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Letter of (Reprimand)(Admonition)(Counseling)

Disciplinary









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Date

MEMORANDUM FOR (Member’s Grade, Name, SSN)

FROM:

SUBJECT: Letter of (Reprimand)(Admonition)(Counseling)

  1. Investigation has disclosed that you (include factual allegation—see sample allegations for possible forms.)

  2. (Second and subsequent paragraphs should be added for each additional item or misconduct, if applicable. Begin these paragraphs with “Further investigation has disclosed” or “Additional investigation has disclosed” and complete the allegation using tailored language from the sample allegations.)

  3. You are hereby (reprimanded)(admonished)(counseling). (Tailor the language to one of the forms found in the sample reprimands/admonitions to complete the paragraph.)

  4. AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain any comments or documents you desire to submit (on a voluntary basis) for consideration concerning this action. ROUTINE USES: Provides you an opportunity to submit comments or documents for consideration. If provided, the comments and documents you submit become a part of the action. DISCLOSURE: Your written acknowledgment of receipt and signature are mandatory. Any other comments or documents you provide are voluntary.

  5. You will acknowledge receipt and return this letter to me within three (3) workdays of your receipt. Any comments or documents you wish to be considered concerning this letter will be included with your response.


                                                                                                          NAME, Rank, USAF
                                                                                                          Position

    1st Ind, (Member’s Rank and Name)

    TO: (Name or person who issued this letter)

    I acknowledge receipt and understanding on 2001. I understand that I have three (3) workdays from the date of this letter to provide a response, and that I must include in my response any comments or documents I wish to be considered concerning this letter.
    (sample continued on next page)


                                                                                                         MEMBER’S NAME, Rank, USAF
                                                                                                         Member’s SSAN


    2nd Ind, (Name of person who issued this letter) Date

    Member (did)(did not) provide written matters in response to this letter.




                                                                                                          NAME, Rank, USAF
                                                                                                          Position
     

 

Reminder, the closing line is 5 spaces below the last line of text.


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Page Added on: 01 March 2005