1

Chapter 5, Para 5-8, Involuntary Separation Due to Parenthood

________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Paragraph 1-16 Counseling

_________

Family Care Plan Checklist or Equivalent Counseling

_________

Statement from SM explaining why he/she cannot

Obtain a Family Care Plan

_________

Medical Examination

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 5, Para 5-13, Personality Disorder
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Paragraph 1-16 Counseling

_________

Evidence SM has not responded to Para 1-16 Counseling

_________

Mental Evaluation by Physician trained in Psychiatry

and Psychiatric Diagnosis or a Clinical Psychologist

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 5, Para 5-16, Early Separation to Further Education
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extentions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Letter of Admission (Must include Date Classes will begin)

_________

Statement proving soldier can pay tuition fees

_________

Evidence that school is VA approved

(Statement from School or Education Center will suffice)

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 5, Para 5-17, Other Designated Physical or Mental Conditions
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extentions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Paragraph 1-16 Counseling

_________

Evidence SM has not responded to Para 1-16 Counseling

_________

Evidence from Medical or Mental Health Personnel

documenting condition

_________

Medical Examination

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 6, Para 6-3(a) or 6-3(b), Dependency or Hardship
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extentions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Evidence supporting dependency or hardship

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 8, Pregnancy of Enlisted Women
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Pregnancy Counseling

_________

Pregnancy Profile or Statement of Pregnancy

_________

Medical Examination

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 9, Alcohol or Other Drug Abuse Rehabilitation Failure
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

ADAPCP Summary of Rehabilitation

_________

Statement Declaring SM a Rehabilitation Failure

_________

Medical Examination

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 10, In Lieu of a Court-Martial
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

NOTE: ITEMS IN BOLD IS REQUIRED IN EVERY CASE

1
Chapter 11, Entry Level Separation
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extentions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Paragraph 1-16 Counseling

_________

Evidence SM has not responded to Para 1-16 Counseling

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 13, Unsatisfactory Performance
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extentions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Paragraph 1-16 Counseling

_________

Evidence SM has not responded to Para 1-16 Counseling

_________

Mental Evaluation

_________
Medical Examination
In APFT cases, the two APFTs must be no more than 90 days apart. If the APFTs are more than
90 days apart because the soldier was on profile, the packet should include a copy of the profile.
It is recommended that units counsel soldiers on profile that they will be administered the APFT
immediately after the recovery period.

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 14, Para 14-12a, Minor Disciplinary Infractions or
Chapter 14, Para 14-12b, Pattern of Misconduct
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Current Unit of Assignment Orders

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

Paragraph 1-16 AR 635-200 Counseling

_________

Evidence SM has not responded to Para 1-16 Counseling

_________

Mental Evaluation

_________

Medical Examination

_________

ACES Record (Education Records)

Examples of evidence include counselings, Article 15s, records of trial by courtmartial, ect.
NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 14, Para 14-12c, Commission of a Serious Offense
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Current Unit of Assignment Orders

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

Paragraph 1-16 AR 635-200 Counseling

_________

Evidence of Serious Offense

_________

Mental Evaluation

_________

Medical Examination

_________

ACES Record (Education Records)

Examples of evidence include counselings, Article 15s, records of trial by courtmartial, ect.
NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE
ASE

1
Chapter 14, Para 14-5, Conviction by Civil Court
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Memorandum for Medical and Dental Records if no longer

here.
_________

Results of the Trial and conviction

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 15, Discharge for Homosexual Conduct
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) we only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Current Unit of Assignment Orders

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Evidence of Homosexual Conduct

_________

Mental Evaluation

_________

Medical Examination

Commanders must consult with the Brigade Trial Counsel on any case involving
allegations of homosexual conduct prior to initiating any action.
NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 18, Failure to Meet Body Fat Standards
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions

(If Applicable) We only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Body Fat Content Worksheets

_________

Nutrition Counseling

_________

Enrollment into Weight Control Program

_________

Statement that weight is not due to a medical condition

_________

Medical Examination

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE

1
Chapter 16, Para 16-4, Non-Retention on Active Duty
________

DD Form 93 (Emergency Notifications)

________

SGLI/V (Service members Life Insurance Policy)

_________

Enlistment Contract, Reenlistment Contract, and/or Extensions (If

Applicable) We only need the DD Form 4-1, 4-2, 4-3

________

Most Current LES (30 days current)

________

Current Unit of Assignment Orders

________

Rank History (get from S-1)

________

Updated ERB (get from S-1)

_________

Duty Status (get from S-1)

_________

ACES Record (Education Records)

_________

Declination Statement

________

DA 4187 requesting separation signed by CO CDR

NOTE: ITEMS IN BOLD ARE REQUIRED IN EVERY CASE