https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN45402-ALARACT_1132025-000-WEB-1.pdf
ALARACT 113/2025
DTG: R 121800Z DEC 25
UNCLAS
SUBJ/ALARACT 113/2025 – ADDITIONAL ARMY GUIDANCE CLARIFYING 6 JUNE
2022, MEMORANDUM REGARDING HUMAN IMMUNODEFICIENCY VIRUS–
POSITIVE PERSONNEL WITHIN THE ARMED FORCES
1. (U) REFERENCES:
1.A. (U) AR 600–110, IDENTIFICATION, SURVEILLANCE, AND ADMINISTRATION
OF PERSONNEL INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS
1.B. (U) AR 40–501, STANDARDS OF MEDICAL FITNESS
1.C. (U) DODI 1332.45, RETENTION DETERMINATIONS FOR NON-DEPLOYABLE
SERVICE MEMBERS, 30 JULY 2018, INCORPORATING CHANGE 1, EFFECTIVE 27
APRIL 2021 (AVAILABLE AT HTTPS://WWW.ESD.WHS.MIL/)
1.D. (U) DODI 6485.01, HUMAN IMMUNODEFICIENCY VIRUS (HIV) IN MILITARY
SERVICE MEMBERS, 7 JUNE 2013, INCORPORATING CHANGE 2, EFFECTIVE 6
JUNE 2022 (AVAILABLE AT HTTPS://WWW.ESD.WHS.MIL/)
1.E. (U) DODI 6490.07, DEPLOYMENT-LIMITING MEDICAL CONDITIONS FOR
SERVICE MEMBERS AND DEPARTMENT OF DEFENSE (DOD) CIVILIAN
EMPLOYEES (AVAILABLE AT HTTPS://WWW.ESD.WHS.MIL/)
1.F. (U) SECRETARY OF DEFENSE MEMORANDUM (POLICY REGARDING HUMAN
IMMUNODEFICIENCY VIRUS-POSITIVE PERSONNEL WITHIN THE ARMED
FORCES) AVAILABLE AT HTTPS://MEDIA.DEFENSE.GOV/2022/JUN/07/2003013398/-
1/-1/1/POLICY-REGARDING-HUMAN-IMMUNODEFICIENCY-VIRUS-POSITIVE-
PERSONNEL-WITHIN-THE-ARMED-FORCES.PDF
2. (U) THIS MESSAGE APPLIES TO THE REGULAR ARMY, UNITED STATES
ARMY RESERVE, THE ARMY NATIONAL GUARD AND THE ARMY NATIONAL
GUARD OF THE UNITED STATES.
3. (U) THE PURPOSE OF THIS MESSAGE IS TO REISSUE GUIDANCE INFORMING
ARMY PERSONNEL OF CURRENT DOD POLICY REGARDING HIV POSITIVE
PERSONNEL WITHIN THE ARMED FORCES, TO PROVIDE NOTICE THAT AR 600–
110 WILL BE REVISED TO IMPLEMENT THAT POLICY, AND TO REMIND ARMY
PERSONNEL THAT WAIVERS TO THE CURRENT ARMY POLICY ARE AVAILABLE
THROUGH THE EXCEPTION TO POLICY (ETP) PROCESS PRESCRIBED IN AR
25–30.
4. (U) BACKGROUND: ON 6 JUNE 2022, THE SECRETARY OF DEFENSE
MANDATED THAT PERSONNEL WITHIN THE ARMED FORCES WHO HAVE BEEN
IDENTIFIED AS HIV-POSITIVE, ARE ASYMPTOMATIC, AND WHO HAVE A
CLINICALLY CONFIRMED UNDETECTABLE VIRAL LOAD WILL HAVE NO
RESTRICTIONS APPLIED TO THEIR DEPLOYABILTY OR TO THEIR ABILITY TO
COMMISSION WHILE A SERVICE MEMBER SOLELY ON THE BASIS OF THEIR
HIV POSITIVE STATUS (SEE REF 1.F.).
5. (U) REFERENCE 1.A. PRESCRIBES ARMY POLICY, PROCEDURES,
RESPONSIBILITIES, AND STANDARDS GOVERNING IDENTIFICATION,
SURVEILLANCE, AND ADMINISTRATION OF ARMY PERSONNEL INFECTED
WITH HIV. AR 600–110 IS BEING REVISED TO IMPLEMENT THE CURRENT DOD
POLICY WITHIN THE ARMY.
6. (U) UNTIL REFERENCE 1.A. IS REVISED, ARMY PERSONNEL ARE REMINDED
THAT A REQUEST CAN BE MADE FOR AN EXCEPTION TO THE CURRENT ARMY
POLICY PRESCRIBED IN AR 600–110, THAT IS CONSISTENT WITH THE
CHANGE TO DOD POLICY FOR OVERSEAS ASSIGNMENTS, DEPLOYMENTS,
OUTSIDE THE CONTINENTAL UNITED STATES (OCONUS) TEMPORARY DUTY
(TDY), OR ACTIVE-DUTY ORDERS GREATER THAN 30 DAYS.
7. (U) IN ACCORDANCE WITH REFERENCE 1.A., ACTIVITIES MAY REQUEST A
WAIVER TO THIS REGULATION BY PROVIDING JUSTIFICATION THAT
INCLUDES A FULL ANALYSIS OF THE EXPECTED BENEFITS AND MUST
INCLUDE FORMAL REVIEW BY THE ACTIVITY’S SENIOR LEGAL OFFICER. ALL
WAIVER REQUESTS WILL BE ENDORSED BY THE COMMANDER OR SENIOR
LEADER OF THE REQUESTING ACTIVITY AND FORWARDED THROUGH THEIR
HIGHER HEADQUARTERS TO THE DEPUTY CHIEF OF STAFF (DCS), G–1 FOR
FINAL APPROVAL BY THE REGULATION PROPONENT HEREAFTER REFERRED
TO AS “HQDA G–1”.
8. (U) THE FOLLOWING ITEMS ARE EXAMPLES OF SUPPORTING DOCUMENTS
TO INCLUDE WITH AN EXCEPTION TO POLICY REQUEST TO DCS, G–1:
8.A. (U) MEMORANDUM FROM TREATING INFECTIOUS DISEASE PHYSICIAN
INCLUDING CURRENT MEDICAL STATUS (IN OTHER WORDS, MEDICALLY
STABLE), COMPLIANCE WITH TREATMENT, AND RECENT LABS OF VIRAL LOAD
AND CD4 COUNT.
8.B. (U) DD FORM 2870, MEDICAL RELEASE FORM TO AUTHORIZE REVIEW
(AVAILABLE AT
HTTPS://WWW.ESD.WHS.MIL/PORTALS/54/DOCUMENTS/DD/FORMS/DD/DD2870
.PDF).
8.B.1. (U) BLOCK 6A: OFFICE OF THE SURGEON GENERAL MEDICAL
READINESS HEALTH CARE OPERATIONS TEAM.
8.B.2. (U) BLOCK 6B: HQDA, OFFICE OF THE SURGEON GENERAL, 7700
ARLINGTON BOULEVARD, FALLS CHURCH, VA 22042–5142.
8.C. (U) DA FORM 4187, PERSONNEL ACTION (AVAILABLE AT
HTTPS://ARMYPUBS.ARMY.MIL/PRODUCTMAPS/PUBFORM/DAFORM4001_5000.
ASPX).
8.C.1. (U) DESCRIBE REASON AND POLICY LINE ITEM (RATIONALE),
ENDORSED AND SIGNED BY THE SOLDIER’S BATTALION COMMANDER OR
HIGHER.
8.C.2. (U) BLOCK 2: DCS, G–1, 300 ARMY PENTAGON, ROOM 2E446,
WASHINGTON, DC 20310–0300.
8.D. (U) ANY OTHER SUBSTANTIATING DOCUMENTS THAT WOULD SUPPORT
THE REQUEST AND DEMONSTRATE THE BENEFIT TO THE ORGANIZATION
(SOLDIER RECORD BRIEF, PERFORMANCE EVALUATIONS, PT TESTS, AND SO
ON).
9. (U) ALL DEPLOYMENTS AND OCONUS TDYS ALSO REQUIRE
CONSULTATION WITH THE RECEIVING COMBATANT COMMAND (CCMD)
SURGEON WITH FINAL APPROVAL BY THE COMBATANT COMMANDER PRIOR
TO SUBMITTING THE ETP REQUEST ENCRYPTED TO DCS, G–1 POINT OF
CONTACTS FOR PROCESSING. IT IS RECOMMENDED THAT SOLDIERS WORK
WITH THEIR BRIGADE SURGEON FOR THIS TYPE OF ETP. TO ENSURE
AWARENESS OF THE PENDING DEPLOYMENT ETP REQUEST, PLEASE
INCLUDE THE DCS, G–1 POINT OF CONTACTS ON THE CCMD MEDICAL
WAIVER SUBMISSION.
10. (U) THE ETP PROCESS TAKES AT LEAST 90 DAYS UPON RECEIPT OF THE
ETP REQUEST BY HQDA G–1 POINT OF CONTACTS.
11. (U) REFER TO ATTACHMENT FOR STEP-BY-STEP POWER POINT ON ETP
PROCESS.
12. (U) DCS G–1 POINT OF CONTACTS ARE AS FOLLOWS: LTC SERENA
STAPLES, DCS, G–1 AT SERENA.K.STAPLES.MIL@ARMY.MIL AND SHAWN
LOCKHART, DCS, G–1 AT SHAWN.K.LOCKHART.CIV@ARMY.MIL. mailto:
13.(U) THIS ALARACT MESSAGE EXPIRES 2 DECEMBER 2026.
ATTACHMENT:
SUBMITTING AR 600–110 EXCEPTION TO POLICY REQUESTS TO HEADQUARTERS,
DEPARTMENT OF THE ARMY (HQDA).
CLASSIFICATION (U)
Submitting AR 600-110 Exception to Policy
Requests to
Headquarters, Department of the Army
(HQDA)
Note: This presentation was prepared for peer support
based on the experience of a Soldier living with HIV. SEPTEMBER 2025This content has been reviewed by HQDA, G-1.
CLASSIFICATION (U) 1
24 JAN 24
CLASSIFICATION (U)
Introduction
• Last updated on 22 April 2022, restrictions for HIV+ personnel
included, but were not limited to:
• Deployments: Hostile and non-hostile environments.
• Assignments (WIAS and PCS) overseas for any duration of time
• Assignments within any table of organization and equipment or
modified table of organization and equipment (TOE & MTOE
units).
• Military-sponsored educational programs regardless of length
resulting in an additional service obligation (ADSO).
• “In view of significant advances in the diagnosis, treatment, and
prevention of Human Immunodeficiency Virus (HIV) […].
Individuals who have been identified as HIV positive, are
asymptomatic, and who have a clinically confirmed undetectable viral
load (hereinafter, "covered personnel") will have no restrictions
applied to their deployability or to their ability to commission while a
Service member solely on the basis of their HIV-positive status.”
• The US Department of the Army has not yet published an updated
policy in response to the DoD update. As Senior Leaders deliberate to
the update of AR 600-110, “Covered Personnel” can submit an
Exception to Policy (ETP) in order to PCS or travel TDY outside the
contiguous United States (OCONUS), Deploy, or serve on Active-
Duty Orders greater than 30 days.
CLASSIFICATION (U) BE ALL YOU CAN BE 2
24 JAN 24
Example Documents for ETP Packet
1. DA Form 4187 (signed by Battalion Commander or higher)
2. Letter of Suitability
3. DD Form 2870
4. Theater Commander Medical Waiver Form-Signed
5. Exception to Policy Request Memorandum
6. Commander Endorsement Memorandum
7. Additional Supporting Documents (Optional)
1. Soldier Record Brief
2. Army Combat Fitness Test/Army Fitness Test Scorecards
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DA Form 4187
The 4187 documents the current/losing commander’s endorsement for the request. While (s)he is the
highest signature authority, the “to” block is still labeled DCS G-1, and the first required document in the
packet.
In block 7 the change is from CONUS to OCONUS or to Active-Duty Status greater than 30
days effective 0900 hours on your proposed report date.
Section III – Block 8, mark “other” specifying “for OCONUS PCS, Deployment, or ADOS Orders greater
than 30 days.” Blocks 9 and 10 leave blank.
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24 JAN 24
DA Form 4187
BE ALL YOU CAN BE
• Remember, the request is a “need to
know, basis.” it is suggested the packet
(including the 4187 should go through
the chain of command by hand or
encrypted e-mail, from Company
Commander to Battalion Commander.
• 4187 must be signed by Battalion
commander or higher.
• Close out the 4187 with the
current/losing commander’s
recommendation.
• If you reside at a Brigade or higher, your
4187 will have less signatures as in the
example
5
24 JAN 24
Letter Of Suitability
Letter of Suitability is a memorandum from the Soldier's Infectious Disease Physician endorsing an ability
to adhere to antiretroviral therapy. Supporting data in this document are the results of the Soldier’s last lab
draw. It is important the memorandum states the following:
- Date of draw (within the last 6 months)
- CD4 Count/%
- HIV Viral Load
- Antiretroviral Regimen
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DD 2870
• The DD 2870 authorizes the disclosure of medical or dental information to HQDA in order to determine
your eligibility for ETP approval. Utilize the template below to complete. Sign and date in blocks 11
and 13.
Enter Your Military Treatment Facility
OTSG Medical Readiness Health Care Operations Team
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24 JAN 24
Theater Medical Deployability Waiver
Some Theater command Surgeon Generals require waivers to document whether care is possible at your
new duty station. For example, USARPAC requires the following document to be filled out. Although it is
meant for deploying, the information provided can substitute until proper paperwork is developed.
Each Combatant Command will have their own medical waiver form. Please request form from Surgeon’s
Office or contact HQDA G-1 POC.
Block 13 will be your report date.
Block 14 is the number of days your assignment is. If it is a two-year assignment, the entry will state 730.
ETPs are only valid for 365 days. A request for extension must be submitted 6 months prior to proposed
extension.
Block 15 is the gaining country.
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Theater Medical Deployability Waiver Cont.
▪ Block 23 can remain as “see attachments.”
▪ Block 24, 25, 26, and 27 are filled out by your ID Physician
▪ Block 28 – 31 are filled out by the gaining Surgeon General
Combatant Command Surgeon’s Signature
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Soldier ETP Request Memorandum
• This memorandum is a personal letter to the approval authorities, and it is optional but highly
encouraged. An example is provided below. This memorandum can explain the reasonings why your
ETP should be approved. For example, why are you the best person for the job?
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Commander ETP Endorsement
• This memorandum from your current/losing command simply states the support (s)he has for this ETP.
Intent is to show that during your time at the unit, you have shown zero signs of an inability to work
because of your condition.
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Additional Supporting Documents
• Lastly, you would want to attach any supporting documents. This can include, but may not require, an
Army Fitness Test (AFT), Evaluations (maybe the last 3). With intentions to show your health, and
value to the Army.
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General Information
• Understand, things may change, and requirements may change as the regulation is being developed.
• Timeline of 90 days starts AFTER completed packet is submitted to HQDA G1 Medical Readiness
Team.
• Please refer to your Public Health Nurse or the POCs stated in the ALARACT for any questions on
completing your packet.
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