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Exception to Policy (ETP) information


37 replies to this topic

#21 Guest_s1nn3r_*

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Posted 15 November 2008 - 08:54 PM

When you are pursuing an ETP or getting a 2nd opinion to build your case for reconsideration, do you have to be reclassified into another career field? I realize you have to do something to earn your AF paycheck but wouldnt that make it harder to get a waiver? I can see the AF saying "well, he's already a Maintenance officer, we'll just keep denying him".

I ask this question because I was recently DQ (4 days ago) for what eventually turned out to be Keratoconus. The doc, at first, said "you have a precursor to TPSK which has a 30% chance of developing into keratoconus". Then it became "you have early stage TPSK" and landed on "you have keratoconus". Sounds like they are building a case to support their DQ, IMO. I want to get a 2nd opinion because, from what I have read, at this stage I should have deteriorating visual accuity, etc.. but my eyes are perfect. I have perfect depth perception, perfect color vision, perfect visual accuity. I was diagnosed with astigmatism many years ago and was reconfirmed during my IFC1. I read that severe astigmatism can be misdiagnosed as keratoconus. I don't have peaks in my cornea indicative of keratoconus.

Right now, my best friend has a great-uncle thats a 4-star so he's going to get his opinion, my old sq/cc (LtCol) is friends with the USAFE/SG and will get his opinion, and my dad knows a congressman. I don't want to have to go down the ETP route if I don't have to but I will to get my pilot slot back.

I know this is alot of info but can someone give me their $.02 on this situation. I dont want to be DQ because my eyes arent perfectly shaped.






#22 Guest_P27:17_*

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Posted 15 November 2008 - 10:23 PM

View Posts1nn3r, on Nov 16 2008, 01:54 AM, said:

When you are pursuing an ETP or getting a 2nd opinion to build your case for reconsideration, do you have to be reclassified into another career field? I realize you have to do something to earn your AF paycheck but wouldnt that make it harder to get a waiver? I can see the AF saying "well, he's already a Maintenance officer, we'll just keep denying him".

I ask this question because I was recently DQ (4 days ago) for what eventually turned out to be Keratoconus. The doc, at first, said "you have a precursor to TPSK which has a 30% chance of developing into keratoconus". Then it became "you have early stage TPSK" and landed on "you have keratoconus". Sounds like they are building a case to support their DQ, IMO. I want to get a 2nd opinion because, from what I have read, at this stage I should have deteriorating visual accuity, etc.. but my eyes are perfect. I have perfect depth perception, perfect color vision, perfect visual accuity. I was diagnosed with astigmatism many years ago and was reconfirmed during my IFC1. I read that severe astigmatism can be misdiagnosed as keratoconus. I don't have peaks in my cornea indicative of keratoconus.

Right now, my best friend has a great-uncle thats a 4-star so he's going to get his opinion, my old sq/cc (LtCol) is friends with the USAFE/SG and will get his opinion, and my dad knows a congressman. I don't want to have to go down the ETP route if I don't have to but I will to get my pilot slot back.

I know this is alot of info but can someone give me their $.02 on this situation. I dont want to be DQ because my eyes arent perfectly shaped.



Friendly advice...do what you have to do BUT pissing money away on a "second opinion" probably wouldn't be the best card to play from the deck...the Ophthalmologists at Brooks are the consultants to the airforce...they are not your average ophthalmologist...they base their decisions on the best technology and vision information available and they use their expertise to determine whether flying will put the patient, the AirForce, and/or the public at a safety risk...in your case there is an unacceptable "percentage" or probability that the millions invested in your training won't see the "payback" for the effort...all inmates are innocent and all DQ's are healthy...but no one is going to deny your shot because the AF need Maint. Officers...good luck with your ETP...it's a difficult road and again finding a friend of a friend who happens to be a flight surgeon who will try to be an "advocate" for your case will only make the process longer and make the flight surgeon look like a fool...it is strickly a LINE decision...if the chain of people in your corner (non-medical) can convince the Sec of the AF that you walk on water or are the best thing since sliced bread the the SAF will ask the AF Surgeon General's office for their opinion (based on the work-up done by the AF consultants...Brooks) and make his call...he has the authority to say "Thanks medical folks...but I'm willing to take a chance on this one"...that's the process in a nut shell...if your stars and bars buddies can help influence the process who could blame you for trying...there is nothing more the medical side can do for you...

#23 Guest_Fuse_*

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Posted 24 June 2009 - 10:06 AM

Looking for advice and information I haven't yet found using search...

Basicly I got ear tubes for what I think now was an issue with my wisdom teeth. I have read elsewhere (including here) that they were allowed and didn't need a waiver. Well they needed a waiver. Then I was DQ'd for them. Technically I was DQd for 'perforation of the eardrum' which I didn't have until the doc perforated it to place the tube.

My flight medical area I've been dealing with knows nothing about ETP waivers, nor does my recruiter. My ENT doc is willing to write letters or make phone calls to support me, but I'm not even sure where to go from here. I have no issues about prepping an ETP request, but I have no idea where to send it to.

Can I pull my ear tubes out and reapply? Can I send the ETP to AETC or wherever on my own?

Any help would be greatly appreciated.

Edited by Fuse, 24 June 2009 - 10:07 AM.


#24 GearMonkey

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Posted 24 June 2009 - 02:59 PM

First things first. Check out AFI48-123 and the waiver guide (Google should get you there) to learn all there is to know about tubes and ear drums. It won't take you long to know more, from an administrative perspective, than most of the medical techs, some of the docs, and virtually anyone in your chain of command.

If you find out that a waiver is not an option you can get started on an ETP. A good rule of thumb is that if a condition is waiverable for folks who are already pilots/navs you have a decent case for an ETP. There is limitied guidance available for ETPs but everything I've seen is geared towards being too old for UPT. You'll follow the same basics. The ETP goes up your chain of command and eventually gets routed to the Vice Chief of Staff. I'm basing all this off my personal experience in 2004 so things may be slightly different now.

My ETP package included:

A Staff Summary Sheet (any exec can help you with this part)
A memo explaining the situation and requesting an ETP
Letters of support
Medical documentation
Etc.

I can't remember for sure but a copy of my UPT application may also have been required.

I was on active duty in AFMC when I worked through all of this and I think that was a big help. Doing it through AETC is probably an order of magnitude more difficult. What is your status?

#25 Guest_Fuse_*

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Posted 15 July 2009 - 01:44 PM

Well I've pretty much given up, as no one I've talked to can help me out so far... If someone does have some info for ETP from a civillian once a waiver is denied, please shoot me a PM. Thanks

#26 WeMeantWell

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Posted 16 July 2009 - 10:34 PM

View PostFuse, on 15 July 2009 - 01:44 PM, said:

Well I've pretty much given up, as no one I've talked to can help me out so far... If someone does have some info for ETP from a civillian once a waiver is denied, please shoot me a PM. Thanks


FWIW, I have heard enough "Stories"... If you shouldn't fly with it, then you shouldn't fly with it. If it is a semi-illogical rule then you have a better chance. Gearmonkey gave you the documents to make it happen, now it is up to you to decide how much red-tape "pain" you are willing to deal with. If this is what you want and blood, sweat, and tears are worth it, then get with your recruiter, have him find someone you can work with (or the recruiter himself) put together those documents, make yourself look like someone worth fighting for, you paperwork better show that you walk on water and the AF would be silly to pass on you. Call every day, visit in person when you can, type as much of the documents up as you can and have them forward them up (any AF office knows what a SSS is, and the routing is simple, straight up the chain)

No one cares about this 1% of what you care about it, so they will not lift a finger for you, unless you give them the tools to help you. Tell them, this is how it is done, lets make it happen, instead of "How do I do it?"... That all being said, it is a gamble of your time, unless you truely walk on water... from many stories, you don't mess around with ear, nose, and throat problems when you fly airplanes, the pain you receive is not worth it. Ask your doc to take them out if he thinks it is justified, let them heal and then re-apply... The worse thing about the military is no one person knows all the rules, the best thing about the military is no one person knows all the rules, so you keep asking until someone gives you an answer you like.

#27 Guest_Fuse_*

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Posted 16 July 2009 - 10:48 PM

Thanks, I have some of that documentation, but have no one to give it to. Every call I've made has been met with "What's an ETP waiver?" and "Never heard of them - they don't exist" - actual words from the 'waiver' person at Scott AFB flight med. I really am one to do most things on my own, and the reason the tubes went in in the first place was not severe so reapplying with them out is an option I'm also considering - but despite the other bumps in the OTS road over the last three years I'm shocked this was the one to screw me.

sorry for the sob story. =)

#28 Guest_goducks_*

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Posted 17 July 2009 - 03:17 AM

View PostFuse, on 16 July 2009 - 10:48 PM, said:

Thanks, I have some of that documentation, but have no one to give it to. Every call I've made has been met with "What's an ETP waiver?" and "Never heard of them - they don't exist" - actual words from the 'waiver' person at Scott AFB flight med. I really am one to do most things on my own, and the reason the tubes went in in the first place was not severe so reapplying with them out is an option I'm also considering - but despite the other bumps in the OTS road over the last three years I'm shocked this was the one to screw me.

sorry for the sob story. =)


Fuse,

I'm not expert on ETP's, but here's what I can tell you if it might help a little. An ETP is not a medical waiver and does not go through the medical chain. Thus, the folks at Scott flight med probably aren't familiar with them. An ETP is generated from the line. Someone from the operations side, who can pull enough strings, has to be willing to support you. Basically an ETP is the medical folks saying you're not medically qualified and the line folks saying "We don't care, we'll take him anyway." So don't spin your wheels too much with the medical folks. They are involved in waivers and have nothing to do with ETPs.

Other folks can offer you better insight than I can regarding how you get an ETP. Just wanted to clarify that the med folks probably aren't going to be of any help in this one.

I wish you luck.

GD

#29 ȘÅİňŦ

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Posted 06 October 2011 - 03:41 PM

Okay, thread revival time.

I Just got DQ'd at the beginning of Phase II in UPT (Herniated Disc, had back surgery, outcome good.) and it looks like I'm going to need to put together an ETP package in order to continue training (Waiver available for FCII, but not FCI). My supervisor back at my guard unit has some people looking into what an ETP is and how it works, but I figured I'd get on the ball and start getting everything ready.

Here's the issue. I've found information from both the USAFA (USAFAI36-2205) and AFROTC (AFROTCI36-2011) with great, detailed information on submitting a MEDICAL ETP to the CSAF. Additionally, I found some good information on submitting a regular AF ETP (Age Waiver) in AFI 36-2205.

Is this info valid in my case? I have a hard time believing my commander would want to endorse something based on an USAFAI or an AFROTCI (That references CADETS), and the AFI 36-2205 (Attachment 2.3) is specifically focused on the Age Waiver.

Am I missing an AFI? I find it hard to believe that Medical ETPs are not outlined in some general AFI somewhere. Even something as simple as "ETPs are a Line issue, and not medically related" to give to my units flight doc, who's burning the midnight oil trying to find out waiver info.

I feel like I have a good handle on what's required (based on the USAFA and AFROTC info), and who it goes to (Based on the AFI) - but I don't know how to present it to my guard unit in a way that makes sense.

Thanks Baseops!
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#30 GearMonkey

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Posted 09 October 2011 - 08:12 PM

View PostȘÅİňŦ, on 06 October 2011 - 03:41 PM, said:

Am I missing an AFI? I find it hard to believe that Medical ETPs are not outlined in some general AFI somewhere. Even something as simple as "ETPs are a Line issue, and not medically related" to give to my units flight doc, who's burning the midnight oil trying to find out waiver info.


Based on my experience (6-7 years ago now) those are the only references out there. The only mention of ETPs I ever saw was the age waiver reference in the 48-123. This tells you (sort of) how to submit the ETP but doesn't offer much further detail. I suspect this is done on purpose to weed people out and decrease the workload for USAF/HQ and USAF/SG.

Basically the ETP consists of a SSS (look in the T&Q) with a variety of attachments. I wrote a memo explaining my case, included letters of support (from my chain of command, former PASs, my Congressman), and provided extensive medical documentation (exam results, letters from civilian doctors/specialists, and copies of the less stringent standards used by the Navy/Army/FAA). It took about six months for the ETP package to work up the chain and get approved.

Hope this info helps. I think that already being at UPT will be helpful since it is cheaper to keep you there than PCS you again.

#31 ȘÅİňŦ

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Posted 09 October 2011 - 10:11 PM

Great info GM - thanks a ton.
"War is an ugly thing, but not the ugliest of things. The decayed and degraded state of moral and patriotic feeling which thinks that nothing is worth war is much worse. The person who has nothing for which he is willing to fight, nothing which is more important than his own personal safety, is a miserable creature and has no chance of being free unless made so and kept so by the exertions of better men than himself." - John Stuart Mill

#32 PK...

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Posted 28 February 2012 - 12:48 PM

Revival #2

Anyone know the standard routing flow for ETP waivers? I'm wondering who is considered "in the chain" once the SSS package goes past the Wing Commander. I know the Key players (NAF/CC, MAJCOM/CC, AF/CV, AF/CC) ... but does anyone know what offices are needed in-between those guys?

Unfortunately, I find myself having to possibly go through this. I am half an inch under the sitting height; and even though I exceed the standing height, AETC is not giving me a waiver, or allowing me the opportunity to do a Functional Cockpit Check. This is because they say that I have been coded by their computer evaluation system as "red/unsafe" for Air Force aircraft based on a few of my other measurements (Sitting-knee height, buttock-to-knee length, standing shoulder height, sitting-eye height, arm span, and functional arm reach). I'm guessing that since I am half an inch low on sitting height, I am probably a little below the sitting-eye height and maybe even the shoulder height.

This whole thing is a little confusing for me, the flight doc, and most of my leadership out here because if the minimums are 64" standing, and 34" sitting... and I measure at 66" standing, and 33.5" sitting; how is it that I am not at the very worst "yellow/marginal" according to their system? Am I so far out of limits than those that just meet the standards that I go straight from green to red? Keep in mind that if one just meets the minimum standing and sitting height, they do not have to take the additional measurements. On top of that, there are multiple others in the squadron that hover around 62/63" standing & 34/33" sitting ... they are all currently on height waivers. The AETC system is even more confusing because I am physically taller/bigger than all of them. AETC is standing their ground on the integrity of their program and telling me that everyone else's extra measurements are good enough according to their system but mine aren't... end of story. They say that my only chance of starting UPT is getting an ETP from the CSAF. (I am on casual status at NAS Whiting right now).

I'd appreciate help from anyone that has been through an ETP or seen one before. I can do up the SSS and everything required, but I don't know the exact path on how to get it to the big boss. If anyone has pointers on the process, I'd appreciate that too. I have done measurements with the Navy and I am green in all areas. Right now, I'm asking AETC to let me do a cockpit check for the sole purpose of this ETP waiver. I am hopeful that if I include good results from a cockpit check, along with my successful Navy anthro, it might help my situation a little better.

Thanks folks.

---
PK...

#33 Daredevileng1

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Posted 28 November 2012 - 11:33 AM

View PostGearMonkey, on 09 October 2011 - 08:12 PM, said:


Based on my experience (6-7 years ago now) those are the only references out there. The only mention of ETPs I ever saw was the age waiver reference in the 48-123. This tells you (sort of) how to submit the ETP but doesn't offer much further detail. I suspect this is done on purpose to weed people out and decrease the workload for USAF/HQ and USAF/SG.

Basically the ETP consists of a SSS (look in the T&Q) with a variety of attachments. I wrote a memo explaining my case, included letters of support (from my chain of command, former PASs, my Congressman), and provided extensive medical documentation (exam results, letters from civilian doctors/specialists, and copies of the less stringent standards used by the Navy/Army/FAA). It took about six months for the ETP package to work up the chain and get approved.

Hope this info helps. I think that already being at UPT will be helpful since it is cheaper to keep you there than PCS you again.

PM Sent

#34 capt4fans

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Posted 06 March 2013 - 09:28 AM

OK, quick question that I don't entirely have time to find, and haven't done the best searching for on my own, so call me a slacker. I was DQ'd last year for a neurologic disorder. I'm currently appealing that DQ thanks to the head flight doc at my local base. My question is, if the AF denies my appeal, can I work and ETP? Or am I out of luck even though they're DQ'ing someone with 6 years of pilot service, and almost 13 years of aircrew service.

Thanks for the help and standing by for arrow to tell me to search more.
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#35 deaddebate

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Posted 06 March 2013 - 12:00 PM

An ETP will always trump a waiver, and it may end up being tracked by the waiver system (AIMWTS) in the end. Note though that MAJCOM is usually the approval authority, so the appeal / ETP is likely going to AF/SG, which is probably going to take a long time.
Also, when you submit a medical package that high, they HEAVILY scrutinize packages. Don't be surprised if they ask for additional/repeat exams that other physicians might think are overkill.

#36 deaddebate

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Posted 23 April 2013 - 06:48 PM

New Guidance Memorandum for AFI 36-2101 solidifies ETP processes a little bit. Below is an excerpt:

Quote

AFI36-2101_AFGM1
[...]
(Replace) 3.7. Waiving Mandatory Requirements. Mandatory requirements for awarding AFSCs may be waived in extremely rare instances for individuals possessing exceptional qualifications determined to be equivalent to the mandatory requirements. Approval authority and procedures to request classification waivers are outlined below and in Tables 3.1. and Table 3.2. A waiver request must start with the individual or the individual’s immediate supervisor. Waiver requests must be fully justified and documented. Only requests that are recommended for approval should be forwarded to the next review level (see paragraph 3.7.5., Table 3.3. and Table 3.4. for processing instructions). NOTE: Procedures to request waivers pertaining to on-the-job training (OJT) time-in-training for AFSC upgrade are contained in Table 3.4.
I saw an ETP in a medical record for the first time the other week, signed by the then Air Force Surgeon General (AF/SG), Lt Gen "Peach" Taylor. The Airman said it took many, MANY months of hard work to convince many different people to get accepted.

#37 eb287

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Posted 04 May 2013 - 09:23 AM

I imagine most ETPs are submitted for FC1/1A (?), but are waivers and/or ETPs any more likely to get approved for initial FCIIU or FCIII, especially for a condition which can be shown to be stable and that would not affect safety of flight or mission accomplishment (and IS waiverable for trained aircrew)?

#38 deaddebate

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Posted 04 May 2013 - 01:48 PM

Nearly all standards are more lenient for FC II/IIU/III than I/IA, and the waivers become proportionally easier, though these are obviously still much more stringent than general, non-flying enlistment/commission. ETP is entirely outside the medical process, as you'll learn by reading this thread, however that bar would be a little lower if you're shooting for a lower standard, but this is similar to saying that instead of needing to bench press 400 lb.s, you only need to bench press 375 lb.s. ETP's are extraordinarily difficult.
Remember that you need to meet FCI standards for the Initial Flying Class approval to become a Pilot. FCII is for "trained" personnel, already in the AFSC, and only later needing the waiver.





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