AF Form 348 "Line of Duty Determination" - TemplateRoller

Download AF Form 348 "Line of Duty Determination" ... AUTHORITY: 10 U.S.C. 9013, Secretary of the Air Force and Executive Order 9397 (SSN), as ... Legal UnitedStatesLegalForms UnitedStatesFederalLegalForms U.S.AirForce AFForm348"LineofDutyDetermination" AFForm348"LineofDutyDetermination" TableofContents Show Hide WhatIsAFForm348? PreviewDocument DownloadAFForm348PDF WhatIsAFForm348?ThisisalegalformthatwasreleasedbytheU.S.AirForceonOctober16,2020andusedcountry-wide.Asoftoday,noseparatefilingguidelinesfortheformareprovidedbytheissuingdepartment.FormDetails:ReleasedonOctober16,2020;ThelatestavailableeditionreleasedbytheU.S.AirForce;Easytouseandreadytoprint;Yourstofilloutandkeepforyourrecords;CompatiblewithmostPDF-viewingapplications;Fillouttheforminouronlinefilingapplication.DownloadafillableversionofAFForm348byclickingthelinkbeloworbrowsemoredocumentsandtemplatesprovidedbytheU.S.AirForce. ADVERTISEMENT ADVERTISEMENT DownloadAFForm348"LineofDutyDetermination" Download PDF FillPDF online Rate(4.7/5)54votes ShowPagination 12345 LINEOFDUTYDETERMINATIONPRIVACYACTSTATEMENTAUTHORITY:10U.S.C.9013,SecretaryoftheAirForceandExecutiveOrder9397(SSN),asamended.PURPOSE:Toprovidemedicalconditioninformationandthecircumstancessurroundingthemedicalconditionforamilitarydutystatusdetermination.Thedeterminationmaybeusedinassignment,evaluation,compensation,separationandretirementprocesses.ROUTINEUSES:Thedeterminationiskeptpermanentlyaspartofyourmasterpersonnelrecord.Disclosuresgenerallypermittedunder5U.S.C.552a(b)ofthePrivacyAct.Inaddition,pursuantto5U.S.C.552a(b)(3),thisrecordmaybedisclosedoutsideofDoDtotheDepartmentofVeteranAffairsandtodependentsandsurvivorsforbenefiteligibilitydeterminations.DISCLOSURE:Mandatory.Positiveidentificationisrequiredforaccountabilityandcompensatorybenefits.SORN:F036AFPCC,MilitaryPersonnelRecordsSystem.PARTI.MEMBERINFORMATION1.TO:(ImmediateCommander)2.FROM:(MilitaryMedicalProviderOfficeSymbol)3.REPORTDATE:a.MTFRMUGMUDeployedLocation4.NAME:(Last,First,MiddleInitial)5.SSN:6.RANK:7.ORGANIZATION/UNIT:8.MEMBER'SSTATUS:(Xasapplicable)a.RegAFb.AFRc.ANGd.USAFACadete.AFROTCCadetf.DURATIONOFORDERSORIDTDATEANDTIME:START(DATE/TIME)/END(DATE/TIME)/PARTII.MILITARYMEDICALPROVIDER9.INVESTIGATIONOF(Xoneonly)DEATHINJURYILLNESSDISEASE10.NAME/LOCATIONOFa.MILITARYb.CIVILIANHOSPITALORTREATMENTFACILITYTHATFIRSTPROVIDEDTREATMENTc.TREATMENTPROVIDEDON:DATETIME11.DESCRIPTIONOFSYMPTOMSANDDIAGNOSIS12.DETAILSOFDEATH,INJURY,ILLNESSORHISTORYOFDISEASE:13.MEDICALOPINIONOFMEMBER'SCONDITIONWHENFIRSTTREATED:a.MEMBERWASWASNOTUNDERTHEINFLUENCEOFALCOHOLORDRUGS.(SeeAFI36-2910,Attachment1)IFMEMBERWASUNDERTHEINFLUENCE,SPECIFY:ALCOHOLDRUGSTESTDONEb.ALCOHOLIFYES,RESULTS:DRUGNOYESc.MEMBERWASWASNOTMENTALLYRESPONSIBLE(SeeAFI36-2910,Attachment1)d.PSYCHIATRICEVALUATIONIFYES,DATE:RESULTS:COMPLETEDNOYESe.OTHERRELEVANTCONDITION(S):f.OTHERTEST(S):IFYES,DATE:RESULTS:NOYES14.ADDITIONALINFORMATIONREQUIREDFORARCMEMBERSTOBECOMPLETEDBYARCRMU/GMUa.MEMBERATDEPLOYEDLOCATIONNOYES(IfYES,donotcompleteb-e)(SeeAFI36-2910,para.1.10.2)b.MEMBER'SCONDITIONEPTSNOYESc.IFYES,WASCONDITIONSERVICEAGGRAVATEDNOYESd.CONDITIONPOTENTIALLYUNFITTINGIAWAFI48-123RETENTIONAND/ORMOBILITYSTANDARDSNOYESe.REQUIRESARCLODDETERMINATIONBOARDFINALIZATIONNOYESPRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEAFFORM348,20201016FOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. LINEOFDUTYDETERMINATIONPRIVACYACTSTATEMENTAUTHORITY:10U.S.C.9013,SecretaryoftheAirForceandExecutiveOrder9397(SSN),asamended.PURPOSE:Toprovidemedicalconditioninformationandthecircumstancessurroundingthemedicalconditionforamilitarydutystatusdetermination.Thedeterminationmaybeusedinassignment,evaluation,compensation,separationandretirementprocesses.ROUTINEUSES:Thedeterminationiskeptpermanentlyaspartofyourmasterpersonnelrecord.Disclosuresgenerallypermittedunder5U.S.C.552a(b)ofthePrivacyAct.Inaddition,pursuantto5U.S.C.552a(b)(3),thisrecordmaybedisclosedoutsideofDoDtotheDepartmentofVeteranAffairsandtodependentsandsurvivorsforbenefiteligibilitydeterminations.DISCLOSURE:Mandatory.Positiveidentificationisrequiredforaccountabilityandcompensatorybenefits.SORN:F036AFPCC,MilitaryPersonnelRecordsSystem.PARTI.MEMBERINFORMATION1.TO:(ImmediateCommander)2.FROM:(MilitaryMedicalProviderOfficeSymbol)3.REPORTDATE:a.MTFRMUGMUDeployedLocation4.NAME:(Last,First,MiddleInitial)5.SSN:6.RANK:7.ORGANIZATION/UNIT:8.MEMBER'SSTATUS:(Xasapplicable)a.RegAFb.AFRc.ANGd.USAFACadete.AFROTCCadetf.DURATIONOFORDERSORIDTDATEANDTIME:START(DATE/TIME)/END(DATE/TIME)/PARTII.MILITARYMEDICALPROVIDER9.INVESTIGATIONOF(Xoneonly)DEATHINJURYILLNESSDISEASE10.NAME/LOCATIONOFa.MILITARYb.CIVILIANHOSPITALORTREATMENTFACILITYTHATFIRSTPROVIDEDTREATMENTc.TREATMENTPROVIDEDON:DATETIME11.DESCRIPTIONOFSYMPTOMSANDDIAGNOSIS12.DETAILSOFDEATH,INJURY,ILLNESSORHISTORYOFDISEASE:13.MEDICALOPINIONOFMEMBER'SCONDITIONWHENFIRSTTREATED:a.MEMBERWASWASNOTUNDERTHEINFLUENCEOFALCOHOLORDRUGS.(SeeAFI36-2910,Attachment1)IFMEMBERWASUNDERTHEINFLUENCE,SPECIFY:ALCOHOLDRUGSTESTDONEb.ALCOHOLIFYES,RESULTS:DRUGNOYESc.MEMBERWASWASNOTMENTALLYRESPONSIBLE(SeeAFI36-2910,Attachment1)d.PSYCHIATRICEVALUATIONIFYES,DATE:RESULTS:COMPLETEDNOYESe.OTHERRELEVANTCONDITION(S):f.OTHERTEST(S):IFYES,DATE:RESULTS:NOYES14.ADDITIONALINFORMATIONREQUIREDFORARCMEMBERSTOBECOMPLETEDBYARCRMU/GMUa.MEMBERATDEPLOYEDLOCATIONNOYES(IfYES,donotcompleteb-e)(SeeAFI36-2910,para.1.10.2)b.MEMBER'SCONDITIONEPTSNOYESc.IFYES,WASCONDITIONSERVICEAGGRAVATEDNOYESd.CONDITIONPOTENTIALLYUNFITTINGIAWAFI48-123RETENTIONAND/ORMOBILITYSTANDARDSNOYESe.REQUIRESARCLODDETERMINATIONBOARDFINALIZATIONNOYESPRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEAFFORM348,20201016FOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. 15.MILITARYMEDICALPROVIDERa.NAMEANDRANKb.SIGNATUREc.DATEPARTIII.IMMEDIATECOMMANDER16.TO:(AppointingAuthority)17.FROM:(ImmediateCommander)18.SOURCESOFINFORMATION:f.OTHERe.WITNESSa.MEMBERb.CIVILIANPOLICEc.MILITARYPOLICEd.OSI(Specify)g.NAME(S),ADDRESS(ES),ANDPHONENUMBER(S)OFWITNESS(ES):19.ATTHETIMEOFTHISOCCURRENCE,THEMEMBERWAS:a.PRESENTFORDUTYb.ABSENTWITHAUTHORITYc.ABSENTWITHOUTAUTHORITYFROM(Date/Time)TO(Date/Time)//ARCONLY.INADDITIONTOTHEABOVE,XMARKIFAPPLICABLEd.MEMBERWASTRAVELINGTOORFROMINACTIVEDUTYTRAININGORBETWEENSUCCESSIVEPERIODSOFIDT.e.MEMBERWASTRAVELINGTOORFROMDUTYORTRAINING,ANDHADMATERIALLYDEVIATEDFROMAUTHORIZEDTRAVELROUTE.20.ASARESULTOFMYINVESTIGATION,IHAVEDETERMINEDTHECIRCUMSTANCESTOBEASFOLLOWS:(When,Who,Where,How,Why)21.THEPROXIMATECAUSEOFTHEMEMBER'SDEATH,INJURY,ILLNESS,ORDISEASEWAS:a.MISCONDUCT(SeeAFI36-2910,Attachment1)b.OTHER(Specify)22.LINEOFDUTYDETERMINATIONRECOMMENDATION.ASARESULTOFMYINVESTIGATION,IRECOMMEND:a.ILODb.NILOD-NOTDUETOMEMBER'SMISCONDUCT(onlyifEPTS-NSAwithnoindicationofmisconduct)c.FORMALLODDETERMINATION23.IMMEDIATECOMMANDERa.NAMEANDRANKb.SIGNATUREc.DATEPARTIV.WINGSTAFFJUDGEADVOCATE24.LEGALREVIEWCONCURNON-CONCUR25.WINGSTAFFJUDGEADVOCATEa.NAMEANDRANKb.SIGNATUREc.DATEPARTV.APPOINTINGAUTHORITY26.AFTERREVIEWINGTHEFILEASTHEAPPOINTINGAUTHORITY,IFINDTHELODDETERMINATIONTOBE:a.ILODb.NILOD-NOTDUETOMEMBER'SMISCONDUCT(onlyifEPTS-NSAwithnoindicationofmisconduct)c.IHAVEAPPOINTEDANINVESTIGATINGOFFICERTOCONDUCTAFORMALLODINVESTIGATION27.APPOINTINGAUTHORITYa.NAMEANDRANKb.SIGNATUREc.DATEAFFORM348,20201016PRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEFOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. PARTVI.ARCLODDETERMINATIONBOARDREVIEW28.MEDICALREVIEW/RECOMMENDATION29.MEDICALREVIEWREPRESENTATIVEa.NAMEANDRANKb.SIGNATUREc.DATE30.LEGALREVIEW/RECOMMENDATION31.LEGALREVIEWREPRESENTATIVEa.NAMEANDRANKb.SIGNATUREc.DATE32.ARCLODBOARDACTION/RECOMMENDATIONa.ILODb.NILOD-NOTDUETOMEMBER'SMISCONDUCT(onlyifEPTS-NSAwithnoindicationofmisconduct)c.FORMALLODDETERMINATIONd.REFERMEMBERTODESFORPROCESSING(10U.S.C.§1207a)33.LODBOARDADMINISTRATORa.NAMEANDRANKb.SIGNATUREc.DATEPARTVII.APPROVINGAUTHORITY(ARCONLY)34.APPROVINGAUTHORITYFINALLODDETERMINATION:a.ILODb.NILOD-NOTDUETOMEMBER'SMISCONDUCT(onlyifEPTS-NSAwithnoindicationofmisconduct)c.APPOINTANINVESTIGATINGOFFICERTOCONDUCTAFORMALLODINVESTIGATIONd.REFERMEMBERTODESFORPROCESSING(10U.S.C.§1207a)35.APPROVINGAUTHORITYa.NAMEANDRANKb.SIGNATUREc.DATEPARTVIII.REMARKSAFFORM348,20201016PRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEFOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. INSTRUCTIONSFORPREPARINGAIRFORCEFORM348INFORMALLINEOFDUTYDETERMINATIONPARTI.MEMBERINFORMATION.Completeitems1-8.1.Enterthemember’sImmediateCommander’sofficesymbol.Ex.944CES/CC.2.EntertheMilitaryMedicalProvider’sofficesymbol.Ex.944MDS/SGP.2.a.CheckmarktheappropriatefacilitytypeoftheMilitaryMedicalProvider.MTF(MilitaryTreatmentFacility),RMU(ReserveMedicalUnit),GMU(GuardMedicalUnit),orDeployedLocation.3.Enterthedate(DDMMMYYYY)thereportwasgenerated.4.Enterthemember’slastname,firstnameandmiddleinitial.Ex.Doe,JohnE.5.Enterthemember’sSocialSecurityNumber(SSN).6.Enterboththemember’srankandgrade.Ex.LtCol/O-5.Note:IfmemberiseitherAFAorAFROTCCadet,selectorenter"Cadet".7.Enterthemember’shomestationorganization/unit.Ex.944ASTS.8.a-e.Member’smembershipanddutystatusattimeofdeath,injury,illness,ordisease.Checkmarktheappropriatemembershipstatus:RegularAirForce(RegAF),AirForceReserve(AFR),AirNationalGuard(ANG),UnitedStatesAirForceAcademy(USAFA),orAirForceReserveOfficerTrainingCourse(AFROTC)Cadet.Attachapplicablemilitaryorders,AuthorizationforIndividualInactiveDutyTraining(UTAPS)report,AFForm40A,orNGBForm105.8.f.DurationofOrdersorIDTDateandTime.EntertheStartDateandTime,andEndDateandTimeoftheorders,orEntertheStartDateandTime,andEndDateandTimeoftheInactiveDutyTraining(IDT).Usethefollowingdate(DDMMMYYYY)andmilitarytime(HHMM)format.PARTII.MILITARYMEDICALPROVIDER.Completeitems9-15.9.Checkmarktheapplicableinvestigationofdeath,injury,illness,ordisease.Checkmarkoneonly.10.a-b.CheckmarkifthetreatmentfacilitywasamilitaryorcivilianfacilitythenentertheNameandLocationofthetreatmentfacilitythatfirstprovidedtreatmenttothemember.10.c.Enterthedate(DDMMMYYYY)andtime(HHMM)treatmentwasprovided.11.Enterdescriptionofsymptomsanddiagnosis.Note:ForUnrestrictedReportingofsexualassaultcases,usethefollowingapplicableInternationalClassificationofDiseases(ICD)codeanddescription:E968.8AssaultbyOtherSpecifiedMeansorE969.9PoisoningbyUnspecifiedPsychotropicAgent.12.Enterdetailsofdeath,injury,illness,orhistoryofthedisease.Giveacompletedescriptionofreportedcircumstancesasavailableinformationpermits.Note:ForANG,theHealthSystemsTechnicianmaysigninblock12,withanoteindicatingthereisnofull-timeMilitaryMedicalProvideravailable,topreventdelaysofLODdeterminationprocessing(thisoptionwillnotbeavailablewhentheTotalForcelineofdutysystemisimplemented).TheMilitaryMedicalProviderwillberequiredtosignwithin30daysofLODinitiation.AddadditionalnotesinVIII.Remarksasneeded.13.Medicalopinionofmember’sconditionwhenfirsttreated.13.a.Checkmarkifmemberwasorwasnotundertheinfluenceofalcoholordrugs.Ifthememberwasundertheinfluenceofalcoholand/ordrugs,checkmarkoneorbothasapplicable.(SeeAFI36-2910,Attachment1,Terms).13.b.Checkmarkwhetherthememberreceivedanalcoholand/ordrugtest.Checkmark“No”ifnotestsweredone.Checkmark“Yes”ifthememberwastestedandprovideasummaryofthetestresults.13.c.Checkmarkwhetherthememberwasorwasnotmentallyresponsible.(SeeAFI36-2910,Attachment1,Terms).13.d.Checkmarkwhetherapsychiatricevaluationwascompleted.If“Yes,”entertheDate(DDMMMYYYY)oftheevaluationandsummaryofevaluationresults.13.e.Enterotherrelevantmedicalcondition(s).13.f.Checkmark“NoorYes”whetherothertestswereperformed.If“Yes,”entertheDate(DDMMMYYYY)ofthetestandsummaryoftestresults.EnteradditionaltestinformationinVIII.“Remarks”ifneeded.14.Block14:ForARCOnly.14.a.Checkmark(YesorNo)whetherornottheAFForm348isbeinginitiatedatadeployedlocation.(IfYes,donotcomplete14.b-e).14.b.Checkmark(YesorNo)ifthemember’sconditionthatwasreportedinblock10ExistedPriortoService(EPTS).SeeAFI36-2910,para.1.10.2.14.c.If14.b.wasmarkedYes,theconditionExistedPriortoService,checkmark(NoorYes)iftheconditionwasserviceaggravated.14.d.Checkmarkifthecondition(s)reportedinblock10ispotentiallyunfittingIAWAFI48-123forRetentionand/orMobilityStandards.14.e.CheckmarkifthisLODdeterminationwillrequireARCLODBoard(AFRorANG)finalization.SeeAFI36-2910,para.2.3.2.7forsituationsrequiringARCLODBoardfinalization.15.a.EntertheMilitaryMedicalProvider’sname(Firstname,middleinitial,lastname),abbreviatedrank,andservicecomponent.Ex.JohnE.Doe,Maj,USAFR.15.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.15.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.PARTIII.IMMEDIATECOMMANDER.Completeitems16-23.16.EntertheAppointingAuthority’sofficesymbol.Example:944FW/CC.17.EntertheImmediateCommander’sofficesymbol.Example:944CES/CC18.a-f.CheckmarkthesourcesofinformationusedintheLODdetermination(Member,CivilianPolice,MilitaryPolice,OfficeofSpecialInvestigations(OSI),Witnesses,orOther(Specify)).18.g.Enterlistofname(s),completeaddress(es),andphonenumbersofwitness(es)only.Example:JaneB.Doe,2820SunsetDrSeattleWA12345,123-456-7890.19.a-c.Checkmarkmember’sstatusattimeofoccurrence(PresentforDuty;AbsentwithAuthority;orAbsentwithoutAuthority,includeFromandToDateandTime(DDMMMYYYY/HHMM).19.d-e.ForARCOnly,inadditionto19.a-c,checkmarkifapplicable.20.Basedonavailableinformationandknowncircumstances,provideaconcisenarrativeconcerningthecase.AddresstheWhen,Who,Where,What,How,andWhysurroundingthecase.21.Providetheproximatecauseofthemember’sdeath,injury,illness,ordisease.21.a.Checkmarkiftheproximatecausewasduetomember’sMisconduct(SeeAFI36-2910,Attachment1,Terms).21.b.CheckmarkifOtherandprovideanexplanation.22.ImmediateCommanderLODdeterminationrecommendation.ReferenceAFI36-2910,para.1.10forLODDeterminationsandpara.2.3.4ifrecommendingaFormalLODDetermination.22.a.InLineofDuty(ILOD).CheckmarkiftheconditionwasincurredoraggravatedILOD.22.b.NotInLineofDuty(NILOD)-NotDuetoMember’sMisconduct(onlyifEPTS-NSAwithnoindicationofmisconduct).CheckmarkiftheconditionwasnotincurredoraggravatedILODandwasnotduetomember’smisconduct.AFFORM348,20201016PRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEFOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. INSTRUCTIONSFORPREPARINGAIRFORCEFORM348INFORMALLINEOFDUTYDETERMINATION(cont)22.c.CheckmarkifrecommendingaFormalLODDetermination.23.a.EntertheImmediateCommander’sname(Firstname,middleinitial,lastname),abbreviatedrank,andservicecomponent.Ex.JohnE.Doe,LtCol,ANG.23.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.23.c.Dateisauto-populatedbydigitalsignature.Ifsigningblue/blackink,enterthedate(DDMMMYYYY)signed.PARTIV.WINGSTAFFJUDGEADVOCATE.Completeitems24-25.24.Performalegalreviewandcheckmark“Concur”or“Non-concur”withtheImmediateCommander’sLODdeterminationrecommendation.25.a.EntertheWingStaffJudgeAdvocate’sname(Firstname,middleinitial,lastname),abbreviatedrank,andservicecomponent.Ex.JohnE.Doe,LtCol,USAF.25.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.25.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.PARTV.APPOINTINGAUTHORITY.Completeitems26-27.26.ReviewtheLODfileandmakeanLODdetermination:26.a.InLineofDuty(ILOD).CheckmarkiftheconditionwasincurredoraggravatedILOD.26.b.NotInLineofDuty(NILOD)-NotDuetoMember’sMisconduct(onlyifEPTS-NSAwithnoindicationofmisconduct).CheckmarkiftheconditionwasnotincurredoraggravatedILODandwasnotduetomember’smisconduct.26.c.CheckmarkifappointinganInvestigatingOfficer(IO)toconductaFormalLODinvestigation.27.a.EntertheAppointingAuthority’sname(Firstname,middleinitial,lastname)andabbreviatedrank,andservicecomponent.Ex.JohnE.Doe,Col,USAF.27.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.27.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.PARTVI.ARCLODDETERMINATIONBOARDREVIEW.Completeitems28-33.TheARCLODDeterminationBoardconsistsoftheSurgeonGeneral(SG),JudgeAdvocate(JA),andA1(Manpower,PersonnelandServices)forAFRorANG.Incertaincases,LODdeterminationsarenotconsideredfinaluntiltheApprovingAuthorityfinalizesthecase.SeeAFI36-2910,para.2.3.2.7.through2.3.2.7.2.forapplicablecases.28.ProvidemedicalreviewandLODdeterminationrecommendation.29.a.EntertheMedicalReviewRepresentative’sname(Firstname,middleinitial,lastname)andabbreviatedrank,andservicecomponent.Ex.JohnE.Doe,Maj,ANG.29.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.29.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.30.ProvidelegalreviewandLODdeterminationrecommendation.31.a.EntertheLegalReviewRepresentative’sname(Firstname,middleinitial,lastname)andabbreviatedrank,andservicecomponent.Ex.JohnE.Doe,Maj,USAFR.31.b.Thesignatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.31.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.32.EnterARCLODBoardactionand/orrecommendation.32.a.InLineofDuty(ILOD).CheckmarkiftheconditionwasincurredoraggravatedILOD.32.b.NotInLineofDuty(NILOD)-NotDuetoMember’sMisconduct(onlyifEPTS-NSAwithnoindicationofmisconduct).CheckmarkiftheconditionwasnotincurredoraggravatedILODandwasnotduetomember’smisconduct.32.c.FormalLODDetermination.CheckmarkifrecommendingaFormalLODdetermination.32.d.RefermembertoDESforprocessing.Checkmarkifmembermeetsthe8YearRuleandrecommendingmemberenterDESforprocessing.SeeAFI36-2910,para.1.10.2.2.2.33.a.EntertheLODBoardAdministrator’sname(Firstname,middleinitial,lastname),abbreviatedrank,andservicecomponent.Example:JohnE.Doe,LtCol,ANG.33.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.33.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.PARTVII.APPROVINGAUTHORITY(ARCOnly).Completeblocks34-35.TheApprovingAuthorityreviewsthecompleteinvestigationfileforcompletenessandrelevancyanddeterminesthefinalLODdetermination.34.CheckmarktheappropriatefinalLODdetermination:34.a.InLineofDuty(ILOD).CheckmarkiftheconditionwasincurredoraggravatedILOD.34.b.NotInLineofDuty(NILOD)-NotDuetoMember’sMisconduct(onlyifEPTS-NSAwithnoindicationofmisconduct).CheckmarkiftheconditionwasnotincurredoraggravatedILODandwasnotduetomember’smisconduct.34.c.FormalLODDetermination.CheckmarkifdirectingaFormalLODinvestigation.34.d.RefermembertoDESforprocessing.Checkmarkifmembermeetsthe8YearRuleanddirectingmemberenterDESforprocessing.SeeAFI36-2910,para.1.10.2.2.2.35.a.EntertheApprovingAuthority’sname(Firstname,middleinitial,lastname),abbreviatedrank,andservicecomponent.Example:JohnE.Doe,Col,USAFR.35.b.Signatureblockmaybesignedviablue/blackinkorCAC(CommonAccessCard)digitalsignature.35.c.Dateisauto-populatedbydigitalsignature.Ifsigningviablackink,enterthedate(DDMMMYYYY)signed.36.REMARKS.Ifadditionalspacewasrequiredtoannotateadditionalinformationfrompreviousitems,additionalinformationcanbeaddedintheRemarksblock.Identifytheitemnumberwheretheinformationiscontinuedfrom,andthencontinuetoaddinformation.Ex.12.Cont.Thememberreportednoadditionalsymptomsfromtheinjury.AFFORM348,20201016PRIVACYACTINFORMATION:TheinformationinthisformisPREVIOUSEDITIONSAREOBSOLETEFOROFFICIALUSEONLY.ProtectIAWthePrivacyActof1974. Prev 123...5Next U.S.AirForce UnitedStatesFederalLegalForms Legal UnitedStatesLegalForms BrowseAFForm348byYear 2015 PopularArticles ProposalVsEstimate ProposalVsEstimate ProposalVsQuote ProposalVsQuote HowtoFillOutanInvoice:FreeInvoiceTemplate HowtoFillOutanInvoice:FreeInvoiceTemplate WhatIsaRequestforProposal(RFP):FreeRequestforProposalTemplate WhatIsaRequestforProposal(RFP):FreeRequestforProposalTemplate WhatIstheDifferenceBetweenanInvoiceandaBill? WhatIstheDifferenceBetweenanInvoiceandaBill? HowtoPayanInvoice? HowtoPayanInvoice? QuoteVsInvoice QuoteVsInvoice WhatIstheDifferenceBetweenPurchaseOrderandInvoice? WhatIstheDifferenceBetweenPurchaseOrderandInvoice? 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WhatIstheDifferenceBetweenanInvoiceandaBill? HowtoPayanInvoice? HowtoPayanInvoice? QuoteVsInvoice QuoteVsInvoice WhatIstheDifferenceBetweenPurchaseOrderandInvoice? WhatIstheDifferenceBetweenPurchaseOrderandInvoice? × Attention!Pleasereadbeforeprinting PressingthePRINTbuttonwillonlyprintthecurrentpage.Downloadthedocumenttoyourdesktop,tabletorsmartphonetobeabletoprintitoutinfull. Downloadfulldocument Gotit,printpage Urlofthispage: HTMLLink: