Generally, how are the applications for designee status submitted?

• A. Through the wing commander to the command surgeon general's office
• B. Through the command surgeon general's office to HQ USAF/SGMA
• C. Through the military treatment facility commander to HQ USAF/SGMA
• D. Through the chief of hospital or clinic services to the command surgeon's office

Answer: (B)

Designee status requests are handled through a centralized pathway that ensures uniform oversight and accountability. The proper route is to submit the application from the command level up through the command surgeon general’s office and on to HQ USAF/SGMA for final determination. This centralizes policy adherence, standardizes eligibility criteria, and provides an auditable record across all commands. Routing the request higher or lower in the chain of command outside this pathway could lead to inconsistent decisions and gaps in governance, which is why the designated route is the command surgeon general’s office to HQ USAF/SGMA.