PEB LETTERHEAD
Office Symbol
(Name and rank of Member)
(Date)
(SSN)
SUBJECT: (Rebuttal) (Statement) in Behalf of Member
President
U.S. Army Physical Evaluation Board
Address
1. In view of the member's medical condition, (he) (she) is unable to comment on the
finding and recommendation of the formal PEB. Thus, this (rebuttal or statement) is
submitted in behalf of the member (in response to the PEB's action) or (because the PEB
has been unable to contact the member or obtain his rebuttal to the formal PEB's finding
and recommendation).
2. As counsel for the member, I have carefully studied the evidence and proceedings. I
feel that (complete as proper to the case).
(Counsel's signature)
Figure 5-18. Counsel rebuttal or statement in member's behalf.
MD0755
5-50