1. Investigation has disclosed that you have failed to pay several bills within the last 3 months. This has become such a problem that your cell phone service was threatened to be shut off, insurance revoked, and car repossessed.
2. You are hereby counseled. By failing to pay your just debts, you have failed to meet the standards found in the Air Force Instruction 36-2906. As an Air Force member, you are expected and required to manage your financial affairs in a proper manner. Your conduct has shown a lack of financial responsibility that is expected of Air Force servicemen and women. Further punishment will be applied if you continue to fail to meet this standard.
3. The following information required by the Privacy Act is provided for your information. AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain any comments you desire to submit (on a voluntary basis) for consideration concerning this action. ROUTINE USES: Provides you an opportunity to submit comments or documents for consideration. If provided, the comments and documents you submit become a part of the action. DISCLOSURE: Your written acknowledgment of receipt and signature are mandatory. Any other comment or document you provide is voluntary.
4. You will acknowledge receipt of this letter immediately by signing the acknowledgement below. Within three (3) duty days from the day you received this letter, you will sign the 1st IND below. Any comments or documents you wish to be considered concerning this letter must be submitted at that time.