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Bayne-Jones Army Community Hospital 




Soldiers Physical Disa 


bility Evaluation System 
(PL>bS) biiellllU 



Pilot DES Soldiers Briefing 

Purpose of Briefing 



•To provide an overview of the Disability 
Evaluation Systenn (DES) Pilot Progrann 


•To inform Soldiers and their family members 
of the program 


May 27, 2017 


2 



Pilot DES Soldiers Briefing 

MEB Office Staff 



Physical Evaluation Board Liaison Officers 

(PEBLOs) 

SENIOR STAFF 


Maj. Wanda Wade 337-531-3702 

- Chief, Patient Affairs/Deputy, Patient Administration 

SSG Marshall 337-532-3830 

- NCOIC 


Ms. Carol Hardy 

- Supervisor / Senior PEBLO 


337 - 531-3830 




Pilot DES Soldiers Briefing 


MEB Office Hours 


Normal Business Hours: 0800-1630 

Front desk: 337-531-3411/653-2366 
Fax number: 337-531-3259 


CLOSED on Federal Holidays 


May 27, 2017 


4 


Pilot DES Soldiers Briefing 


MEB Office Address 

Bayne Jones Army Community Hospital 


ATTN: PEBLO 
( 1585 3rd St.) 

Fort Polk, Louisiana 71403 



Pilot DES Soldiers Briefing 

Agenda 


• Our Mission 



•Purpose of the DES Piiot 
Program 

• Basic Terminoiogy 

• Responsibilities of your 
PEBLO 

and the VA MSC 



May 27, 2017 


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Pilot DES Soldiers Briefing 

Agenda 



• MEB PROCESS 

• PEB PROCESS 

• DISABILITY RATINGS 

• MISC INFO 



May 27, 2017 


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Pilot DES Soldiers Briefing 

Our Mission 



*To provide you and your family the best care 
while going through the Medicai and Physicai 
Evaluation Board process 


* To process your case in 
a 

timely and efficient 
manner 



*To provide you with information that wiii allow 
you to make informed decisions throughout the 
MEB/PEB process 


May 27, 2017 


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Pilot DES Soldiers Briefing 


DES Pilot Program 



■ Military medical care provider has identified a 
potentially military unfitting medical 
condition(s) 


■You are being referred to the joint DoD/DVA 
Disability Evaluation System (DES) Pilot 
process 


May 27, 2017 


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Pilot DES Soldiers Briefing 


DES Pilot Program 

■ New disability process 

■ Brings together the resources of the two departments 

■ Evaluate, following a single comprehensive medical 
examination, your referred medical conditions and those 
conditions you may claim. 

■ Quickly deliver to you a finding regarding your fitness 
for continued military service 

■ If determined unfit, provide you with a single sourced 
disability rating determined by the Department of 
Veteran's Affairs 




May 27, 2017 


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Pilot DES Soldiers Briefing 

DES Pilot Program 

■ During the DES Pilot 

■You will be counseled on the process 

■Advised how you can contribute to the 
development of your case 

■Advised on your rights and responsibilities 
are when presented with the results of this 
disabiiity evaluation process 




May 27, 2017 


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Pilot DES Soldiers Briefing 

DES Pilot Program 

■ Immediate benefits to you 

■You will NOT have to undergo examination 
and evaluation through two separate systems 
(Army and VA) 

■You wiii experience a smoother transition to 
the benefits and compensation available 
through the DVA immediately upon separation 
or retirement, if determined to be unfit for 
continued military service 




May 27, 2017 


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Pilot DES Soldiers Briefing 

Basic Terminology 



■ APDAB - Army Physical Disability Appeal Board 

■ DVA - Department of Veteran Affairs 

■ ERB - Enlisted Review Brief 

■ EPTS - Existed Prior to Service 

■ FED - Fit For Duty 

■ FPEB - Formal Physical Evaluation Board 

■ IPEB- Informal Physical Evaluation Board 

■ MEB - Medical Evaluation Board 

■ MMRB - MOS/Medical Retention Board 

■ MSC - Military Service Coordinator (VA 
representative) 


May 27, 2017 


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Pilot DES Soldiers Briefing 

Basic Terminology 



■ ORB - Officer Review Brief 

■ OSC - Office of Soldier's Counsel 

■ PDA - Physical Disability Agency 

■ PDR - Permanent Disability Retirement 

■ PEBLO - Physical Evaluation Board Liaison 
Officer 

■ PEB - Physical Evaluation Board 

■ SWSP - Separation with Severance Pay 

■ SWOB - Separate without Benefits 
■TDRL - Temporary Disability Retired List 
" USAPDA - U.S. Army Physical Disability 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Responsibilities of PEBLO 

* Initiates your case file within 3 days, once profile has 
been received from your health care provider 

* Completing Part I of VA Form 21-0819, VA/DOD Joint 
Disability Evaluation Claim, within 3 days of 
notification of need for MEB 

* Forwards the VA Form 21-0819 to Military Service 
Coordinator (MSC) within 5 days after completing Part 
I, along with your medical records 

* Schedules you for comprehensive counseling sessions 
throughout the processing of your case 




* Keeps you informed of the status of your case 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Responsibilities of VA MSC 



* The Military Service Coordinator (MSC) will assist you 
in filling out VA Form 21-0819 within 5 days of the 
decision to start an MEB 


* Forwards VA Form 21-0819 to Department of Veteran 
Affairs (DVA) to schedule a single comprehensive 
physical examination 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Medical Evaluation Board (MEB) 
Purpose 



The MEB Process begins when optimum medical care has been reached 
or when your physician determines you will not be able to return to duty 


Designed to evaluate your medical condition(s) to determine if you do 

or do not meet the Medical Retention Standards lAW AR 40-501, 
Chapter 3 


Documents your medical condition(s) and duty limitations 


Refers you to the Physical Evaluation Board (PEB), when the findings and 
recommendations stipulate you do not meet retention standards or 
when referred by an MMRB 


Does not mean you must be found unfit by the PEB or 

discharged from military service 



A Medical Board is 


Pilot DES Soldiers Bri( 



• A “MOS reclassification Board" 

- reclassification is considered by the MOS/Medical Retention Board 
(MMRB) for Soldiers with P3 who nneet retention standards 

• You WILL NOT sit in front of a panel of board nnennbers. 

The MEB is an informal process connprised of at least two 

physicians who connpile, assess, and evaluate your nnedical 
history to determine if your duty is affected by your medical 
condition 



May 27, 2017 


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Pilot DES Soldiers Briefing 



How long does it take to complete a 
Medical Board? 



Our goal is to complete your MEB within 100 
days. However, each case is unique and 
your MEB could take less or more than 100 
days to com 


May 27, 2017 


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Pilot DES Soldiers Briefing 

MEB Process 

• Your PEBLO will schedule an initial meeting with you to complete 
Part 1 of VA Form 21-0819 , if you have not already done so 

• You will turn in your Health Records to your PEBLO at this time. 

• Your PEBLO will prepare and mail the request for your 
Commander's Evaluation letter. 




• The VA MSC will schedule a meeting with you to complete Part 2 
of the form 


• The MSC will forward the form to the DVA, who will schedule your 
Comprehensive Physical Examination 


• Your PEBLO will refer you to other resources as required (e.g. 
Army Career and Alumni Program (ACAP), Army Wounded Warrior 
(AW2) Program, etc.) prior to any separation or retirement 


May 27, 2017 


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Pilot DES Soldiers Briefing 



w What is in an MEB Packet ^ 

• Medical Data/Documents Created in 
the 

Support of Your MEB 

* Compiete Heaith Record 


• Personn 



Data 


May 27, 2017 


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Pilot DES Soldiers Briefing 


What is in the MEB Package 

MEDICAL INFORMATION 



• Coversheet (DA Form 3947) - Lists all medical conditions stating 
whether you do/do not meet retention standards of AR 40-501, Chapter 3 

• Narrative Summary (NARSUM) 

• Addendum - An addition to the MEB if something was not included in the 
original NARSUM 

• Consults from clinics you visited. 

• Copy of your Profile. 

• Copy of the Comprehensive Physical Examination done by the VA 

• Copy of your medical records 


May 27, 2017 


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Pilot DES Soldiers Briefing 


omprehensive Physical Examinatio 
done by the Department of Veteran 

Affairs 



•You will receive one connprehensive 
physical from the VA 

• List all medical conditions known 
to you 

•Your opportunity to have all medical 
conditions addressed by the MEB to 
determine whether you do or do 
not meet retention standards 

•Ensure the VA review for possible 
compensation for all your listed 
conditions 



May 27, 2017 


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Pilot DES Soldiers 


Consults 

• If your health care provider(s) sees the need for you 
to be evaluated by another specialty clinic, they will 
request a consult with that clinic. 

* Please notify your PEBLO or Case Manager 





May 27, 2017 


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Pilot DES Soldiers Briefing 


Narrative Summary (NARSUM) 





The NARSUM is the heart of the MEB 

This comprehensive report, written by 
your heaith care provider, provides a 
"word picture" of your condition, 
history and status. Furthermore, it 
provides a recommendation, such as 
Medicai Condition "XYZ" is medically 

unacceptable lAW para 3- , AR 40- 

501 and case is referred to the PEB 
for further adjudication 


May 27, 2017 


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Pilot DES Soldiers Briefing 

What is in my MEB 
Personnei/Performance Data** 

• ERB/ORB/PQR 

• Personnel Certificate is completed by the custodian of 

your 201 file (PSB) 

• Commander's Evaluation Letter 

• NCOERs/OERs (E-5 And above) (Last 3) 

(if necessary) 

• APFT SCORECARD (Last 3 tests) (if necessary) 

• LES (Current End of Month) 

• DA Form 4187 (Name changes, loss of rank, promotions, etc) 

• **RC Soldiers have additional requirements (see next slide) 





May 27, 2017 


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Pilot DES Soldiers Briefing 


Reserve Component 
Personnel/Performance Data 



• Orders for all active duty periods - where injury/illness 

incurred 

• Reserves - Chronological Statement of Retirement Points 
(ARPC 249-2-E) (commonly known as RPAS) 



National Guard - Retirement Points History Statement 
(NG Form 23) (commonly known as RPAM) 


Approved Line of Duty (if necessary) 


20 Year Letter if you have one 


May 27, 2017 


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Pilot DES Soldiers Briefing 


If I am found unfit by the PEB 
Is there any way I can request to stay in? 



• YES, you can submit a request for Continuation on Active 
Duty (COAD) or Continuation on Active Reserve Status 

(COAR) 

- https://www.hrc.army.mil/site/protect/active/epord/coad.htm 


• Your PEBLO wiii provide you with specific criteria/detaiis 
reiated to requesting this 


•You can aiso obtain information and 
from the OSC 

• Generaiiy, HRC is the approvai 
authority for most requests 
-- G-1 is the disapprovai authority 
for AW2 requests 



May 27, 2017 


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Pilot DES Soldiers Briefing 


MEB Process 



•After completion of the MEB, 

- you will be counseled 

- and review the Board's findings 
and recommendations 


•You have the opportunity 

- to seek advise from a Impartial 
Healthcare Professional when 
reviewing your MEB Findings 

- To seek advise in the 
preparation of MEB Rebuttal 



May 27, 2017 


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Pilot DES Soldiers Briefing 


MEB Process 



•You can consult with a lawyer from 
the OSC or some other advocate 
before signing the MEB. 


•The MEB will state whether or not 
you do or do not meet retention 
standards lAW AR 40-501, Chapter 
3 


•You will receive a copy of your MEB 
and supporting documents for your 
files 



May 27, 2017 


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Pilot DES Soldiers Briefing 

MEB DISPOSITIONS 




• If you meet retention standards 
within the limits of your profile - 
returned to duty in your PMOS 


•If you do not meet retentions 
standards - your case will be 
referred to the Physical Evaluation 
Board (PEB) for further disposition 


•If the MEB is a MOS/Medical 
Retention Board (MMRB) directed 
MEB, and the results of the MEB 
are you meet retention standards, 
you are Returned to Duty 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Can I appeal the MEB? 



•YES - If you disagree with any portion of your Medical 
Board, you have the right to appeal it 


•You have 3 calendar days to submit a written appeal 
stating why/what you disagree with on the MEB* 


•The OSC can assist you with your appeal 


•Your written appeal is then submitted to the Deputy 
Commander for Clinical Services (DCCS) for further 
consideration. Your appeal becomes part of the MEB Board. 


*Timelines may be different depending Soidiers seeking impartiai of impartiai heaithcare 
provider's advise. 


May 27, 2017 


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Pilot DES Soldiers Briefing 


MEB Appeals 



•The Decs will review your 
appeal and make one of the 
following recommendations: 

-- MEB stands as written 

-- Can send back to health 
care provider for further 
information 



-- Can forward to PEB with 
attachments or additional notes 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Special Note 


If you transfer from Fort Polk to your home 
station or a location near your home 


The Pilot program may not be conducted at 
that location 

Your case will revert to the traditional APDES 
processing procedures 



Pilot DES Soldiers Briefing 


Special Note 



Example: 

•If you transfer before your MEB or PEB is 
completed 

•The VA will not rate your disabilities until you 
are separated from the Army 

•Any unfitting conditions will be provided a 
disability rating from the PEB 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Do You Have Any Questions 
About the MEB Process? 



2017 




Pilot DES Soldiers Briefing 


Physical Evaluation Board (PEB) 



There are 3 PEBs - Located at the following locations 

^Washington DC PEB 

>FT Sam Houston, TX PEB 

>FT Lewis, WA PEB 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Physical Evaluation Board (PEB) 



MEMBERS: 

> President or Presiding Officer (generally a Colonel) 

> Personnel Management Officer (field grade or Civilian Adjudication 
Officer) 

> Physician (MC Officer or Civilian, generally with Army MC 
experience) 

> If service member is Reserve Component (RC), a member will be RC 

> Request for Enlisted, female, or minority member may be made 
through a 

— request in writing through MEB Counselor 
— If approved. Board expands to 5 members for 
enlisted 

May 27, May be 3 or 5 members for female or minority 


38 


Pilot DES Soldiers Briefing 


PEB Process 

• PEB - the only board in the Military that can determine 
whether you are fit or unfit for continued Military Service 

•Once the determination has been made whether you are 
fit or unfit, you will be notified and must make a decision 
to accept or disagree with that finding 

• If found fit for duty, your case will not be referred to the 
VA for a disability determination 

•If found unfit, the PEB will forward your case to the DVA 
Rating Board for a determination of the appropriate 
disability rating for all of your medical conditions 




May 27, 2017 


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Pilot DES Soldiers Briefing 


PEB Process 

•The DVA Rating Board can return the case for 
additional information or clarification of data, in order 
to make a determination of the appropriate disability 
rating 

•If unfit, you must request in writing to see the VA 
rating; therefore, you can wait to make your PEB 
Election until after you see the VA rating 

•Only those medical conditions that render you unfit 
for further Military Service will be considered for 
determining your final disposition by the PEB 




May 27, 2017 


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Pilot DES Soldiers Briefing 


PEB Process 



• Once the PEB has rendered a decision, your 
PEBLO will be notified 


•Your PEBLO will schedule a review and 
counseling session of the PEB's findings and 
recommendations, usually within 24 hours but 
NLT3 days 


• You are given five (5) calendar days to concur 
or nonconcur (per DTM)* 


• You can also consult with an attorney from the 
OSC to determine how you want to respond to 
the PEB findings; or, request to review the VA 
ratings before making an election 



Directive Type Memorandum 



Pilot DES Soldiers Briefing 


PEB Process 



• You cannot request a reconsideration of your VA rating if you 
nonconcur with your IPEB. You can only request a reconsideration 
of the VA rating if you concur with your IPEB or after the FPEB 

• The two (2) basic decisions to make when you receive the 
informal findings of the PEB are: 

-- concur or nonconcur with the PEB findings without seeing the 
disability rating; or, 

- whether to request in writing to see the disability rating prior 
to making your election on the PEB findings 


May 27, 2017 


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Pilot DES Soldiers Briefing 

DVA Rating Board 



• You must submit a request in writing to see the DVA 
Rating Board's decision on the disability rating(s) 

•If you disagree with the DVA Rating Board's disability 
ratings, you may submit in writing a onetime request 
for reconsideration 


May 27, 2017 


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Pilot DES Soldiers Briefing 

Types Of PEB Dispositions 



Fit for Duty 

Unfit for Duty 

- SWOB (no % given) 

- SWSP 

* Rating of 0%-20% and less than 20 YOS 

- TDRL 

* Rating of 30% or more or 20 YOS and medical condition 
is NOT stabilized enough for permanent rating 

* Periodic re-exams every 12 - 18 months (5 yr maximum) 

* Minimum of 50% pay for TDRL retirement check 

- PDR 

* Rating of 30% or more or 20 YOS 

Disability Compensation: Your PEBLO will show you how to 
calculate YOS and disability severance and/or retired pay 



•You are entitled to submit a written appeal 

•You may request a formal hearing, as an 
exception to policy 

•The PEB President decides whether to grant a 
request for formal hearing to contest a fit finding 


May 27, 2017 


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Pilot DES Soldiers Briefing 

PEB Appeal Process 


• You cannot request a formal PEB to 
question any disability percentages 
provided by the VA 

• You can only appeal the PEB findings of 
unfit or fit for duty 

• If your disposition is "UNFIT FOR 
FURTHER MILITARY SERVICE", you have 
the right to request a formal hearing 
with or without personal appearance 


• You can also submit a written appeal 
regarding your fitness for duty. You may 
submit any relevant and material 
evidence regarding the fitness of your 
medical conditions 



lay 27, 2017 


46 




Pilot DES Soldiers Briefing 

PEB Appeal Process 



•You have the right to be 
represented by an attorney from 
JAG or by a counsel of choice 
(civilian - at your own expense) 
for your formal hearing 


•You may also elect to have 
representation from any of the 
various veterans organizations, 
if available. (DAV- Disabled 
American Veteran or American 
Legion). These services are free 



May 27, 2017 


47 




Pilot DES Soldiers Briefing 

Physical Disability Agency (PDA) 



• Component of HRC 

• Reviews and approves/disapproves findings and recommendations of the 
PEB 

• The PDA may: 

- Return case to PEB for reconsideration, clarification, further 
investigation, formal hearing or other action 

- Issue modified finding which could change Soldier's fit or 
unfit decision 

- If PDA makes any changes to the findings or dispositions, the 
Soldier has appeal rights (counsel + 10 days to sign) 

If PDA modifies PEB findings and you nonconcur, your case will be forwarded 
to USAPDAB for final review and decision. 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Final Disposition 
Physical Disability Agency 

• PDB receives case from PDA and takes final administrative 
actions 

• UNFIT: 

- Transmits message to your Transition Center for 
disability separation/retirement orders 

- Assigns final separation/retirement date: "Not Later 
Than 90 days 

- Transition Center will publish appropriate orders 

• FIT FOR DUTY: 

- Issues a fit memorandum to the MTF 

- The fit memorandum completes the disability 
evaluation processing 




May 27, 2017 


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Pilot DES Soldiers Briefing 

What about confidentiality? 



Your medical board is personal and private 



Limited information can be provided to you 
- THE FACT THAT YOU ARE UNDERGOING 
DISABILITY PROCESSING 


WHERE YOU ARE IN THE BOARD PROCE 


- WHETHER YOU WERE FOUND FIT OR UNFIT 


Family members do not have automatic access to your medical 
records/board status without your written permission 


KEEP EVERYONE CONCERNED INFORMED 




How can I make this as painless as 
possible? 

The PEBLO MUST be informed if 
you need to go on LEAVE! 



May 27, 2017 


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Pilot DES Soldiers Briefing 


Be Available 




• DO NOT miss any of your 
appointments 


* Be on time, with your ID card, in 
the appropriate Uniform, and have 
medical records in hand 


• NO SHOWS FOR ANY MEDICAL 
APPOINTMENT WILL BE REPORTED 
TO YOUR COMMANDER AND DELAY 
YOUR MEDICAL BOARD 
PROCEDINGS 



* UCMI ACTIONS ARE IN EFFECT 

UNTIL THE END OF YOUR 
PROCESS! 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Be Available 




•Always provide accurate phone 
numbers 


• If you change units or 
assignments, let your PEBLO know 



• Contact your PEBLO before 
leaving town 


May 27, 2017 


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Pilot DES Soldiers Briefing 


Be Informed 



•Ask questions. Ask how long each step should take and 
follow-up. This is YOUR career and YOUR board. Take the 
time to review all documents for accuracy. Provide accurate 
and timely information 


•YOU ARE THE KEY TO YOUR BOARD 



• IF YOU DON'T UNDERSTAND SOMETHING - DON'T BE 
AFRAID TO AS 


May 27, 2017 


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Pilot DES Soldiers Briefing 


You will also be able to track the progress on 
your MEB via the My MEB Portal on AKO. If you 
have any questions about the data you see in 
the My MEB Portal, please contact your PEBLO 



My MEB Portal https://www.us.army.niil/suite/page/417118 



May 27, 2017 


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Pilot DES Soldiers Briefing 

PDES Handbook 


You will each get a copy of the handbook. 


Please refer to it for more detailed information 


Note that all information does not apply to the DES 
Pilot Program 


Especially information about the rating sequence and some 
appeal and election rights will be different 


Feel free to contact your PEBLO at any time if you have any 
questions 



Pilot DES Soldiers Briefing 

— 

DES Pilot Timeline Overview 




May 27, 2017 


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Pilot DES Soldiers Briefing 


Office Of Soldiers' Counsel 

•Fort Polk, Legal Assistance Attorney - Mr. Robert 
Kirtland 

- 337-531-0635 Fax 337-531-8909 

- Robert. kirtland(a)us. army.mil 




•Ft. Sam Houston/Brooke Army Medical Center, Office 
of the Staff Judge 

- Advocate: 

- LTC Romanick: (210) 295-0338, LTC White (210) 
221-1044, SSG Stock (210) 295-0432 Paralegal, 
SGT Bennett (210) 295-0432 Paralegal 


May 27, 2017 


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Pilot DES Soldiers Briefing 


PEBLO's 

•Ms. Carol Hardy 337-531-3830 

- carol. hardy(g)us. army.mil 

•Mr. Gregory Carter III 337-531-3829 

- gregory.d.carter(a)us. army.mil 
•Mr. Thomas Fauver 337-653-2369 

- thomas.fauver(g)us. army.mil 
•Ms. Marisol Lopez 337-531-3092 

- Marisol.lopez@us.army.mil 
•Mrs. Christina Martin 337-531-3165 

- christina.martinl@US.ARMY.MIL 
• Mr. Jeffrey Wilkinson 337-531-3172 

- jeffrey.wilkinson@US.ARMYMIL 




May 27, 2017 


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Pilot DES Soldiers Briefing 


QUESTIONS? 


Pilot DES Soldiers Briefing 


Thank you for Your 



This Concludes the