I have a Presidential NOM and all items complete except for the medical. During CVW, I was told during meetings with Dean Latta and the Superintendent that I would receive an appointment upon completion of the medical. I haven't received an actual LOA, but I think this is as close as you can get to an LOA if you already have a Presidential NOM. He said that an early offer of appointment would be made later in the fall / early winter. I realize this isn't the same situation as your DS, as I still need to complete DODMERB, but it is similar. I hope this helps. #GONAVY