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LOC for Not Wearing Mask

AF Form 174

6. UNIT/OFFICE SYMBOL

7. REASON FOR COUNSELING

8. OTHER INFORMATION

Violation Article 92, UCMJ
Failure to Follow Orders
 

COUNSELING

9. SUMMARY OF COUNSELING (Give details, facts, specific dates, times, names, sequence of events, etc.)

Investigation has disclosed that the member stated above failed to wear a safety mask during designated class hours, physical fitness assessments, and formal instruction time. The member was briefed prior to attendance that masks are required during specified class time. This is a direct violation of Article 92, Failure to obey an order or regulation. Airman has been directed to maintain and uphold his responsibilities as an Air Force member.

You are herby counseled. As a member of the Air Force, it is your obligation to adhere to and abide by the highest standards. Failure to do so has left your character in question and endangered your peers, coworkers, and leadership. This is unacceptable and will not be tolerated. Your actions are in direct violation of UCMJ Article 92 FAILURE TO OBEY ORDER OR REGULATION. It is highly advised that you reflect on your actions and adjust your behavior in order to restore your reputation and become a contributing member of this team. Further misconduct will result in more serious consequences.

 

 

10. RECOMMENDATIONS AND ADVICE OF COUNSELOR

You will acknowledge receipt of this action. You have 3 duty days to provide any comments or documents you wish to be considered concerning this LOC. Those comments will become a part of the record.

 

 

Privacy Act statement: AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain any comments 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 comment or document you provide is voluntary.

 

 

 

Back of Form

ACKNOWLEDGMENT OF COUNSELING

14. SUMMARY OF COUNSELEE'S COMMENTS

I acknowledge receipt of this counseling on 19 Jul 11. I do / do not intend to submit information in rebuttal to these charges. I understand I have 3 duty days in which to submit my rebuttal.

 

 

 

 

 

 

 


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