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The Navcompt 3065 form is a crucial document for service members seeking to request and authorize leave from duty. This form encompasses several key sections that facilitate the leave process, ensuring that all necessary information is collected and processed efficiently. At the outset, applicants must provide their personal details, including their name, social security number, and pay grade. They also need to specify the type of leave they are requesting, whether it be regular leave, sick leave, or emergency leave, among others. The form requires applicants to indicate their duty station and department, along with the specific dates and times for the requested leave. Additionally, it includes sections for leave balance and leave used, which help both the service member and the command track leave entitlement. Importantly, the form emphasizes the need for communication during leave, as service members must maintain contact with their command in case of emergencies or recalls. Furthermore, the Privacy Act Statement included in the form underscores the importance of safeguarding personal information while clarifying the purpose of the data collected. Overall, the Navcompt 3065 serves as an essential tool for managing leave requests within the military, balancing the needs of service members with operational requirements.

Sample - Navcompt 3065 Form

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

File Specs

Fact Name Fact Description
Form Purpose The Navcompt 3065 form is used to request and authorize military leave.
Privacy Act Compliance This form complies with the Privacy Act of 1974, ensuring that personal information is protected.
Mandatory Information Members must provide their Social Security Number, name, paygrade, and leave details.
Approval Requirement Leave is not valid without a control number issued upon approval.
Leave Types Various leave types can be requested, including regular, sick, emergency, and retirement leave.
Travel Modes Members can indicate their mode of travel, such as air, bus, car, or train.
State-Specific Laws State laws may apply to certain leave requests, depending on the member's duty station.
Submission Requirement A copy of the completed form must be forwarded to the personnel office after leave is completed.

Filling out the Navcompt 3065 form is a straightforward process, but it's essential to follow the instructions carefully to ensure that your leave request is processed without delays. Below are the steps you need to take to complete the form correctly.

  1. Begin by writing the date of your request in Block 1.
  2. Leave Block 2 blank, as it is for administrative use only.
  3. In Block 3, enter your Social Security Number (SSN).
  4. Provide your name in Block 4, using the format Last, First, Middle Initial.
  5. Indicate your pay grade in Block 5.
  6. Fill in your ship or station in Block 6.
  7. Enter your department/division in Block 7.
  8. In Block 8, specify your duty section.
  9. Provide your duty phone number in Block 9.
  10. In Block 10, select the type of leave you are requesting.
  11. Indicate whether you are leaving the area in Block 11a and whether you will be taking leave in CONUS in Block 11b.
  12. In Block 13, enter the number of days requested.
  13. Fill in the start time and date of your leave in Block 14.
  14. Complete Block 15 with the end time and date of your leave.
  15. Provide your normal working hours for the day of departure in Block 16.
  16. In Block 17, check your leave balance.
  17. Indicate how much leave you have used this fiscal year in Block 18.
  18. Fill in your leave address in Block 20.
  19. In Block 21, indicate your ration status.
  20. Sign the form in Block 22 to certify that you have sufficient funds for travel.
  21. Leave Blocks 23-25 for the reviewing officer to fill out after your request is processed.
  22. Complete the report on expiration of leave section in Blocks 25-29 when you return.
  23. Finally, have the certifying officer sign in Blocks 32-33 to verify the information provided.

Once you have completed the form, make sure to keep a copy for your records. You will need to submit the original to your command for processing. Remember, it is crucial to follow up and ensure that your leave is approved before making any travel arrangements.

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 captures essential information such as the type of leave, duration, and the service member’s contact details during the leave period. Proper completion and submission of this form are crucial for obtaining official leave approval.

How do I complete the Navcompt 3065 form?

To complete the Navcompt 3065 form, use a ballpoint pen or typewriter. Fill out the required fields, including your name, social security number, pay grade, and leave details. Ensure all information is legible. Follow the specific instructions for blocks 14 and 15 regarding the timing of your leave. It’s essential to submit the form in triplicate and return the original authorization upon your return from leave.

What should I do if my leave is not approved?

If your leave request is not approved, you must consider your absence unauthorized. In such cases, it is critical to communicate with your commanding officer immediately. If you need to extend your leave, send a telegram to your commanding officer, as positive approval is necessary for remaining absent beyond the originally authorized time.

What happens if I need medical attention while on leave?

If you require medical attention or hospitalization while on leave, report your condition to your commanding officer. If you are near a naval activity, inform them of your status. Note that costs for medical treatment outside of federal facilities may only be covered in emergency situations.

What should I do if I have to return late from leave?

If circumstances beyond your control cause a late return, obtain written evidence from a transportation agency or other relevant sources. Present this documentation to your commanding officer for consideration. It’s essential to maintain communication and ensure you have a valid reason for the delay.

Common mistakes

  1. Failing to complete the form in triplicate. It's essential to provide three copies of the Navcompt 3065 form to ensure proper processing.

  2. Not using a ballpoint pen or typewriter. The form must be filled out using these tools to maintain clarity and legibility.

  3. Leaving block 2 blank. This block is for administrative use, and it should not be filled out by the applicant.

  4. Incorrectly entering the dates and times in blocks 14 and 15. Ensure that the starting hour for leave does not precede the end of the normal workday.

  5. Not providing normal working hours in block 16. This information is crucial for determining the leave period accurately.

  6. Using outdated information for leave balance in blocks 17 and 18. Always check your latest Leave and Earnings Statement for accuracy.

  7. Neglecting to sign the form. The applicant's signature is vital for the leave request to be valid.

  8. Forgetting to include a leave address in block 20. This is necessary for communication during the leave period.

  9. Not providing sufficient notice for the leave request. Submit your application well in advance to allow for processing time.

  10. Failing to return the original leave authorization upon return. This step is crucial for record-keeping and should not be overlooked.

Documents used along the form

The NAVCOMPT 3065 form is an essential document for requesting leave in the military. However, it is often accompanied by other forms and documents that help streamline the leave process. Below is a list of commonly used forms that support the NAVCOMPT 3065. Each document plays a specific role in ensuring that leave requests are properly managed and authorized.

  • Leave Authorization Form: This form provides official approval for the requested leave. It includes details about the leave period and any conditions attached to the approval.
  • Leave and Earnings Statement (LES): The LES shows the current leave balance and earnings of the service member. It is crucial for verifying leave eligibility.
  • Travel Orders: These orders outline the travel arrangements for the service member while on leave. They may include information about transportation and accommodations.
  • Medical Documentation: If leave is requested due to medical reasons, supporting medical documents may be required. This helps validate the need for leave.
  • Emergency Leave Request: This form is specifically for requesting leave in emergency situations. It often requires additional justification and may expedite the approval process.
  • Extension Request Form: If a service member needs to extend their leave, this form must be completed and submitted for approval before the original leave expires.
  • Commanding Officer's Approval: A written approval from the commanding officer is often required to finalize the leave request, ensuring that the leave does not disrupt unit operations.
  • Travel Itinerary: A detailed travel itinerary may be necessary, especially for long-distance travel, to provide clarity on the service member’s plans during leave.
  • Notification of Absence: This document informs the unit of the service member's absence during leave and helps maintain communication with the command.
  • Return Confirmation: After returning from leave, this form confirms the service member's return to duty and may include any updates or changes in status.

Each of these documents plays a vital role in the leave process, ensuring that everything is properly documented and authorized. Keeping these forms organized and accessible can help make the leave experience smoother for service members and their commands.

Similar forms

The DD Form 31, also known as the Leave Request and Authority form, is quite similar to the Navcompt 3065. Both documents serve the purpose of requesting leave from military duty. The DD Form 31 requires information such as the service member's name, Social Security Number, and the specific dates of leave requested. Just like the Navcompt 3065, it also includes a section for approval from a commanding officer, ensuring that all leave is properly authorized before the member departs.

The AF Form 988, or Leave Request and Authorization for Air Force personnel, shares a similar structure with the Navcompt 3065. It is designed to facilitate the leave request process for Air Force members. Similar to the Navcompt form, the AF Form 988 requires details about the leave dates, type of leave, and the member's contact information during leave. Both forms emphasize the need for approval from a supervisor, ensuring that the leave is accounted for within military operations.

The DA Form 31, used by the Army, also mirrors the Navcompt 3065 in its function of leave request submission. It collects essential information such as the soldier's name, unit, and leave dates. Like the Navcompt form, the DA Form 31 mandates a signature from a commanding officer to confirm that the leave has been authorized. This ensures that both forms maintain accountability within the military's leave management system.

The NAVPERS 1336/3, known as the Request for Leave form, is another document that aligns closely with the Navcompt 3065. This form is specifically used by Navy personnel and requires similar information regarding the service member's leave request. It also includes sections for approval and comments from the commanding officer, reinforcing the need for official authorization before any leave is taken.

The Marine Corps Leave Request form serves a comparable purpose to the Navcompt 3065, allowing Marines to formally request leave. This form gathers information about the service member's duty station, leave dates, and type of leave requested. Like the Navcompt form, it requires a commanding officer's approval, ensuring that all leave is properly documented and authorized within the Marine Corps.

The Coast Guard Leave Request form is another document that reflects the structure and purpose of the Navcompt 3065. It is used by Coast Guard members to request leave and includes similar fields for personal information, leave dates, and contact information during leave. Just as with the Navcompt form, this document requires approval from a superior officer, maintaining the same level of accountability and oversight in leave management.

Finally, the Form 703, or Leave Authorization for the National Guard, is akin to the Navcompt 3065 in that it facilitates leave requests for National Guard members. This form collects similar information, including the member's name, type of leave, and dates requested. As with the other forms, it necessitates approval from a commanding officer, ensuring that all leave is properly sanctioned and recorded within the National Guard's administrative system.

Dos and Don'ts

When filling out the Navcompt 3065 form, it’s important to follow certain guidelines to ensure accuracy and compliance. Here are six things you should and shouldn’t do:

  • Do complete the form in ballpoint pen or typewriter to ensure legibility.
  • Don't forget to leave block 2 blank; this is for administrative use only.
  • Do provide accurate dates and times for your leave request in blocks 14 and 15.
  • Don't submit your request without checking your leave balance in blocks 17 and 18.
  • Do print or type your name clearly in block 4 to avoid confusion.
  • Don't ignore the instructions for returning the original leave authorization upon your return.

By following these tips, you can help ensure a smooth process for your leave request.

Misconceptions

Misconceptions about the Navcompt 3065 form can lead to confusion and errors in the leave request process. Below are eight common misconceptions along with clarifications for each.

  1. The Navcompt 3065 form is only for military personnel. This form is primarily used by military members, but it may also apply to certain civilian employees in the Department of Defense under specific circumstances.
  2. Filling out the Navcompt 3065 form guarantees leave approval. Completing the form does not automatically mean leave will be granted. Approval is subject to command review and operational requirements.
  3. Leave can be requested at any time without prior notice. It is important to request leave sufficiently in advance to allow for processing through official channels. Last-minute requests may not be accommodated.
  4. All types of leave are treated the same. Different types of leave, such as regular, emergency, or sick leave, may have different rules and requirements. Understanding the type of leave being requested is crucial.
  5. Leave starts at any time during the day. The starting hour for leave cannot be prior to the end of the normal workday if it begins on a workday. This rule is in place to ensure proper duty coverage.
  6. The leave address is optional. Providing a leave address is mandatory. If a member does not supply a leave address, the leave may not be granted.
  7. Returning from leave is flexible and can occur at any time. The return from leave must adhere to the established guidelines. If a member returns during normal working hours, it may not be counted as a day of leave.
  8. Emergency leave does not require documentation. Even for emergency leave, documentation may be required to substantiate the request. Members should be prepared to provide evidence if necessary.

Understanding these misconceptions can help ensure a smoother leave request process and minimize potential issues.

Key takeaways

Filling out the Navcompt 3065 form correctly is essential for a smooth leave process. Here are some key takeaways to keep in mind:

  • Complete in Triplicate: Fill out the form in triplicate, ensuring all copies are legible. Use a ballpoint pen or typewriter.
  • Leave Control Number: Remember that your leave is not valid without a leave control number. This number will be provided by your command.
  • Accurate Dates: Ensure that the dates and times for your leave are accurate. Pay attention to your normal working hours.
  • Leave Balance: Check your leave balance before submitting the form. You can find this information on your Leave and Earnings Statement.
  • Communication: Maintain communication with your leave address. If there’s a general recall, you need to be reachable.
  • Emergency Situations: If you experience a serious illness or injury while on leave, report it to your commanding officer immediately.
  • Request Extensions Promptly: If you need to extend your leave, communicate with your commanding officer as soon as possible.
  • Return the Authorization: Upon returning from leave, return the original leave authorization to the appropriate office in your command.

By following these guidelines, you can ensure that your leave request is processed efficiently and that you remain compliant with Navy policies.