AETV - _____ (635-200)
SUBJECT: Revocation of
Approved Separation UP AR 635-200, Chapter 14, paragraph 14-2b.
Commander, ________________
FOR SPC
______________________
1. On DD MM CY, I approved
your discharge IAW AR 635-200, Chapter 14, paragraph 14-12b but suspended
execution of your discharge for a period of 90 days to evaluate your
performance and potential for rehabilitation.
Your suspension period ends on DD MM YY.
2. In light of your recent
misconduct as evidenced by your willful disobedience to a lawful order issued
by your Company Commander which resulted in your punishment under Field Grade
Article 15 procedures, I intend to vacate the suspension of your approved
discharge.
3. You may submit matters in
extenuation and mitigation for me to consider before I make the decision to
vacate the suspension of your approved discharge. You will have three working days following receipt of this
notification to submit any matters for consideration before I act. I suggest your consult with your Trial
Defense Attorney during this period.
Any request for additional time to gather matters will be submitted in writing
to my office.
4. Execute the attached
acknowledgment and return it to my office no later than 1700, DD MM YY.
_______________________
COL,
__________________
Commanding
_____________________________________________________________________________
ACKNOWLEDGMENT
OF RECEIPT OF NOTIFICATION
_____________________________________________________________________________
I, _________________ hereby
acknowledge receipt of notification of intended revocation of suspension at
____ hours, on DD MM YY.