Attachment 1-Review of Complaint
Military Department:
Decisional Document Number:
Name of Complainant:
Docket Number:
Date of this Review:
(Authentication)
Attachment 2-Joint Service Review Activity
Office of the Assistant Secretary of Defense (Manpower, Reserve Affairs, and Logistics)
REVIEW BY THE JOINT SERVICE REVIEW ACTIVITY
Military Department:
Decisional Document Number:
Name of Complainant:
Name of Applicant:
Docket Number:
Date of this Review:
Note. If JSRA agrees with the Military Departments, the JSRA may respond by entering a statement of adoption.
[ ] The complainant and the Military Department should be informed that no further action on the complaint is warranted.
[ ] The Military Department should be directed to take corrective action consistent with the above comments.
Army Member, JSRA
Air Force Member, JSRA
Navy Member, JSRA
Recorder, JSRA
Attachment 3-Joint Service Review Activity
Office of the Assistant Secretary of Defense (Manpower, Reserve Affairs, and Logistics)
REVIEW OF AMENDED DECISIONAL DOCUMENT (QUARTERLY REVIEW)
Military Department:
Decisional Document Number:
Name of Complainant:
Name of Applicant:
Docket Number:
Date of this Review:
Recommendation:
[ ] The amended decisional document complies with the requirements of the Stipulation of Dismissal and, when applicable, DoD Directive 1332.28. The Military Department should be informed that no further corrective action is warranted.
[ ] The amended decisional document does not comply with the Stipulation of Dismissal or DoD Directive 1332.28 as noted herein. The Military Department should be directed to ensure that corrective action consistent with the defects noted is taken by its Discharge Review Board.
Army Member, JSRA
Air Force Member, JSRA
Navy Member, JSRA
Recorder, JSRA
Yes | No | NA | Item | Source |
[] | [] | [] | 1. Date of discharge | 1. DoD Directive 1332.28, enclosure 3, subsection H.1.; Stipulation (Jan. 31, 1977) para. 5.A.(1)(d)(i) (reference (1)). |
[] | [] | [] | a. Date of discharge | |
[] | [] | [] | b. Character of discharge | |
[] | [] | [] | c. Reason for discharge | |
[] | [] | [] | d. Specific regulatory authority under which discharge was issued | |
[] | [] | [] | 2. Service data. (This requirement applies only in conjunction with Military Department Implementation of General Counsel, DoD, letter dated July 20, 1977, or to discharge reviews conducted on or after March 29, 1978.) | 2. DoD Directive 1332.28, enclosure 3, subsection H.1.; Annex B, (June ____, 1982) para. 2-2 (reference (1)). |
[] | [] | [] | a. Date of enlistment | |
[] | [] | [] | b. Period of enlistment | |
[] | [] | [] | c. Age at enlistment | |
[] | [] | [] | d. Length of service | |
[] | [] | [] | e. Periods of unauthorized absence* | |
[] | [] | [] | f. Conduct and efficiency ratings (numerical and narrative)* | |
[] | [] | [] | g. Highest rank achieved | |
[] | [] | [] | h. Awards and decorations* | |
[] | [] | [] | i. Educational level | |
[] | [] | [] | j. Aptitude test scores | |
[] | [] | [] | k. Art. 15s (including nature and date of offense or punishment)* | |
[] | [] | [] | l. Convictions by court-martial* | |
[] | [] | [] | m. Prior military service and type of discharge(s) received* | |
[] | [] | [] | 3. Reference to materials presented by applicant. (This requirement applies only to discharge reviews conducted on or after March 29, 1978.) | 3. DoD Directive 1332.28, enclosure 3, subsection H.2.; H.3. |
[] | [] | [] | a. Written brief* | |
[] | [] | [] | b. Documentary evidence* | |
[] | [] | [] | c. Testimony* | |
[] | [] | [] | 4. Items submitted as issues. (See issues worksheet) | 4. DoD Directive 1332.28, enclosure 3, subsection H.6. |
[] | [] | [] | 5. Conclusions. The decisional document must indicate clearly the DRB's conclusion concerning: | 5. Dod Directive 1332.28, enclosure 3, subsection H.5.; Stipulation (Jan. 31, 1977), paragraph 5.A.(1)(d)(iv) (reference (1)). |
[] | [] | [] | a. Determination of whether a discharge upgraded under SDRP would have been upgraded under DoD Directive 1332.28. (This applies only to mandatory reviews under P.L. 95-126 or Special Discharge Review Program (SDRP) | |
[] | [] | [] | b. Character of discharge, when applicable1 | |
[] | [] | [] | c. Reason for discharge, when applicable2 | |
[] | [] | [] | 6. Reasons for conclusions. The decisional document must list and discuss the items submitted as issues by the applicant; and list and discuss the decisional issues providing the basis for the DRB's conclusion concerning: | 6. DoD Directive 1332.28, enclosure 3, subsection H.7., H.8.; Stipulation (Jan. 31, 1977) para. 5.A.(1)(d)(v) (reference (1)). |
[] | [] | [] | a. Whether a discharge upgraded under the SDRP would have been upgraded under DoD Directive 1332.28. (This applies only to mandatory rereviews under P.L. 95-126 or SDRP reviews.) | |
[] | [] | [] | b. Character of discharge, where applicable1 | |
[] | [] | [] | c. Reason for discharge, where applicable2 | |
[] | [] | [] | 7. Advisory opinions* | 7. DoD Directive 1332.28, enclosure 3, subsection H.12., Stipulation (Jan. 31, 1977) para. 5.A.(1)(f) (reference (1)). |
[] | [] | [] | 8. Recommendation of DRB President | 8. DoD Directive 1332.28, enclosure 3, subsection H.12., Stipulation (Jan. 31, 1977) para. 5.A.(1)(g) (reference (1)). |
[] | [] | [] | 9. A record of voting | 9. DoD Directive 1332.28, enclosure 3, subsection H.13., Stipulation (Jan. 31, 1977) para. 5.A.(3) (reference (1)). |
[] | [] | [] | 10. Indexing of decisional document | 10. DoD Directive 1332.28, enclosure 3, subsection H.14., Stipulation (Jan. 31, 1977) para. 5.A.(5)(a) (reference (1)). |
[] | [] | [] | 11. Authentication of decisional document. (This requirement applies only to discharge reviews conducted on or after March 29, 1978.) | 11. DoD Directive 1332.28, enclosure 3, subsection H.15. |
[] | [] | [] | 12. Other | 12. As appropriate. |
Explanation of items marked "No." |
Key:
Yes: The decisional document meets the requirements of the Stipulation of Dismissal and, when applicable, DoD Directive 1332.28.
No: The decisional document does not meet the requirements of the Stipulation of Dismissal or DoD Directive 1332.28.
NA: Not applicable.
*Items marked by an asterisk do not necessarily pertain to each review. If the decisional document contains no reference to such an item, NA shall be indicated. When there is a specific complaint with respect to an item, the underlying discharge review record shall be examined to address the complaint.
1 In this instance "when applicable" means all reviews except:
a. Mandatory rereviews under P.L. 95-126 or SDRP reviews.
b. Reviews in which the applicant requested only a change in the reason for discharge and the DRB did not raise the character of discharge as a decisional issue.
2 In this instance "when applicable" means all reviews in which:
Attachment 4-Issues Worksheets1
Listed | Addressed | Corrective action required | |
A. Decisional issues providing a basis for the conclusion regarding a change in the character of or reason for discharge. (DoD Directive 1332.28, enclosure 3, subsection D.2): | |||
1. | [] | [] | [] |
2. | [] | [] | [] |
3. | [] | [] | [] |
B. Items submitted as issues by the applicant that are not identified as decisional issues. (DoD Directive 1332.28, enclosure 3, subsection D.3): | |||
1. | [] | [] | [] |
2. | [] | [] | [] |
3. | [] | [] | [] |
C. Remarks: | |||
1 This review may be made based upon the decisional document without reference to the underlying discharge review record except as follows: if there is an allegation that a specific contention made by the applicant to the DRB was not addressed by the DRB. In such a case, the complaint review process shall involve a review of all the evidence that was before the DRB, including the testimony and written submissions of the applicant, to determine whether the contention was made, and if so, whether it was addressed adequately with respect to the Stipulation of Dismissal and, when applicable, DoD Directive 1332.28.
This review may be based upon the decisional document without reference to the regulation governing the discharge in question except as follows: if there is a specific complaint that the DRB failed to address a specific factor required by applicable regulations to be considered for determination of the character of and reason for the discharge in question [where such factors are a basis for denial of any of the relief requested by the applicant]. (The material in brackets pertains only to discharge reviews conducted on or before March 28, 1978.)
Attachment 5-Office of the Assistant Secretary of Defense (Manpower, Reserve Affairs, and Logistics)
Review of Complaint (DASD(MP&FM))
Military Department:
Decisional Document Number:
Name of Complainant:
Name of Applicant:
Docket Number:
Date of this Review:
Note: If the DASD(MP&FM) agrees with the JSRA, he may respond by entering a statement of adoption.
[ ] No further action on the complaint is warranted.
[ ] Corrective action consistent with the above comments is required.
Deputy Assistant Secretary of Defense
(Military Personnel & Force Management)
Attachment 6-Office of the Assistant Secretary of Defense (Manpower, Reserve Affairs, and Logistics)
Review of Amended Decisional Document (DASD (MP&FM))
Military Department:
Decisional Document Number:
Name of Complainant:
Name of Applicant:
Docket Number:
Date of this Review:
Recommendation:
[ ] The amended decisional document complies with the requirements of the Stipulation of Dismissal and, when applicable, DoD Directive 1332.28. No further corrective action is warranted.
[ ] The amended decisional document does not comply with the Stipulation of Dismissal or DoD Directive 1332.28 as noted herein. Further corrective action is required consistent with the defects noted in the attachment.
Deputy Assistant Secretary of Defense
(Military Personnel & Force Management)
Remarks:
Attachment 7
Dear ______:
It has been determined that the decisional document issued in your case by the (Army) (Navy) (Air Force) Discharge Review Board during the (Special Discharge Review Program) (rereview program under Pub. L. No. 95-126 ) should be reissued to improve the clarity of the statement of findings, conclusions, and reasons for the decision in your case.
In order to obtain a new decisional document you may elect one of the following options to receive a new review under the (Special Discharge Review Program) (rereview program mandated by Pub. L. No. 95-126 ):
If you do not respond by the suspense date noted at the top of this letter, no action will be taken. If you subsequently submit a complaint about this decisional document, it will be processed in accordance with standard procedures.
To ensure prompt and accurate processing of your request, please fill out the form below, cut it off at the dotted line, and return it to the Discharge Review Board of the Military Department in which you served at the address listed at the top of this letter.
Check only one:
[ ] I request a new review of my case on a priority basis. I am requesting this priority review rather than requesting correction of the decisional document previously issued to me. I have enclosed DD Form 293 as an application for my new review.
[ ] I request correction of the decisional document previously issued to me. I understand that this does not entitle me to priority action in correcting my decisional document. I also understand that I will be able to obtain a further review of my case upon my request after receiving the corrected decisional document, but that such a review will not be held on a priority basis.
Dates _______________________________
Signatures _______________________________
Printed Name and Address
_______________________________
32 C.F.R. §70.10