Example: Statement to the Board / Statement to the Record

There may come a time in every sailors career where they need to make a statement to an upcoming selection board or add a statement to their record. Below are two Example letters to assist you with this process:


From: <<YOUR RANK, YOUR FULL NAME>>

To:   NAVPERSCOM 32 (PERS 32)

Via:  Commander <<< THE OFFICIAL NAME OF YOUR COMMAND>>>

Ref: (a) BUPERSINST 1610.1D

To Whom it may Concern, 

1. In accordance with reference (a). I am writing in regard to my Navy Evaluation dated: <<<THE DATES OF YOUR FITREP OR EVALUATION>>>

2. As directed by chain of command I submitted input to my evaluation on <<<DATE>>>. To my surprise I was given a <<< STATE EXACTLY WHAT YOU ARE UNHAPPY WITH>>>. I believe this Fitness Report fails to account for <<<STATE IN ONE SENTENCE WHAT THE FITREP/EVAL FAILED TO ACCOUNT FOR>>>.

3. I have been assigned to <<<COMMAND YOU ARE ASSIGNED TO>>> as the <<< JOB YOU ARE ASSIGNED>>> for <<<HOW LONG>>> months and during that time have been lead to believe that my performance has been consistently above standards, during all periodic counseling I was given either positive feedback, or given critiques that I immediately corrected. In addition, I <<<HERE IS YOUR CHANCE TO ADD AS MUCH SUPPORTING MATERIAL AS YOU WANT TO MAKE YOUR ARGUEMENT FOR A HIGHER RANK>>>.  As such I believe that my FITREP/Evaluation marks are both incorrect and unjust. 

4. I respectfully request that the above facts are taken into account during my upcoming <<<YOUR NEXT ADMINISTRATIVE OR STATUTORY BOARD>>> board. 

Very respectfully,

<<<sign>>>

<<<<YOUR NAME>>>

<<<YOUR E-MAIL ADDRESS>>>


From:  F. M. LAST, SC, USN, XXX-XX-XXXX/DESIG

To:    President, {insert specific board info, examples below}

         (FY19 Active 0-5 Line Selection Board (Board #265))

       (FY19 Supply Corps Command Ashore Screening (Board #56))

Subj:  INFORMATION FOR CONSIDERATION BY THE SELECTION BOARD  

Encl:  (1) <<<document you wish to submit (NAM/COM/Letter of      

  recommendation/ect…)

1.  Respectfully request you consider Enclosure 1 in my upcoming administrative <<or>> statutory board.

Very respectfully, 

<<<sign>>>

<<<<YOUR NAME>>>

<<<YOUR E-MAIL ADDRESS>>>

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