SUBJECT: Acknowledgment of a Formal Physical Evaluation Board
U.S. Army Physical Evaluation Board
1. I acknowledge receipt of the notice that the U.S. Army Physical Evaluation Board will
hold a formal hearing of my case on _________.
2. / / I do not require any more time to prepare my case.
/ / I request ____ more days to prepare my case. (A written request, stating my reasons
for this extension of time is attached.)
3. I (My counsel) have (has) communicated with the regularly appointed counsel (associate
counsel), as required in paragraph 2 of the letter of notice.
4. I desire that the Recorder arrange for the attendance of witnesses whose names and
addresses are listed below. They are members or employees of the Army or other Armed
Services. (If there are none, so state.)
Figure 5-8. Form letter for member acknowle dgement
of receipt of notice of formal PEB hearing.