SUBJECT: Acknowledgment of Formal Physical Evaluation Board Proceedings
TO: President, U.S. Army Physical Evaluation Board, Walter Reed
Army Medical Center, Washington D.C. 20012
I have read the findings and recommendations of the Physical Evaluation Board
proceedings and your letter explaining my rights.
My decision is shown in the appropriate box below.
I agree with the recommendations.
I do not agree with the recommendations; however, I do not wish to submit a
I do not agree with the recommendations and inclose a letter of rebuttal.
I do not agree with the recommendations and request until _____to submit a
rebuttal. My reason for requesting delay is as follows:
Figure 5-12. Form letter for member response to notice of formal PEB action.