First and Second TLD periods
Active duty and full-time support personnel placed on TLD by their MTF are in a medically restricted status and cannot perform specific tasks as indicated on member’s medical evaluation board write-up.  An MTF that has convening authority may approve TLD for the 1^st and 2^nd periods only for a maximum of 12 months combined.  MILPERSMAN Article 1306-1200 refers.   

TLD Reevaluations at an MTF (follow-up of TLD period)
Active duty and full-time support personnel placed on TLD by their MTF are required to complete a reevaluation 30 days prior to their end of TLD period.  Active duty and full-time support personnel are required to make their own appointments for reevaluation and follow the rules explained to them on the page 13 (NAVPERS Form 1070/613) that they signed when placed on TLD.  Possible results from a reevaluation by an MTF are approving a 2^nd TLD period, return a member to duty, refer case to the Physical Evaluation Board (PEB), or submit MEB to Pers-835 for review of a possible 3^rd TLD period (Pers-835 may grant additional TLD or refer the case to the PEB for disability adjudication).   MILPERSMAN Article    1306-1206 refers.

Departmental Review at Service Headquarters (PERS-835)
Active duty and full-time support personnel may need additional TLD over their maximum allowed TLD per career (12 months) as indicated by an MTF.  An MTF will fax all MEB reports, non-medical assessment, and cover sheet to Pers-835 for review.  Pers-835 may grant additional TLD for the member or refer the case to the PEB for disability adjudication.  MILPERSMAN Article 1306-1200 refers. 

Return to Duty from TLD
Active duty and full-time support personnel returned to duty (RTD) medically unrestricted by an MTF still must complete an assignment screening to show if member is world-wide assignable or assignment limited.  Once member’s physician placed member RTD, the member must take the RTD form to the MTF’s patient administration office for status change and further direction.  The member, if not done already, must make a suitability screening appointment to determine if member is worldwide assignable or assignment limited.  To clarify, a RTD decision does not necessarily mean the member can perform operational duty, be detailed to special assignments, etc; therefore, the suitability screening is required.  MILPERSMAN Article 1306-1208 refers.

Member is Worldwide Assignable
An active duty or full-time support member, after found returned to duty by an MTF and subsequently found worldwide assignable, is available for orders.  Member’s servicing PSD is responsible to submit a “YJ” Avail to Pers-4013 indicating a member is worldwide assignable.  Pers-4013 further completes the avail for detailers to assign a member to a new duty station (if applicable).   An Avail is not required for members on a normal shore rotation and not within their 9-month PRD window.  MILPERSMAN Article 1301-801 and 1306-1208 refers.

Member is Assignment Limited
An active duty or full-time support member, after found returned to duty by an MTF and subsequently found assignment limited, is not available for orders.  Member’s servicing PSD is responsible to submit a “YJ” Avail to Pers-4013 indicating a member is assignment limited.  Member’s command is responsible to send an assignment limited message to Pers-40BB using template shown on Exhibit 1 of MILPERSMAN Article 1301-801.  A member determined to be assignment limited may receive orders, be retained at current command, or be ordered to start administrative separation processing.   An assignment limited Avail by PSD and message release by command is required even if member is on a normal shore rotation and not within their 9-month PRD window.  MILPERSMAN Article 1301-801 and 1306-1208 refers.