What documents are included in a Waiver Review package?

• A. Most recent Review-In-Lieu-Of narrative
• B. Medical record of entry
• C. Most recent Review-In-Lieu-Of narrative, Current Air Force Form 469, Medical record of entry
• D. Current Air Force Form 469

Answer: (C)

In a Waiver Review package, you need a complete, up-to-date set of documents that show the member’s current medical status, the justification for the waiver, and the baseline medical history. The most recent Review-In-Lieu-Of narrative provides the latest justification and summary of the member’s medical condition as it relates to the waiver. The Current Air Force Form 469 documents the current medical assessment and fitness status, giving an official medical rating for the waiver decision. The Medical record of entry supplies the original entry-level medical history and baseline data, allowing reviewers to compare changes over time and assess risk. Together, these three items give a full, evidence-based picture for the waiver decision.

If only one of these were included, the package would be incomplete: the narrative alone lacks the formal medical assessment; the form 469 alone lacks the rationale and history; the medical record of entry alone lacks the current status and justification needed for a waiver decision.