Survey Form-2012
U. S. NAVAL HOSPITAL
Oakland CaliforniaDate SEP 10 1945
In the event Naval Retiring Board proceedings be instituted for the consideration of my case, I waive my rights to appear before the Naval Retiring Board or to be represented by counsel.
I certify that I have been informed of the contents of the report of medical survey as required by Article 1195 (2), U. S. Navy Regulations, and that I am fully cognizant of the provisions of Section 958, Naval Courts and Boards.
(signed)
L. Ron Hubbard
Waiver Of Rights (September 10, 1945)
File/Ref. No.: OMPF-LRH-03-015
Download: OMPF-LRH-03-015.pdf