PEB LETTER HEAD
Office Symbol
(Date)
SUBJECT: Notice of a Formal Physical Evaluation Board
RANK, NAME OF SERVICE MEMBER
Street Address
City, State 00000
1. You are hereby notified of a formal hearing of your case before the U.S. Army Physical
Evaluation Board. The hearing will be on_______,
at _______a.m. in (location) .
2. The information in the paragraph indicated by an "X" below applies. It
is consistent with the elections you made on _________regarding the findings and
recommendations of the informal hearing of your case.
/ /You requested regularly appointed counsel to represent you, ___________U.S. Army
Physical Evaluation Board, Forest Glen Section, Walter Reed Army Medical Center,
Washington, DC 20012, has been appointed to advise you in preparing your case. He will
assist you in examining and cross-examining witnesses, and in conducting your case
before the Board. A postponement cannot be granted solely on the grounds that you have
not contacted counsel. Your failure to get in touch with regularly appointed counsel may
result in your case being submitted to the board with little or no argument on your behalf.
You must communicate with him within 3 working days after receipt of this letter. Before
signing the attached acknowledgment, call him collect, (area code) (phone number).
/ /In your elections, you indicated that you will have counsel of your own choice. Counsel
may be either civilian, military, or both. The securing of such counsel must not result in
expense to the Government or in unreasonable delay of the formal board proceedings.
Military counsel of your choice must be reasonably available.
, U.S. Army
Physical Evaluation Board, (location), will, unless properly excused, act as associate
counsel. You, or your counsel, must communicate with the associate counsel within 3
working days after receipt of this letter. Before signing the attached acknowledgment, call
collect, (area code) (phone number).
3. You and your counsel are entitled to examine all written evidence. You may examine
and cross-examine witnesses, and present your case orally or in writing. If you have
selected a counsel of your own choice, complete the attached statement authorizing him
access to your medical records. Give the statement to your counsel.
Figure 5-7. Notice to member of formal PEB hearing (continued).
MD0755
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