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Form preview Form 3065 U.S. DOD Form dod-navcompt-3065 LEAVE REQUEST/AUTHORIZATION NAVCOMPT FORM 3065 3PT REV. 2-83 1. DATE OF REQUEST 2. FOR ADMIN* USE ONLY APPROVAL OF THIS LEAVE IS NOT VALID WITHOUT CONTROL NO. 4. NAME Last First MI 3. SSN SEE REVERSE FOR PRIVACY ACT STATEMENT INSTRUCTIONS FOR COMPLETING THIS FORM ARE ON THE REVERSE OF PART 3. 6. SHIP/STATION LEAVE CONTROL NO. 5. PAYGRADE 7. DEPT/DIV 8. DUTY SECTION 10. TYPE LEAVE 9. DUTY PHONE 12. MODE OF TRAVEL FOR USE OUTUS ONLY REGULAR SICK EMERGENCY SEPARATION RETIREMENT OTHER 13. DAYS REQUESTED 14. FROM Hour Date YYMMDD 11a* Leaving Area of PERMDUTYSTA YES AIR 11b. Taking Leave INCONUS 15. TO Hour Date YYMMDD NO BUS CAR TRAIN 16. NORMAL WORKING HOURS DAY OF DEPARTURE 17. LEAVE BALANCE 18. LEAVE USED THIS FY FROM 19. LEAVE PHONE DAYS AS OF 20. LEAVE ADDRESS TO DAY OF RETURN 21. RATION STATUS Enlisted COMMUTED RATIONS COMRATS Meal Pass No* Entitled to EDF meals except during periods of leave 22. SIGNATURE OF APPLICANT I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL* I UNDERSTAND THAT SHOULD ANY PORTION OF THIS LEAVE IF APPROVED RESULT IN MY TAKING MORE LEAVE THAN I CAN EARN ON MY CURRENT UNEXTENDED ENLISTMENT OR CURRENT ACTIVE DUTY OBLIGATION MY PAY WILL BE CHECKED FOR SUCH EXCESS LEAVE* DATE RECOMMENDED 23. APPROVED DISAPPROVED REVIEWING OFFICER S NAME AND SIGNATURE 24. COMMENTS/REMARKS 25. SHIP OR STATION Including telegraphic address 26. REPORT ON EXPIRATION OF LEAVE TO If other than block 25 DEPARTED ON LEAVE 27a* HOUR 27c* OOD S SIGNATURE RETURNED FROM LEAVE 27b. DATE YYMMDD GRANTED EXTENSION OF LEAVE ENDING IN CONSIDERATION OF THE MEMBER S COMPLETION OF A FULL WORKDAY AS DEFINED IN MILPERSMAN NAVPERS 15560 ON THE DAYS OF DEPARTURE AND RETURN THE INCLUSIVE DAYS SHOWN ARE CORRECT AND PROPER FOR CHARGING AS LEAVE* IS CORRECT AND PROPER TO THE BEST OF MY KNOWLEDGE* 32. CERTIFYING OFFICER S TYPED NAME/RANK/TITLE 29c* AUTHORIZING OFFICER S SIGNATURE 30. INCLUSIVE LEAVE PERIOD TO BE CHARGED FIRST YY LAST MM DD 31. NO. OF DAYS FORWARD THIS COPY TO PERSONNEL OFFICE VIA COMMAND ONLY ON COMPLETION OF LEAVE* S/N 0104-LF-703-0656 PART 1 ON APPROVAL COMMAND/DEPT COPY ON RETURN FORWARD TO PERSONNEL OFFICE PART 2 ON APPROVAL FORWARD TO PERSONNEL OFFICE PART 3 IMPORTANT NOTICE THIS COPY PART 1 IS YOUR OFFICIAL LEAVE AUTHORIZATION* DO NOT DESTROY OR LOSE 1. Leave is granted subject to immediate recall therefore maintain communication with your leave address. Keep this leave authorization in your possession at all times. In the event of a general recall individual orders may not be issued* Inform your commanding officer of permanent change of leave address. 2. Save sufficient money or obtain round-trip ticket to insure you have return transportation* Keep yourself informed of transportation schedules and weather conditions through your return route and make sufficient allowances for normal delays. 3. While it is desirable to tell the public about your Navy do not discuss any subject unless you are certain it is unclassified* If you are asked to participate in a press conference talk to reporters or speak over the radio or television on matters pertaining to the naval service and you are not certain that all your remarks are unclassified consult with and obtain guidance of the commanding officer of the nearest naval unit prior to participation* 4.
Form preview Musc leave request form MEDICAL UNIVERSITY OF SOUTH CAROLINA REQUEST FOR LEAVE Last Name First Name M. I. Type Leave Requested check appropriate box es. USE A SEPARATE FORM FOR EACH ABSENCE Supplemental Leave Court Optional Holiday Worked on Holiday Military Date of Holiday Administrative Assaulted by a patient/client Bone Marrow Donor Blood Donation Voting Death in Family Name of Deceased Date and Place of Death Relationship Annual Leave Is this Family Medical Leave Yes / No Leave Without Pay Sick Leave Vacation Illness Other - Please explain Child Birth Personal Illness/Accident Illness in Family AMOUNT OF ADMIN. LEAVE REQUESTED. MEDICAL UNIVERSITY OF SOUTH CAROLINA REQUEST FOR LEAVE Last Name First Name M. I. Type Leave Requested check appropriate box es. USE A SEPARATE FORM FOR EACH ABSENCE Supplemental Leave Court Optional Holiday Worked on Holiday Military Date of Holiday Administrative Assaulted by a patient/client Bone Marrow Donor Blood Donation Voting Death in Family Name of Deceased Date and Place of Death Relationship Annual Leave Is this Family Medical Leave Yes / No Leave Without Pay Sick Leave Vacation Illness Other - Please explain Child Birth Personal Illness/Accident Illness in Family AMOUNT OF ADMIN* LEAVE REQUESTED. HRS* AMOUNT OF ANNUAL LEAVE AMOUNT OF LEAVE WITHOUT PAY AMOUNT OF SICK LEAVE DATE S FROM TO TIME S FROM AM/PM TO AM/PM Requires supporting documentation Placement for Adoption Foster Care Medical Appointments 3 days or less more than 3 days May require administrative approval and/or medical certification SUPERVISOR APPROVAL EMPLOYEE SIGNATURE --------------------------------------------------------------------------------------------------------------------------------------------------- USE THIS SECTION FOR FAMILY MEDICAL LEAVE ACT FMLA APPROVALS ONLY I hereby certify that the above named employee meets the requirements for FMLA and that this leave is approved* Department Head Signature HRM Approval FOR DEPARTMENT USE ONLY FOR PAYROLL LEAVE RECORD KEEPING DATE LEAVE RECORDED LEAVE TYPE ANNUAL SICK ADMIN* INITIALS. USE A SEPARATE FORM FOR EACH ABSENCE Supplemental Leave Court Optional Holiday Worked on Holiday Military Date of Holiday Administrative Assaulted by a patient/client Bone Marrow Donor Blood Donation Voting Death in Family Name of Deceased Date and Place of Death Relationship Annual Leave Is this Family Medical Leave Yes / No Leave Without Pay Sick Leave Vacation Illness Other - Please explain Child Birth Personal Illness/Accident Illness in Family AMOUNT OF ADMIN* LEAVE REQUESTED. HRS* AMOUNT OF ANNUAL LEAVE AMOUNT OF LEAVE WITHOUT PAY AMOUNT OF SICK LEAVE DATE S FROM TO TIME S FROM AM/PM TO AM/PM Requires supporting documentation Placement for Adoption Foster Care Medical Appointments 3 days or less more than 3 days May require administrative approval and/or medical certification SUPERVISOR APPROVAL EMPLOYEE SIGNATURE --------------------------------------------------------------------------------------------------------------------------------------------------- USE THIS SECTION FOR FAMILY MEDICAL LEAVE ACT FMLA APPROVALS ONLY I hereby certify that the above named employee meets the requirements for FMLA and that this leave is approved* Department Head Signature HRM Approval FOR DEPARTMENT USE ONLY FOR PAYROLL LEAVE RECORD KEEPING DATE LEAVE RECORDED LEAVE TYPE ANNUAL SICK ADMIN* INITIALS.
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