PEB LETTERHEAD
Office Symbol
(Name and rank of member)
(Date)
(SSN)
SUBJECT: Nondelivery of Member's Copy of DA Form 199
Commander
U.S. Army Physical Disability Agency
Forest Glen Section--WRAMC
Washington, DC 20012
1. A copy of the formal PEB proceedings in the case of the above named member was
forwarded to the member by certified mail. The copy was returned undelivered. Further
efforts to locate the member and deliver the member's copy have failed. A signed receipt
for certified mail has not been returned. The member has not responded, exercising his
right to rebuttal. Efforts to locate the receipt have failed.
2. According to established policy, every reasonable effort has been made to effect
delivery and obtain the member's response. (The member's counsel [has] [has not]
submitted a [rebuttal or statement instead of rebuttal] in the member's behalf.) (The rebuttal
or statement is attached.)
3. Procedures required have been performed. The case file is forwarded for review and
disposition.
FOR THE PRESIDENT:
Encl
Signature
(Recorder)
Figure 5-17. PEB forwarding letter when member copy of proceedings is
nondeliverable
MD0755
5-49
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