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The Navcompt 3065 form plays a crucial role in the leave request process for military personnel. This form is designed to facilitate the submission and approval of leave requests, ensuring that all necessary information is collected and processed efficiently. Key sections of the form include personal identification details, such as the service member's name, pay grade, and duty station, as well as specifics about the type of leave being requested—whether it be regular leave, sick leave, or emergency leave. Additionally, the form requires applicants to provide their leave dates, travel mode, and a leave address, which is essential for maintaining communication during their absence. The Navcompt 3065 also includes a privacy act statement, emphasizing the importance of protecting personal information. Furthermore, the form outlines the responsibilities of the service member, including the need for sufficient funds for travel and the requirement to report back on time. By understanding the various components of the Navcompt 3065 form, service members can navigate the leave process more effectively and ensure compliance with military regulations.

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LEAVE REQUEST/AUTHORIZATION

SEE PAGE 2 FOR

NAVCOMPT 3065 (REV. 01/2007)

INSTRUCTIONS FOR COMPLETING THIS FORM ARE ON PAGE 2.

PRIVACY ACT STATEMENT

1. DATE OF REQUEST

2. FOR ADMIN. USE ONLY

 

 

APPROVAL OF THIS LEAVE IS

LEAVE CONTROL NO.

 

 

 

 

 

NOT VALID WITHOUT CONTROL NO.

 

 

 

3. SSN

4.NAME (Last, First, MI)

5. PAYGRADE

6. SHIP/STATION

 

 

 

 

 

 

7. DEPT/DIV

8. DUTY SECTION

9. DUTY PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. TYPE LEAVE

 

 

 

 

 

 

FOR USE OUTUS ONLY

 

12. MODE OF TRAVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11a. Leaving Area of PERMDUTYSTA

 

AIR

BUS

REGULAR

 

SICK

 

EMERGENCY

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEPARATION

 

RETIREMENT

OTHER

 

11b. Taking Leave INCONUS

 

CAR

TRAIN

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

13. DAYS REQUESTED

14. FROM (Hour, Date) (YYMMDD)

15. TO (Hour, Date) (YYMMDD)

 

16. NORMAL WORKING HOURS

 

 

 

 

 

 

 

 

 

 

DAY OF DEPARTURE:

 

 

 

 

 

 

 

 

 

 

FROM:

TO:

17. LEAVE BALANCE

 

 

 

18. LEAVE USED THIS FY

19. LEAVE PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY OF RETURN:

 

DAYS AS OF

 

 

 

 

 

 

 

 

 

FROM:

TO:

 

 

 

 

 

 

 

 

 

 

20. LEAVE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. RATION STATUS (Enlisted)

 

 

 

 

 

 

 

 

 

 

COMMUTED RATIONS (COMRATS)

 

 

 

 

 

 

 

 

 

 

Meal Pass No.

 

 

 

 

 

 

 

 

 

 

 

 

Entitled to EDF meals except

 

 

 

 

 

 

 

 

 

 

during periods of leave

 

 

 

 

 

 

 

 

I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL. I UNDERSTAND

22. SIGNATURE OF APPLICANT

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECOMMENDED

 

 

 

 

 

 

DATE

 

 

 

NO

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. APPROVED

DISAPPROVED

REVIEWING OFFICER'S NAME AND SIGNATURE

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

RETURNED FROM LEAVE

 

 

 

GRANTED EXTENSION OF LEAVE ENDING

 

27a. HOUR

27b. DATE (DD MMM YYYY)

28a. HOUR

28b. DATE (DD MMM YYY)

 

29a. HOUR

 

29b. DATE (DD MMM YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27c. OOD'S SIGNATURE

 

28c. OOD'S SIGNATURE

 

 

 

 

29c. AUTHORIZING OFFICER'S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN CONSIDERATION OF THE MEMBER'S COMPLETION OF A FULL WORKDAY

 

30. INCLUSIVE

 

 

FIRST:

LAST:

 

31. NO.

 

 

 

 

 

OF

 

 

 

 

 

 

 

 

 

 

 

 

 

(AS DEFINED IN MILPERSMAN, NAVPERS 15560) ON THE DAYS OF DEPARTURE

 

 

(YY) (MM) (DD)

(YY) (MM) (DD)

 

 

LEAVE PERIOD

 

 

DAYS

 

AND RETURN, THE INCLUSIVE DAYS SHOWN ARE CORRECT AND PROPER FOR

TO BE

 

 

 

 

 

 

 

 

 

 

 

 

CHARGING AS LEAVE.

 

 

 

 

CHARGED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I CERTIFY THAT THE ABOVE IS

32. CERTIFYING OFFICER'S TYPED NAME/RANK/TITLE

 

 

33. CERTIFYING OFFICER'S SIGNATURE

 

CORRECT AND PROPER TO THE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BEST OF MY KNOWLEDGE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORWARD A COPY TO PERSONNEL OFFICE VIA COMMAND ONLY ON COMPLETION OF LEAVE.

Page 1 of 2

IMPORTANT

THIS IS YOUR "OFFICIAL" LEAVE AUTHORIZATION.

NOTICE !!

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.Cooperate with Military or Air Police, Shore Patrol, and civil authorities at all times. You are subject to orders of your superior officers in all branches of the U.S. Armed Forces. Be an outstanding Navy ambassador at all times.

5.If necessary to request an extension of leave, communicate with your commanding officer by telegram. SINCE YOU NEED

POSITIVE APPROVAL FOR REMAINING ABSENT BEYOND THE TIME ORIGINALLY AUTHORIZED, IF NO REPLAY IS RECEIVED YOU MUST CONSIDER YOUR REQUEST NOT APPROVED.

6.In case of serious illness or injury incurred while on leave which requires medical attention or hospitalization, report facts to your commanding officer. If in the immediate vicinity of a naval activity, such as recruiting station or naval station, advise them of your condition and status. You are advised that costs incident to hospitalization or medical treatment received at other than Federal medical activities (Army, Air Force, Public Health Service, or Veterans' Administration) may be defrayed by the Navy Department in EMERGENCY cases only.

7.In the event that conditions beyond your control indicate late return to the command to which you are ordered to report, obtain written evidence from transportation agency or others (physician, military or civil police, recruiting station, etc.) for consideration by your commanding officer.

8.Request leave sufficiently in advance to allow processing via official channels. Leave is computed as follows: The day of departure on leave, shall be counted as a day of duty, except when leave commences prior to the end of the normal workday; the day of return from leave shall be counted as a day of leave, except when such return is made at or before commencement of your normal workday in which case it shall be counted as a day of duty.

OPERATION DRIVESAFE REMINDER

Statistics show the major causes of motor vehicle accidents are attributable to:

Excessive speed

Intoxicating liquor, and

Driving while fatigued or sleepy.

PLAN YOUR TRIP CAREFULLY. Be sure you allow yourself sufficient travel time and keep your travel to a minimum during hours of darkness.

INSTRUCTIONS FOR COMPLETING THE LEAVE REQUEST PORTION OF THIS FORM

1.Completion of this form must be in ballpoint or typewriter. The form must be completed in triplicate with all copies egible.

2.Print or type the appropriate data in blocks 1, and 3 through 21. Leave block 2 blank.

3.When completing blocks 14 and 15, follow these rules:

a.Block 14 - The hour for starting leave may not be prior to the end of your normal workday if leave starts on a workday. If leave starts ona non-workday, the starting hour may be 0001 if not contrary to command policy.

b.Block 15 - The hour for ending leave may not be later than the beginning of your normal workday if the day of return is a workday. If leave ends on a non-workday, the ending hour may be 2400 if not contrary to command policy.

4.Block 16 requires the following information:

Normal working hours for day of departure.

Normal working hours for day of return.

If day of departure or return is not a workday, enter "NONE"

5.Information required in blocks 17 and 18 may be obtained from Block 59 of your latest Leave and Earnings Statement or from your activity's Commanding Officer's Leave Listing.

6.You are advised that you must immediately return your original leave authorization to the appropriate office designated by your command upon return from leave.

PRIVACY ACT STATEMENT

This statement is provided in compliance with the provisions of the Privacy Act of 1974 (PL 93-579) which require that Federal agencies must inform individuals who are requested to furnish information about themselves as to the following facts concerning the information requested.

1.AUTHORITY: Title 10 and 37 USC.

2.PRINCIPAL PURPOSE(S): To authorize military leave of absence.

3.ROUTINE USE(S): To deduct leave taken from member's accrued leave balance. To pay leave rations to enlisted members.

4.MANDATORY OR VOLUNTARY DISCLOSURE: Voluntary. If the member does not request a specific period of leave and furnish his leave address, leave is not granted.

Page 2 of 2

Form Specifications

Fact Name Description
Purpose The Navcompt 3065 form serves as a formal request for military leave, allowing service members to document their leave requests and obtain necessary approvals.
Privacy Act Compliance This form adheres to the Privacy Act of 1974, ensuring that service members are informed about the collection and use of their personal information, as mandated by federal law.
Required Information To complete the Navcompt 3065, individuals must provide essential details such as their name, social security number, type of leave, and dates of absence.
Approval Process Leave requests submitted using this form require approval from a commanding officer. The absence is not valid without a control number, which is issued upon approval.

Completing the Navcompt 3065 form is an important step in requesting leave. This form ensures that all necessary information is collected for proper processing. Follow the steps below to accurately fill out the form.

  1. Gather necessary information: Before starting, collect your Social Security Number, name, pay grade, ship/station, department/division, and duty phone number.
  2. Complete the date of request: In block 1, write the current date.
  3. Leave block 2 blank: This block is for administrative use only.
  4. Fill in your SSN: Enter your Social Security Number in block 3.
  5. Provide your name: Write your last name, first name, and middle initial in block 4.
  6. Indicate your pay grade: Fill in your pay grade in block 5.
  7. Specify your ship/station: Write the name of your ship or station in block 6.
  8. Enter your department/division: Complete block 7 with your department or division name.
  9. Provide your duty section: Fill in block 8 with your duty section information.
  10. List your duty phone: Write your duty phone number in block 9.
  11. Choose your type of leave: In block 10, select the type of leave you are requesting.
  12. Fill out travel information: Complete blocks 11a and 11b regarding your travel plans.
  13. Enter days requested: Write the number of days you are requesting in block 13.
  14. Specify leave dates: In block 14, enter the hour and date you plan to start your leave. In block 15, enter the hour and date you plan to return.
  15. Provide normal working hours: Complete block 16 with your normal working hours for the days of departure and return.
  16. Check leave balance: Fill in blocks 17 and 18 with your leave balance and leave used this fiscal year.
  17. Provide leave address: Enter your address during leave in block 20.
  18. Complete the certification: Sign and date block 22 to certify that you have sufficient funds for travel and understand the leave policy.
  19. Submit the form: Once completed, forward the form to the appropriate personnel office as designated by your command.

After submitting the Navcompt 3065 form, await approval from your commanding officer. Keep communication open regarding your leave status and be prepared for any changes that may arise. It is essential to maintain awareness of your leave authorization and return plans.

Your Questions, Answered

What is the Navcompt 3065 form used for?

The Navcompt 3065 form is a Leave Request and Authorization document used by military personnel to formally request leave from duty. It serves as an official record of the leave requested, the dates of absence, and the type of leave being taken. This form ensures that all necessary approvals are documented and that the member's leave is managed appropriately by their command.

How do I complete the Navcompt 3065 form?

To complete the Navcompt 3065 form, you must fill it out in ballpoint pen or typewriter. It is essential to ensure that all information is legible. The form should be completed in triplicate, meaning you will need to fill out three copies. Make sure to print or type your details clearly in the designated blocks, including your name, Social Security Number, leave dates, and type of leave requested.

What information do I need to provide on the form?

When filling out the Navcompt 3065 form, you will need to provide several pieces of information. This includes your name, Social Security Number, pay grade, ship or station, department, and duty section. You will also need to specify the type of leave you are requesting, the dates of leave, and your leave address. Additionally, you must certify that you have sufficient funds for round-trip travel.

What types of leave can I request using this form?

The Navcompt 3065 form allows you to request various types of leave, including regular leave, sick leave, emergency leave, and leave for separation or retirement. You can indicate the type of leave you are requesting in the designated section of the form. Be sure to choose the appropriate category that reflects your situation.

What happens if my leave request is denied?

If your leave request is denied, you will receive a notification from your commanding officer or the reviewing officer. It is crucial to understand that you must adhere to your command's policies and procedures regarding leave. If you need to discuss your situation further, consider reaching out to your commanding officer for clarification or alternative options.

How do I know if my leave has been approved?

Can I change my leave dates after submitting the form?

Yes, if you need to change your leave dates after submitting the Navcompt 3065 form, you must communicate this to your commanding officer as soon as possible. It is important to submit a new leave request or an amendment to the original request to ensure that all changes are documented and approved properly.

What should I do if I encounter an emergency while on leave?

If you experience a serious illness or injury while on leave that requires medical attention, you should report this to your commanding officer immediately. If you are near a naval activity, such as a recruiting station or naval base, inform them of your condition. In emergencies, the Navy may assist with hospitalization costs, but this is typically limited to specific circumstances.

What is the importance of the Privacy Act Statement on the form?

The Privacy Act Statement included with the Navcompt 3065 form is crucial as it informs you about how your personal information will be used. It outlines the authority under which the information is collected, its principal purpose, and how it may be used. Understanding this statement helps ensure that you are aware of your rights regarding the information you provide.

What should I do with the Navcompt 3065 form after my leave?

After returning from leave, it is essential to return the original Navcompt 3065 form to the appropriate office designated by your command. This ensures that your leave is officially recorded and that your leave balance is updated accordingly. Keeping accurate records helps maintain transparency and accountability within your unit.

Common mistakes

  1. Not filling in the date of request: This is crucial as it establishes when the leave was requested. Without this date, the request may be considered incomplete.

  2. Leaving block 2 blank: Block 2 is for administrative use only, but it’s important to leave it blank as instructed. Filling it out can lead to confusion in processing the request.

  3. Incorrectly entering the Social Security Number (SSN): Double-check the SSN to ensure accuracy. An incorrect number can delay the processing of the leave request.

  4. Failing to specify the type of leave: Clearly indicate whether the leave is regular, sick, emergency, or another type. This helps in understanding the nature of the leave being requested.

  5. Not providing a leave address: This is essential for maintaining communication during the leave period. Without it, the command may not be able to reach you in case of an emergency.

  6. Overlooking the leave balance: Ensure that you check and accurately report your leave balance. This helps in preventing any issues related to excess leave taken.

  7. Not signing the form: The applicant's signature is necessary to certify the request. An unsigned form may be returned or denied.

  8. Ignoring the instructions for completing the form: Carefully read the instructions provided on page 2. Missing or misinterpreting these guidelines can lead to mistakes in the application.

Documents used along the form

The Navcompt 3065 form is essential for service members requesting leave. However, it is often accompanied by several other forms and documents that help facilitate the leave process. Each of these documents plays a specific role in ensuring that leave is properly authorized, tracked, and managed. Below is a list of commonly used forms and documents that may accompany the Navcompt 3065.

  • Leave and Earnings Statement (LES): This document provides a detailed account of a service member's pay, allowances, and leave balance. It is crucial for verifying the amount of leave available before submitting a leave request.
  • Military Leave Authorization (MLA): This form is used to formally approve a service member's request for leave. It includes details about the type of leave and the duration, ensuring all parties are aware of the leave terms.
  • Travel Order: When a service member is required to travel for official duties, a travel order outlines the specifics of the trip, including transportation and accommodations. This document is important for coordinating travel logistics.
  • Emergency Leave Request Form: In cases of urgent family matters, this form is specifically designed for requesting emergency leave. It often requires additional documentation to justify the need for immediate leave.
  • Medical Documentation: If leave is requested due to medical reasons, relevant medical documentation may be required. This can include doctor's notes or hospital discharge papers to support the leave request.
  • Extension of Leave Request: Should a service member need to extend their leave beyond the originally approved dates, this form is used to formally request the extension, ensuring proper communication with command.
  • Return from Leave Notification: After returning from leave, this document serves as a notification to the command that the service member has returned and is ready to resume duty.
  • Commanding Officer's Leave Approval: This form captures the commanding officer's approval of the leave request. It is essential for validating that the leave has been officially sanctioned by the appropriate authority.

Each of these forms and documents is integral to the leave process for service members. They ensure that all necessary approvals and documentation are in place, allowing for a smooth transition when taking leave. Properly managing these documents helps maintain accountability and ensures that service members can take the time off they need while adhering to military regulations.

Similar forms

The Navcompt 3065 form is primarily used for leave requests and authorizations within the military. It shares similarities with several other documents that serve related purposes. Here are six documents that are comparable to the Navcompt 3065 form:

  • Leave Authorization Form (DA 31): This form is used by Army personnel to request leave. Similar to the Navcompt 3065, it requires details about the leave period, type of leave, and approval from a commanding officer.
  • Military Leave Request Form (AF Form 988): Used by Air Force members, this form allows service members to request leave. It includes similar information such as dates of leave and the reason for the request, mirroring the structure of the Navcompt 3065.
  • Request for Leave (NAVPERS 1336/3): This form is utilized by Navy personnel to request leave. Like the Navcompt 3065, it requires personal details and specifics about the leave duration, ensuring proper documentation for approval.
  • Leave Request Form (DD Form Form 31): This form is used by all branches of the military to request leave. It includes similar fields for personal identification, leave dates, and signatures for approval, making it a close counterpart to the Navcompt 3065.
  • Emergency Leave Request Form: This document is specifically for urgent leave situations. It shares similarities with the Navcompt 3065 in that it requires a justification for leave and must be approved by a commanding officer.
  • Travel Order Form (DD Form 1610): While primarily used for official travel, this form also encompasses leave requests for military personnel. Like the Navcompt 3065, it requires details about the travel and the purpose of the absence from duty.

Dos and Don'ts

When filling out the Navcompt 3065 form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of recommended actions and common pitfalls to avoid.

  • Do complete the form in ballpoint pen or typewriter, ensuring legibility.
  • Do print or type all required data in the designated blocks, particularly blocks 1 and 3 through 21.
  • Do request leave well in advance to allow for processing through official channels.
  • Do maintain communication with your leave address, as leave may be subject to immediate recall.
  • Don’t discuss sensitive topics related to the Navy unless you are certain they are unclassified.
  • Don’t submit the form without verifying that all information is accurate and complete.
  • Don’t ignore the need for written evidence if conditions beyond your control delay your return.
  • Don’t forget to return your original leave authorization to the appropriate office upon your return from leave.

By adhering to these guidelines, individuals can facilitate a smoother leave request process while ensuring compliance with Navy protocols. It is vital to approach this process with diligence and care.

Misconceptions

Understanding the Navcompt 3065 form can be challenging, and several misconceptions often arise. Here are four common misunderstandings about this important leave request document:

  • Misconception 1: The Navcompt 3065 form is only for planned vacations.
  • Many people believe this form is solely for requesting time off for vacations. However, it is used for various types of leave, including sick leave, emergency leave, and even retirement leave. It serves as an official authorization for any absence from duty.

  • Misconception 2: The approval process is automatic once the form is submitted.
  • Some individuals think that submitting the Navcompt 3065 guarantees approval. In reality, the request must be reviewed and approved by a commanding officer. Until you receive confirmation, consider your leave request pending.

  • Misconception 3: Leave balances are irrelevant when filling out the form.
  • It’s a common belief that leave balances do not matter when submitting the Navcompt 3065. This is not true. You must be aware of your leave balance, as exceeding your available leave can result in pay deductions for the excess days taken.

  • Misconception 4: The form does not require any follow-up after submission.
  • Some think that once the form is submitted, no further action is needed. However, it is essential to maintain communication with your commanding officer and keep track of your leave status. If your leave is extended or if you encounter any issues, you must inform them promptly.

Key takeaways

Filling out the Navcompt 3065 form is an important step in requesting leave. Here are some key takeaways to keep in mind:

  • Complete the form accurately: Use a ballpoint pen or typewriter to fill out the form. Ensure all information is legible.
  • Submit in triplicate: Make sure to complete three copies of the form for processing.
  • Leave request timing: Submit your leave request well in advance to allow for processing through official channels.
  • Normal work hours: Be mindful of your normal working hours when filling out the start and end times for your leave.
  • Leave balance: Check your leave balance before submitting the request to avoid complications.
  • Communication is key: Maintain communication with your command while on leave, especially if your address changes.
  • Emergency situations: If you face an emergency while on leave, report it to your commanding officer immediately.
  • Return transportation: Ensure you have sufficient funds for round-trip travel and stay informed about transportation schedules.
  • Seek approval for extensions: If you need to extend your leave, communicate with your commanding officer promptly.
  • Keep your authorization safe: This form serves as your official leave authorization. Do not lose it.

By following these guidelines, you can navigate the leave request process more smoothly. Stay organized, and always keep your commanding officer informed.