PEB FINDING COUNSELING (UNFIT)
1. _____ Finding: UNFIT_ Disability Rating: % _ Disposition: ______
2. _____ For all separations/retirement issues and pay related questions see your PSD/
S-1/CPAC.
3. _____ Member acknowledges that he/she may be eligible for some or more of the following benefits and must contact the local VA Service officer at this phone number: 1-800-827-1000: VA Website:
(a)VA Dependency and Indemnity Compensation (DIC) – Spouse and child if service connected death.
(b)VA Life Insurance (VGLI) – Apply within 1st 120 days. Coverage up to current SGLI and rate based on age. No need for medical record review.
(c)VA Disability Compensation – tax free, based on VA’s assessment and rating.
(d)Vocational Rehabilitation training and Education
(e)VA Death Benefits – Recommend research on VA website for all needed information.
(f)Tricare – If retiring (TDRL/PDRL) or separating, stop by your local HBA or Tricare office for up to date information.
(g)Social Security and other federal, state or local government benefits – These may vary from state to state. When you determine where you are going to live contact your local VA Office, state schools, and state employment office.
4. _____ Member counseled of option to:
(a) Accept the Findings – normal time to discharge/retirement 4 – 6 weeks
(b) Accept the finding and submit a request for Permanent Limited Duty (PLD) to service
Headquarters via the PEB. Service headquarters is the only approving authority for PLD.
(c) Request reconsideration based on new information not previously seen by the PEB. You
must indicate whether you desire a formal hearing should your request be denied.
(d) Demand a formal hearing
5. _____ Member understands that they have ten (10) calendar days from the date they are notified of the Findings of the PEB in which to respond. The date of notification is ______. The date the response is due at the PEB is ______. Failure to respond by the due date constitutes a presumption of acceptance and the case will automatically be finalized according to the current finding of the PEB.
6. _____ For Marine service members found unfit for duty , may request to go ‘Home Awaiting Orders’, subject to command approval, after acceptance of the PEB Findings.
7. _____ Member understands that by policy they normally shall be separated within 20 days of final notification of CMC/BUPERS. This normally means within one to two weeks from the date of final decision but the processing may take longer depending on administrative requirements.
8. ______Member counseled as to TDRL requirements and PTSD/TBI requirements (if applicable).
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Signature/Date
ADDRESS INFORMATION FORM
From: ______
I understand that I am responsible for providing the Physical Evaluation Board with a current address and that my failure to do so may result in my case being finalized without my having the opportunity to exercise all of my rights under SECNAVINST 1850.4E
The mailing address to which I desire all PEB correspondence pertaining to my case be mailed is:
___SAME AS ELECTION OF OPTIONS______
______
______
I understand all PEB mail will be delivered by Certified Mail, Return Receipt Requested and that acceptance of that mail by other persons at the above address will be considered by the PEB as having been receipted for me. I also understand that mail returned to the PEB as undeliverable at the address provided by me will be finalized without my having the opportunity to exercise all of my rights under SECNAVIINST 1850.4E.
I further understand that to ensure the PEB has my current mailing address; I should mail a letter identifying myself by name with my new address information to one of the following:
President, Physical Evaluation Board Commander, Naval Personnel Command
Washington Navy Yard NPC-821
720 Kennon Street SE RM. 309 5720 Integrity Drive
Washington DC 20374-5023 Millington, TN 38055-8210
(202) 685-6432 (901) 874-3177/3176
Naval Reserve Personnel Center Headquarters, U. S. Marine Corps
4400 Dauphine St Manpower and Reserve Affairs (MMSR-4)
New Orleans, LA 70149-7800 3280 Russell Rd
(504) 678-5895/5477 Quantico, VA 22134-5103
(703) 784-9308/9309
Defense Accounting and Finance Service
P O Box 7130
London, KY 40742-7130
1-800-321-1080 (phone)
1-800-469-6559 (Fax)
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Member’s signature/rank/date
______
PEBLO signature/date
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