AF 469 Duty Limiting Condition: Supervisor & Member Worksheet
Understand and track an AF Form 469 profile: duty, mobility, and fitness restrictions, expiration, and follow-up. The real 469 is written by the provider in ASIMS.
What this worksheet covers
Name, rank, and unit prefill from your service profile.
Member data
- Member (Rank, Name)
- Grade
- Unit
Profile
- Date initiated
- Expiration date
Duty and mobility restrictions: up to 365 days (or the RILO follow-up date). Fitness restrictions: up to 365 days unless AMRO approves a permanent fitness profile.
- Status
- Condition (general description only)
Use the general wording on the 469 (e.g., "lower extremity injury"). Do not record a diagnosis.
Restrictions
- Mobility restriction
If the 469 restricts mobility, the commander signs it before release and an assignment availability code (e.g., AAC 31, 37, or 81) may apply.
- Assignment Availability Code (if any)
- Duty restrictions (as written on the 469)
Copy the restrictions word for word. By rule they say what the Airman cannot do, not what they can.
Fitness
- Fitness assessment components exempted
From the FAE portion of the 469. Exempt components are excluded from the composite.
- Fitness restrictions / return-to-test notes
Follow-up
- Supervisor plan: duties the member will perform
Duties consistent with the restrictions. Keep it about the job, not the medical condition.
- Follow-up appointments and review dates
How to fill out the Worksheet (AF Form 469 is ASIMS-generated)
The AF Form 469, Duty Limiting Condition Report, is how a medical provider tells the commander about duty restrictions (DR), mobility restrictions (MR), and fitness restrictions and fitness assessment exemptions (FAE). It is an electronic form, stocked and issued by the medical treatment facility and generated only in ASIMS, so there is no blank for members to fill in. This worksheet helps the member and supervisor capture what the 469 says and manage it. When: When your provider tells you a condition limits your duty, deployment, or fitness test, when the unit receives an ASIMS notification, and before the expiration date so you can get it renewed or closed.
Step by step
- Get the finalized 469 from ASIMS or your UDM/UFPM and copy the restrictions and dates here.
- Note whether it restricts mobility. Mobility-restricting 469s need the commander's signature before release to the Airman.
- Record which fitness components are exempt and until when.
- List what the member can still do safely, agreed with the supervisor, without adding medical details.
- Track follow-up appointments and the expiration date; a 469 can't run more than 365 days without the special reviews AFI 48-133 requires.
What a strong one looks like
- An Airman can have only one active 469 at a time, but ASIMS can track several conditions on it with separate expiration dates.
- A 469 isn't required for conditions expected to resolve within 72 hours.
- Mobility restrictions of 90 days or less are "light duty" profiles and get monthly AMRO board review.
- A commander who disagrees with a mobility restriction must contact the MTF/SGP through ASIMS within seven duty days.
Common mistakes
- Writing the diagnosis. Supervisors get restrictions, not medical details; keep this worksheet the same way.
- Letting a profile expire before a scheduled PFA. Get it renewed or closed before the test.
- Assuming a 469 from the last base doesn't count. Fitness restrictions and exemptions stay valid at the gaining installation.