application was adjudicated without a personal appearance.

CERTIFICATION:

The following quorum of the Board, as defined in Air Force Instruction (AFI) 36-2603, Air Force Board for Correction of Military Records (AFBCMR), paragraph 1.5, considered Docket Number BC-2018-00302 in Executive Session on 25 Jul 18:

, Panel Chair
, Panel Member
, Panel Member

All members voted to correct the record.  The panel considered the following:

Exhibit A:	Application, DD Form 149, w/atchs, dated 28 Dec 17.
Exhibit B:	Documentary evidence, including relevant excerpts from official records.
Exhibit C:	Advisory opinion, AFPC/DP2NP, dated 20 Mar 18.
Exhibit D:	Notification of Advisory, SAF/MRBC to applicant, dated 19 Jun 18.

Taken together with all Exhibits, this document constitutes the true and complete Record of Proceedings required by AFI 36-2603, paragraph 4.11.9.