Content Overview
The Navcompt 3065 form serves as an essential tool for military personnel requesting leave from duty. This form captures key details necessary for processing leave requests, including the member's name, social security number, pay grade, and duty station. It also requires information about the type of leave being requested, such as regular leave, sick leave, or emergency leave. Specific dates and times for departure and return must be indicated, along with the total number of days requested. Additionally, the form includes sections for leave balance and leave used within the current fiscal year, ensuring that personnel are aware of their entitlements. The applicant's certification of sufficient funds for travel and acknowledgment of the potential consequences for taking excessive leave are crucial components. Once completed, the form must be reviewed and approved by a designated officer, who will provide comments and necessary signatures. The Navcompt 3065 form not only facilitates the leave process but also ensures that all military members remain accountable and informed while on leave.
Key takeaways
When it comes to filling out and using the Navcompt 3065 form for leave requests, there are several important points to keep in mind. Here are five key takeaways:
- Complete the form accurately: Use a ballpoint pen or typewriter. Ensure that all copies are legible and filled out in triplicate.
- Understand your leave dates: Pay careful attention to the rules regarding your leave start and end times. They cannot conflict with your normal working hours.
- Maintain communication: Always keep your commanding officer informed of your leave address and any changes to it. This is crucial in case of an emergency recall.
- Request leave in advance: Submit your leave request well ahead of time to allow for proper processing through official channels.
- Return your authorization: Don’t forget to return your original leave authorization to the designated office immediately upon your return from leave.
By keeping these points in mind, you can navigate the leave request process more smoothly and avoid potential pitfalls.
Guide to Writing Navcompt 3065
Filling out the Navcompt 3065 form is essential for requesting leave. This process requires attention to detail to ensure that all necessary information is accurately provided. The following steps will guide you through completing the form correctly.
- Use a ballpoint pen or typewriter to complete the form in triplicate, ensuring all copies are legible.
- In block 1, enter the date of your leave request.
- Leave block 2 blank, as it is for administrative use only.
- In block 3, provide your Social Security Number (SSN).
- Fill in block 4 with your name in the format of Last, First, MI.
- Enter your pay grade in block 5.
- In block 6, indicate your ship or station.
- Provide your department or division in block 7.
- In block 8, state your duty section.
- Enter your duty phone number in block 9.
- In block 10, select the type of leave you are requesting.
- Complete blocks 11a and 11b by indicating whether you are leaving the area and if you are taking leave in CONUS.
- In block 13, specify the number of days requested for leave.
- Fill in block 14 with the hour and date you plan to start your leave (YYMMDD format).
- In block 15, provide the hour and date you intend to return (YYMMDD format).
- Complete block 16 by entering your normal working hours for the day of departure and return. If either day is not a workday, write "NONE."
- In blocks 17 and 18, check your leave balance and the leave used this fiscal year from your Leave and Earnings Statement or Commanding Officer's Leave Listing.
- Fill in block 19 with your leave phone number for the day of return.
- In block 20, provide your leave address.
- Complete block 21 regarding your ration status.
- Sign the form in block 22, certifying that you have sufficient funds for round-trip travel.
- Leave blocks 23 through 26 for review and approval by your commanding officer.
- Finally, ensure all information is correct and forward a copy to the personnel office upon completion of your leave.
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Form Preview Example
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 |
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APPROVAL OF THIS LEAVE IS |
LEAVE CONTROL NO. |
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NOT VALID WITHOUT CONTROL NO. |
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3. SSN
4.NAME (Last, First, MI)
5. PAYGRADE
6. SHIP/STATION |
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7. DEPT/DIV |
8. DUTY SECTION |
9. DUTY PHONE |
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10. TYPE LEAVE |
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FOR USE OUTUS ONLY |
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12. MODE OF TRAVEL |
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11a. Leaving Area of PERMDUTYSTA |
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AIR |
BUS |
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REGULAR |
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SICK |
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EMERGENCY |
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YES |
NO |
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SEPARATION |
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RETIREMENT |
OTHER |
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11b. Taking Leave INCONUS |
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CAR |
TRAIN |
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YES |
NO |
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13. DAYS REQUESTED |
14. FROM (Hour, Date) (YYMMDD) |
15. TO (Hour, Date) (YYMMDD) |
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16. NORMAL WORKING HOURS |
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DAY OF DEPARTURE: |
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FROM: |
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17. LEAVE BALANCE |
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18. LEAVE USED THIS FY |
19. LEAVE PHONE |
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DAY OF RETURN: |
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DAYS AS OF |
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FROM: |
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20. LEAVE ADDRESS |
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21. RATION STATUS (Enlisted) |
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COMMUTED RATIONS (COMRATS) |
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Meal Pass No. |
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Entitled to EDF meals except |
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during periods of leave |
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I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL. I UNDERSTAND |
22. SIGNATURE OF APPLICANT |
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THAT SHOULD ANY PORTION OF THIS LEAVE, IF APPROVED, RESULT IN MY TAKING MORE LEAVE THAN I CAN |
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EARN ON MY CURRENT UNEXTENDED ENLISTMENT OR CURRENT ACTIVE DUTY OBLIGATION, MY PAY WILL BE |
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CHECKED FOR SUCH EXCESS LEAVE. |
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RECOMMENDED |
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DATE |
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NO |
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YES |
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DATE |
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YES |
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NO |
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DATE |
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YES |
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NO |
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DATE |
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YES |
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NO |
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23. APPROVED |
DISAPPROVED |
REVIEWING OFFICER'S NAME AND SIGNATURE |
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DATE |
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24. COMMENTS/REMARKS
25. SHIP OR STATION (Including telegraphic address) |
26. REPORT ON EXPIRATION OF LEAVE TO (If other than block 25) |
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DEPARTED ON LEAVE |
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RETURNED FROM LEAVE |
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GRANTED EXTENSION OF LEAVE ENDING |
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27a. HOUR |
27b. DATE (DD MMM YYYY) |
28a. HOUR |
28b. DATE (DD MMM YYY) |
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29a. HOUR |
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29b. DATE (DD MMM YYYY) |
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27c. OOD'S SIGNATURE |
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28c. OOD'S SIGNATURE |
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29c. AUTHORIZING OFFICER'S SIGNATURE |
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IN CONSIDERATION OF THE MEMBER'S COMPLETION OF A FULL WORKDAY |
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30. INCLUSIVE |
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FIRST: |
LAST: |
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31. NO. |
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OF |
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(AS DEFINED IN MILPERSMAN, NAVPERS 15560) ON THE DAYS OF DEPARTURE |
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(YY) (MM) (DD) |
(YY) (MM) (DD) |
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LEAVE PERIOD |
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DAYS |
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AND RETURN, THE INCLUSIVE DAYS SHOWN ARE CORRECT AND PROPER FOR |
TO BE |
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CHARGING AS LEAVE. |
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CHARGED |
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I CERTIFY THAT THE ABOVE IS |
32. CERTIFYING OFFICER'S TYPED NAME/RANK/TITLE |
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33. CERTIFYING OFFICER'S SIGNATURE |
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CORRECT AND PROPER TO THE |
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BEST OF MY KNOWLEDGE. |
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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
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
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
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
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
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 are some commonly used documents that work alongside the Navcompt 3065.
- Leave Authorization Letter: This letter serves as an official communication from a commanding officer granting permission for the service member to take leave. It typically includes details such as the duration of the leave and any conditions that must be met during the absence.
- Travel Orders: Travel orders outline the specifics of the service member's travel plans. They provide necessary information such as the mode of transportation, departure and arrival dates, and any required stops or layovers.
- Medical Documentation: If leave is requested for medical reasons, documentation from a healthcare provider may be required. This can include notes verifying the need for leave due to illness or injury, which helps support the request.
- Doctor's Excuse Note: In circumstances where a service member needs to justify their absence due to medical reasons, a Doctor's Excuse Note can be a valuable document. For more information on obtaining this form, visit https://smarttemplates.net/fillable-doctors-excuse-note.
- Leave Extension Request Form: Should a service member need to extend their leave beyond the originally approved dates, this form is essential. It must be submitted to the commanding officer for consideration and must include valid reasons for the extension.
Understanding the various documents that accompany the Navcompt 3065 form is crucial for a smooth leave process. Properly completing and submitting these forms can prevent delays and ensure that service members can take their well-deserved time off without unnecessary complications.