Reference & AI

DAFMAN 48-108

Air Force

PHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) FUNCTIONS: PRE-DISABILITY EVALUATION SYSTEM (DES) AND MEDICAL EVALUATION BOARD (MEB) PROCESSING

Reviewed by Guilherme Correia, active-duty U.S. Air Force

DAFMAN 48-108, "PHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) FUNCTIONS: PRE-DISABILITY EVALUATION SYSTEM (DES) AND MEDICAL EVALUATION BOARD (MEB) PROCESSING", is a Department of the Air Force publication, dated August 5, 2021.

Published

August 5, 2021

OPR

AF/SG

Headquarters, Department of the Air Force

Official document

Open the PDF

on static.e-publishing.af.mil

DAFMAN 48-108 — index record

NumberDAFMAN 48-108
TitlePHYSICAL EVALUATION BOARD LIAISON OFFICER (PEBLO) FUNCTIONS: PRE-DISABILITY EVALUATION SYSTEM (DES) AND MEDICAL EVALUATION BOARD (MEB) PROCESSING
PublishedAugust 5, 2021
Certified currentAugust 5, 2021
Office of primary responsibilityAF/SG
Issued byHeadquarters, Department of the Air Force
Status on the indexCurrent
Source indexAir Force e-Publishing
Index last readOctober 20, 2026

Copied from Air Force e-Publishing (index). The publication itself is the authority; this page does not summarize or interpret it. Verify the current edition on the index before acting.

From the publication itself

Text below is lifted mechanically from the official PDF (38 pages, read October 20, 2026) with no editing or interpretation. Quote the document, not this page.

Purpose, in the publication’s words

This publication implements Air Force Policy Directive, 48-1, Aerospace and Operational Medicine Enterprise (AOME). It identifies and defines the requirements, policies, procedures, activities, and minimum expectations necessary to ensure a successful Air Force Medical Treatment Facility (MTF) MEB process. This publication describes how to process Department of the Air Force members into the DES MEB process. Organizational alignment of these functions may vary among MTFs. This publication applies to service members of the Regular Air Force, Air Force Reserve (AFR), Air National Guard (ANG) and United States Space Force identified for MEB processing. Ensure all records generated as a result of processes prescribed in this publication adhere to Air Force Instruction 33-322, Records Management and Information Governance Program, and are disposed in accordance with the Air Force Records Disposition Schedule, which is located in the Air Force Records Information Management System. Refer

Contents

  1. Chapter 1—AIR FORCE DISABILITY EVALUATION SYSTEM (DES) OVERVIEWp. 5
  2. Chapter 2—PRE-IDES SCREENING REVIEWp. 8
  3. Chapter 3—ADMINISTERING THE RILO AND MEB PROCESSp. 14
  4. Chapter 5—ASSIGNMENT LIMITATION CODE (ALC)p. 35
  5. Chapter 6—MEB QUALITY ASSURANCE PROGRAM (QAP)p. 41
  6. Chapter 7—AIRMAN MEDICAL TRANSITION UNIT (AMTU)p. 43
  7. Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 48
  8. Attachment 2—CONSULT NOTES AND SPECIALTY STUDIES GUIDEp. 56
  9. Attachment 3—MEB ACCURACY AND CONSISTENCY QAP CHECKLISTp. 59
  10. Attachment 4—MEB CASE REVIEW (MCR) PROCESS STEPSp. 75
All 45 contents entries
  1. Chapter 1—AIR FORCE DISABILITY EVALUATION SYSTEM (DES) OVERVIEWp. 5
  2. 1.1. Air Force Disability Evaluation System (DES) Overviewp. 5
  3. 1.2. Roles and Responsibilitiesp. 5
  4. Chapter 2—PRE-IDES SCREENING REVIEWp. 8
  5. 2.1. Eligibility for Disability Evaluation Processingp. 8
  6. 2.2. Entrance into the IDESp. 8
  7. 2.3. Trigger Events that Require Preliminary AMRO Board Reviewp. 8
  8. 2.4. Initial Review-In-Lieu-Of (IRILO)p. 10
  9. Chapter 3—ADMINISTERING THE RILO AND MEB PROCESSp. 14
  10. 3.2. Initiation of the IDESp. 17
  11. 3.3. Non-physician providers preparing the NARSUMp. 17
  12. 3.4. Conducting the Local MTF MEBp. 17
  13. 3.5. Location of the MEBp. 18
  14. 3.7. Processing MEBs for Service Members from other Military Departmentsp. 19
  15. 3.8. Composition of the Local MTF MEBp. 19
  16. 3.9. Required Medical Documentation for the local MTF MEBp. 19
  17. 3.10. Convening the Local MTF MEBp. 20
  18. 3.11. Local MTF MEB Review and Approval Authorityp. 22
  19. 3.12. Notification of Local MTF MEB Results to Service Memberp. 22
  20. 3.13. Impartial Medical Review (IMR)p. 23
  21. 3.14. Rebuttal Lettersp. 23
  22. 3.15. PEBLO MEB Special Considerationsp. 24
  23. 3.16. MTF Commander or Director Responsibilities in the DESp. 25
  24. 3.17. Performance Reporting and Oversightp. 27
  25. 3.18. VA Officep. 28
  26. 3.19. The Recovery Care Coordinator (RCC)p. 28
  27. 3.20. Temporary Disability Retired List (TDRL)p. 29
  28. 4.1. Air Reserve Command Surgeon or Air Surgeonp. 32
  29. Chapter 5—ASSIGNMENT LIMITATION CODE (ALC)p. 35
  30. 5.1. Definitionp. 35
  31. 5.3. MTF Action for return to duty with an Assignment Limitation Codep. 39
  32. Chapter 6—MEB QUALITY ASSURANCE PROGRAM (QAP)p. 41
  33. 6.1. Program Requirementsp. 41
  34. 6.2. MEB Case Review (MCR)p. 41
  35. 6.3. MEB QAP Checklistp. 41
  36. 6.4. Sample Case Reviewp. 42
  37. Chapter 7—AIRMAN MEDICAL TRANSITION UNIT (AMTU)p. 43
  38. 7.1. AMTU Attachment (TDY) and Assignment (PCS)p. 43
  39. 7.2. Attachment (TDY) to an AMTUp. 43
  40. 7.3. Assignment to an AMTUp. 44
  41. 7.4. AMTU Staff Responsibilitiesp. 46
  42. Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 48
  43. Attachment 2—CONSULT NOTES AND SPECIALTY STUDIES GUIDEp. 56
  44. Attachment 3—MEB ACCURACY AND CONSISTENCY QAP CHECKLISTp. 59
  45. Attachment 4—MEB CASE REVIEW (MCR) PROCESS STEPSp. 75

Other DAFMAN publications nearby in the series

204 DAFMAN records on the Air Force index. Search the full index.

Keep going

Calculators for the subject of this series

Fitness test calculator

Free calculator

Works of the United States Government are not subject to copyright (17 U.S.C. § 105). This site is not affiliated with the Department of the Air Force or any government agency.

Air Force index

REF: DAFMAN 48-108, effective August 5, 2021

Air Force e-Publishing — DAFMAN 48-108

This is an index record, not the publication. The official PDF is the authority; verify the current edition before acting.

Reviewed by Guilherme Correia · Military Toolkit editorial

Open the official PDF