ORIG
DRC
MBR
MTF
HR
PEB
Assembled documents in the
following order:
1. DA Form 199 (PEB Proceedings)
X
X
X
X
X
X
(Attach transcript of
formal hearing as
continuation pages.)
2.
Documents submitted and
X
X
3. Copy of letter appointing
X
X
X
PEB (Exhibit B).
4. Notification of member, NOK,
X
X
or legal guardian of PEB
action a formal hearing.
5.
Rebuttal or statement instead
X
X
of rebuttal by member,
next-of-kin, legal guardian,
or counsel and action by PEB.
6. Statement by recorder when
X
X
member fails to respond to
notification of PEB action.
7. Informal PEB Proceedings with
X
X
8.
Medical and health records or
X
copy of request for designation
of VA bed. (When member is
scheduled for transfer to a VA
facility, the PEB will return
medical and health records to
the medical facility that convened
the medical board. If member is
scheduled for transfer to a VA
hospital and approved LD determination
is not available, attach copies of
all clinical records cover sheets,
(DA Form 3647, or one of its variants)
to PEB proceedings.)
9. Copy of Privacy Act of 1974
X
Table 5-4. Order of assembly of case records by PEB--Section II--Formal Proceedings.
MD0755
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