Fill a Valid Navcompt 3065 Template Open Editor Here

Fill a Valid Navcompt 3065 Template

The Navcompt 3065 form is a crucial document used by military personnel to request and authorize leave. This form ensures that all necessary information is collected for the approval of leave, including the type of leave, dates, and contact details. Proper completion of the Navcompt 3065 is essential for maintaining accurate leave records and compliance with military regulations.

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Form Overview

Fact Name Details
Form Purpose The Navcompt 3065 form is used to request and authorize leave for military personnel.
Privacy Act Compliance This form adheres to the Privacy Act of 1974, ensuring that personal information is handled properly.
Approval Requirement Leave is not valid without a control number issued upon approval.
Submission Format The form must be completed in triplicate, ensuring all copies are legible.
Leave Types Various types of leave can be requested, including regular, sick, emergency, and retirement leave.
Mandatory Information Essential details such as SSN, name, pay grade, and leave dates must be provided.
State-Specific Governing Law While the form is federal, it is subject to military regulations and policies specific to each branch.

Common Questions

  1. What is the Navcompt 3065 form?

    The Navcompt 3065 form is a Leave Request and Authorization document used by military personnel to formally request leave from duty. This form ensures that all necessary information is collected and processed for leave approval. It includes details such as the type of leave, dates requested, and personal identification information.

  2. How do I fill out the Navcompt 3065 form?

    To fill out the Navcompt 3065 form, you must complete it in triplicate using a ballpoint pen or typewriter. Begin by entering your personal information in the designated blocks, including your name, pay grade, and duty section. Pay close attention to the instructions for blocks 14 and 15, which require specific details about the start and end times of your leave.

  3. What types of leave can I request using this form?

    The Navcompt 3065 form allows for various types of leave requests, including regular leave, sick leave, emergency leave, separation leave, and retirement leave. Ensure you select the appropriate type of leave in the designated section of the form.

  4. What happens after I submit the Navcompt 3065 form?

    Once you submit the form, it will be reviewed by your commanding officer or designated authority. They will either approve or disapprove your request. If approved, you will receive a leave control number, which is essential for the validity of your leave. Keep a copy of the approved form with you at all times while on leave.

  5. What should I do if I need to extend my leave?

    If you find it necessary to extend your leave, you must communicate with your commanding officer as soon as possible. It is advisable to do this via telegram. Remember that remaining absent without approval can lead to complications, so obtaining a response regarding your extension request is crucial.

  6. What should I keep in mind while on leave?

    While on leave, it is important to maintain communication with your command. You should also ensure that you have sufficient funds for your return trip. Be aware of transportation schedules and any potential delays. If any emergencies arise, such as illness or injury, report them to your commanding officer immediately.

  7. What is the Privacy Act Statement on the form?

    The Privacy Act Statement included with the Navcompt 3065 form outlines how your personal information will be used. It informs you that providing your information is voluntary, but necessary for processing your leave request. The information collected will be used to authorize your leave and manage your leave balance.

Documents used along the form

The Navcompt 3065 form is essential for requesting and authorizing leave within the military. However, several other documents often accompany this form to ensure a smooth leave process. Below is a list of common forms that may be needed alongside the Navcompt 3065.

  • Leave and Earnings Statement (LES): This document provides a detailed account of a service member's pay, leave balance, and deductions. It's crucial for verifying leave balances before submitting a leave request.
  • Request for Leave Extension: If a service member needs to extend their leave, this form is used to formally request additional time off. It must be submitted to the commanding officer for approval.
  • Travel Order: This document outlines the travel details for a service member's leave, including destination and mode of transportation. It is often required for reimbursement of travel expenses.
  • Florida Sales Tax Form: Businesses should also be aware of the floridaformspdf.com/printable-florida-sales-tax-form/ to report and remit sales taxes effectively during their operational activities in Florida.
  • Emergency Leave Request: In cases of urgent family matters or emergencies, this form allows a service member to request leave on short notice. It highlights the nature of the emergency and requires swift approval.
  • Medical Documentation: If leave is requested for medical reasons, appropriate medical documentation may be required. This could include a doctor’s note or hospital discharge papers to validate the leave request.
  • Leave Address Notification: This form informs the command of the service member's location during their leave. Keeping the command updated ensures communication can be maintained in case of emergencies.

Each of these documents plays a vital role in the leave process, helping to streamline approvals and maintain communication. It's important to ensure all necessary forms are completed accurately and submitted in a timely manner to avoid any delays in leave authorization.

Preview - 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

Common mistakes

Completing the Navcompt 3065 form can be a straightforward process, but there are common mistakes that individuals often make. Awareness of these pitfalls can help ensure a smoother application for leave. One significant error occurs when applicants fail to double-check their dates. The form requires specific dates for both the start and end of leave, and any inaccuracies can lead to confusion or denial of the request. Always verify that the dates entered correspond with your intended leave period.

Another frequent mistake is neglecting to provide the correct contact information. Blocks 9 and 20 ask for the duty phone and leave address, respectively. If these fields are left blank or filled out incorrectly, it may hinder communication from your command during your leave. It’s crucial to ensure that your commanding officer can reach you if necessary, so take the time to provide accurate and complete information.

Many people also overlook the importance of understanding their leave balance. Blocks 17 and 18 require information about your leave balance and usage. Failing to check these figures can result in requesting more leave than you are entitled to, which could lead to complications upon your return. Always confirm your leave balance with your commanding officer or through your Leave and Earnings Statement before submitting the form.

Additionally, applicants sometimes forget to sign the form. The signature of the applicant in block 22 is essential for the request to be valid. Without it, the form may be considered incomplete, leading to delays in processing. Make it a habit to review the entire form for necessary signatures before submission.

Lastly, some individuals may not follow the instructions provided on page two of the form. Each block has specific requirements, such as when to enter "NONE" for non-working days. Ignoring these guidelines can result in errors that could delay the approval process. Take the time to read and understand the instructions carefully to avoid unnecessary complications.

Similar forms

The Navcompt 3065 form serves as a formal request for leave within the military. Several other documents share similarities with this form, primarily in their purpose of managing leave or absence from duty. Below is a list of six such documents, along with an explanation of how they are similar to the Navcompt 3065.

  • Leave Authorization Form (DA Form 31): This form is used by the Army to request and authorize leave. Like the Navcompt 3065, it requires details about the individual, the type of leave requested, and the dates of absence. Both forms necessitate approval from a commanding officer.
  • Request for Leave (AF Form 988): Used by the Air Force, this form allows service members to request leave. Similar to the Navcompt 3065, it collects personal information and details about the requested leave period, and it also requires an official signature for approval.
  • Texas Certificate of Insurance (COI): This vital document is required by the Texas State Board of Plumbing Examiners for Master Plumbers. It confirms that the plumber has sufficient insurance coverage, protecting both the service provider and the public. For further details, visit https://texasdocuments.net.
  • Leave Request (NAVPERS 1336/3): This document is specific to the Navy and serves a similar function as the Navcompt 3065. It captures information about the service member and the leave being requested, including dates and types of leave, and requires commanding officer approval.
  • Emergency Leave Request Form: This form is utilized for urgent leave situations. Like the Navcompt 3065, it focuses on time-sensitive requests and requires documentation of the emergency circumstances, along with approval from a superior.
  • Temporary Duty (TDY) Orders: While primarily for temporary assignments away from the home station, TDY orders can also include leave provisions. Both documents involve a formal request process and require justification for the absence from regular duties.
  • Medical Leave Request Form: This form is used when a service member needs to take leave due to medical reasons. Similar to the Navcompt 3065, it requires the member to provide specific dates and may need supporting medical documentation for approval.

Understanding these similarities can help service members navigate the leave process more effectively. Each document, while unique to its branch or situation, shares the core purpose of managing leave and ensuring proper authorization and accountability.

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