“Non-Duty” Disability
Evaluation System (DES)
Process
Robert C. Desko, MD, FACS
Col, USAF, SFS
Deputy Director, ANGMS
Clinical and Operational Medicine
NDAA 2011
‘‘§ 1214a. Members determined fit for duty in
Physical
Evaluation Board evaluation:
prohibition on
involuntary administrative separation due to
unsuitability based on medical conditions
considered
in evaluation”
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NDAA 2011
•
2011 NDAA (HR6523 section 1214A) prohibits ARC
members from being administratively discharged without
SecDef approval when they have been found “fit for
military duty,” but not world-wide duty (WWD) qualified
(signed 7 Jan 2011)
•
DoDI 1332.14 Enlisted Administrative Separations (30 Sep
2011), implements this policy
•
The Air National Guard position is that ANG forces are
funded and postured to be deployed to bare base
locations throughout the world
•
The Air Force Reserve position is: There are enough
deployment locations to accommodate Reservists who are
in a stratified Assignment Limitation Code (ALC-C)
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“NON-DUTY” DISABILITY EVALUATION
SYSTEM (DES) PROCESS
 Member identified with a “Non-Duty” physical disqualification
 MDG – will initiate top half of DAWG Checklist and AF Form 469 (Code 31, only) with remarks
statement: Member has been identified with a “Non-Duty” physical disqualification that must be
processed through the Non-Duty Disability Evaluation System (DES) to continue his/her military
service. Forms will be forwarded to the FSS
 FSS – Meets with member; reviews (AF Form 469, DAWG checklist, and FSS forms)
Question: Does member wish to undergo the “Non-Duty” Disability Evaluation System (DES)?
Member will read and sign the Statement of Selection form
YES
NO
Mbr works with FSS/MDG on “Non-Duty” DES package
Process member for Sep/Ret due
to a “Non-Duty” physical
disqualification
MDG – Receives the Statement of Selection form,
changes AF Form 469 to (Code 37) and completes the
“Non-Duty” DES medical package
Upon completion of DES package the MDG will
forward to NGB/SG for fitness determination
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“NON-DUTY” DISABILITY EVALUATION
SYSTEM (DES) PROCESS
Upon completion of DES package the MDG
will forward to NGB/SG for fitness
determination
NGB/SG – Determines
member is FIT and Returned
to Duty
No Restrictions
NGB/SG – Determines
member is FIT and Returned
to Duty
With Restrictions
Member Returned to Duty
(AF Form 469 cleared)
NGB/SG – Finds the member
UNFIT for military duty
Non-Duty DES package is
forwarded to HQ AFPC (IPEB)
for Fitness Determination
NGB/SG - Establishes ALC-C Code (1, 2, or 3)
DES Processing
NGB/A1 – Updates ALC-C Code (1,2, or 3) in
PDS
ALC-C Codes (1, 2, or 3) must be reevaluated by NGB/SG yearly or upon
expiration (established by NGB/SG)
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ALC-C Stratification
Assignment Limitation Code (ALC-C)
ALC-C1 (Worldwide (mobility) Qualified)
•
Designates members with temporary or mild conditions. Medical follow-up is
required but the condition is clinically quiescent, unlikely to cause serious impact if
untreated, or treatment is limited to primary care during periods of deployment or
assignment
ALC-C2 (Worldwide (mobility) Qualified)
•
Designates members with medical conditions that will likely require specialist
medical care and referral within one year. The member could be deployed or
reassigned to OCONUS environments for short periods of time or if limited medical
facilities offer the appropriate specialty medical care
ALC-C3 (Worldwide (mobility) NOT Qualified)
•
Designates members who should not be deployed or assigned to locations where
the specialty medical care required to manage their unique medical condition is not
available
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Non-Duty DES Process
Questions?
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