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Outline

The Navcompt 3065 form serves as an essential document for military personnel seeking to request and authorize leave. This form encompasses various critical sections, including the applicant's personal information, such as their name, social security number, and duty station. It also requires details about the type of leave being requested, whether it be regular, sick, or emergency leave. Furthermore, the form outlines the specific dates and times for the leave period, alongside the normal working hours for both the departure and return days. A notable aspect of the Navcompt 3065 is the requirement for the applicant to certify their financial readiness for round-trip travel, ensuring that they can return to duty as scheduled. Additionally, the form includes sections for approval by the reviewing officer and comments or remarks, which may provide further context to the leave request. Important reminders about maintaining communication during leave and the potential for recall underscore the form's significance in military operations. Overall, the Navcompt 3065 form is designed to facilitate the leave process while ensuring that all necessary information is captured for proper authorization and record-keeping.

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

Form Information

Fact Name Description
Form Purpose The NAVCOMPT 3065 form is used to request and authorize military leave for service members.
Governing Law This form is governed by Title 10 and Title 37 of the United States Code, which outline military leave policies.
Privacy Act Compliance The form includes a Privacy Act Statement, ensuring that personal information is handled according to federal regulations.
Completion Instructions Applicants must complete the form in triplicate, ensuring all entries are legible and accurate.

Detailed Guide for Filling Out Navcompt 3065

Filling out the Navcompt 3065 form is an important step in requesting leave from your military duties. Make sure to gather all necessary information before you start. This will help streamline the process and ensure that your request is accurate and complete.

  1. Fill in the date of your leave request in block 1.
  2. Leave block 2 blank as it is for administrative use only.
  3. Enter your Social Security Number in block 3.
  4. Provide your name in block 4, formatted as Last, First, MI.
  5. Indicate your pay grade in block 5.
  6. Specify your ship or station in block 6.
  7. List your department or division in block 7.
  8. Write down your duty section in block 8.
  9. Include your duty phone number in block 9.
  10. Select the type of leave in block 10, marking the appropriate option.
  11. Indicate your mode of travel in block 12, choosing from options like Air, Bus, or Train.
  12. Fill in the number of days requested in block 13.
  13. Provide the starting date and time for your leave in block 14.
  14. Enter the ending date and time for your leave in block 15.
  15. List your normal working hours for both the day of departure and the day of return in block 16.
  16. Check your leave balance and fill in blocks 17 and 18.
  17. Provide your leave address in block 20.
  18. Indicate your ration status in block 21.
  19. Sign the form in block 22 to certify that you have sufficient funds for travel.
  20. Have your commanding officer review and approve the leave request in blocks 23-24.
  21. Complete the report on expiration of leave in blocks 25-29 when you return.
  22. Certify the information in block 32 with your name, rank, and signature.

Once you have filled out the form, be sure to keep a copy for your records. Submit the original to your command's designated office for processing. After your leave, remember to return the original authorization as required. Following these steps carefully will help ensure that your leave request is handled smoothly.

Obtain Answers on Navcompt 3065

  1. What is the purpose of the Navcompt 3065 form?

    The Navcompt 3065 form is primarily designed for military personnel to formally request and authorize leave. This document ensures that all necessary information is collected and recorded for the approval of leave, which is crucial for maintaining accurate records within the military system.

  2. How should I complete the Navcompt 3065 form?

    When filling out the Navcompt 3065 form, it is essential to use a ballpoint pen or typewriter. The form must be completed in triplicate, ensuring that all copies are legible. Key sections to fill include your name, social security number, type of leave, and dates of leave. Be mindful of the rules regarding the starting and ending hours of your leave, especially if they coincide with workdays.

  3. What information is needed regarding leave balances?

    Blocks 17 and 18 of the form require details about your leave balance and the amount of leave used in the current fiscal year. This information can typically be found in Block 59 of your latest Leave and Earnings Statement or obtained from your command’s Leave Listing. Accurate reporting of this information is vital for ensuring that you do not exceed your available leave.

  4. What should I do if my leave request is not approved?

    If your leave request is not approved, you must consider your absence unauthorized and report back to your command immediately. It is important to maintain communication with your commanding officer, especially if you encounter any circumstances that may delay your return.

  5. Are there any important reminders while on leave?

    Yes, while on leave, you should keep your leave authorization with you at all times. Stay informed about your transportation arrangements and maintain communication with your leave address in case of a recall. Additionally, if you face any emergencies or require medical attention while on leave, report your situation to your commanding officer promptly.

  6. What happens if I need to extend my leave?

    If you find it necessary to extend your leave, you must communicate your request to your commanding officer via telegram. It is crucial to obtain positive approval for any extended absence, as failing to receive a response means your request has not been approved.

Common mistakes

Filling out the Navcompt 3065 form accurately is crucial for service members seeking leave. However, several common mistakes can lead to delays or denials. One significant error occurs when individuals fail to provide their Social Security Number (SSN). This number is essential for processing the leave request, and omitting it can result in the form being returned for correction.

Another frequent mistake is related to the dates of leave. Many people incorrectly fill out blocks 14 and 15, which specify the start and end dates of leave. It is important to remember that the starting hour for leave cannot be before the end of the normal workday if the leave begins on a workday. Similarly, the ending hour must not be later than the beginning of the normal workday if the return falls on a workday. Misunderstanding these rules can lead to automatic disapproval of the leave request.

In addition, applicants often neglect to check their leave balance before submitting the form. Blocks 17 and 18 require accurate information about leave balance and leave used in the current fiscal year. If these blocks are left blank or filled out with incorrect data, it can raise red flags during the approval process. Service members should ensure they verify their leave status before completing the form.

Lastly, many individuals overlook the requirement to sign the form. Block 22 mandates the signature of the applicant, which serves as a certification of the information provided. Failing to sign the form will result in it being considered incomplete, thus delaying the leave request. It is essential to review the entire form for completeness before submission to avoid these common pitfalls.

Documents used along the form

The NAVCOMPT 3065 form is a crucial document for military personnel requesting leave. However, it is often accompanied by several other forms and documents that help facilitate the leave process and ensure proper record-keeping. Below is a list of related documents commonly used alongside the NAVCOMPT 3065.

  • Leave and Earnings Statement (LES): This document provides a summary of a service member's pay, leave balance, and deductions. It is essential for verifying leave balances when completing the NAVCOMPT 3065 form.
  • Travel Orders: These are official documents issued by the military that authorize travel for a service member. They may be required to substantiate travel plans indicated in the leave request.
  • Command Leave Policy: Each military command may have specific policies regarding leave. This document outlines the rules and procedures for requesting and taking leave within that command.
  • Medical Documentation: In cases of emergency leave or medical leave, documentation from a healthcare provider may be necessary to justify the leave request.
  • Extension Request Form: If a service member needs to extend their leave beyond the originally approved dates, this form must be submitted to request the extension formally.
  • Return to Duty Notification: This document is often required to inform the command of a service member's return from leave and may include details about any delays encountered during travel.
  • Travel Itinerary: A detailed plan of travel, including departure and arrival times and modes of transportation, may be requested to ensure that the service member's travel aligns with military regulations.
  • Leave Authorization Confirmation: After the leave request is approved, this document serves as official confirmation of the granted leave, which the service member should keep for their records.

Each of these documents plays a vital role in the leave process for military personnel. By ensuring that all necessary forms are completed and submitted, service members can help streamline their leave requests and avoid potential issues upon their return to duty.

Similar forms

  • Leave Authorization Form: This document is used to formally request and authorize leave. Similar to the Navcompt 3065, it requires details about the leave dates, type, and the applicant's information.
  • Travel Request Form: This form is used to request travel for official duties. Like the Navcompt 3065, it includes information about the purpose of travel and the dates involved.
  • Sick Leave Request Form: This document allows an employee to request sick leave. It shares similarities with the Navcompt 3065 in that it requires the reason for leave and the dates requested.
  • Emergency Leave Request Form: This form is specifically for emergency situations requiring immediate leave. It mirrors the Navcompt 3065 by detailing the urgency and the duration of leave needed.
  • Annual Leave Request Form: This is used to request annual leave. It is similar to the Navcompt 3065 in that it tracks the leave balance and requires approval from a supervisor.
  • Leave Extension Request Form: This document is used when a service member needs to extend their leave. It follows the same format as the Navcompt 3065, requiring justification and new dates for the leave.
  • Family Leave Request Form: This form allows employees to request leave for family-related matters. Like the Navcompt 3065, it includes information about the type of leave and the duration.

Dos and Don'ts

When filling out the Navcompt 3065 form, there are several important dos and don'ts to keep in mind. Following these guidelines can help ensure a smooth leave request process.

  • Do complete the form in ballpoint pen or typewriter for clarity.
  • Do print or type your information clearly in the designated blocks, especially 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 any sensitive topics related to the Navy unless you are sure they are unclassified.
  • Don't forget to return your original leave authorization to the appropriate office immediately upon your return from leave.
  • Don't assume that your leave is approved without confirmation from your commanding officer, especially if you request an extension.
  • Don't neglect to keep informed about transportation schedules and weather conditions that may affect your return.

Misconceptions

Misconception 1: The Navcompt 3065 form is only for requesting vacation leave.

This form is designed for various types of leave, including sick leave, emergency leave, and retirement. It is not limited to just vacation requests, so understanding its broader purpose is essential.

Misconception 2: Once the leave is approved, the member has complete freedom during that time.

Leave is granted subject to immediate recall. Members must maintain communication with their leave address and be prepared to return if necessary. This requirement ensures that the military can reach personnel in case of emergencies.

Misconception 3: The leave balance is automatically updated after submitting the Navcompt 3065 form.

Misconception 4: You can submit the Navcompt 3065 form at any time without prior notice.

Requests for leave should be made sufficiently in advance to allow for processing through official channels. Waiting until the last minute can result in delays or denial of the request.

Key takeaways

When filling out and using the Navcompt 3065 form, several key points should be kept in mind to ensure a smooth process.

  • Complete in Triplicate: The form must be filled out in triplicate, ensuring that all copies are legible. Use a ballpoint pen or typewriter for clarity.
  • Accurate Dates: Pay careful attention to the dates and hours in blocks 14 and 15. The starting hour for leave cannot precede the end of your normal workday if it begins on a workday.
  • Leave Balance: Information regarding your leave balance can be found on your Leave and Earnings Statement or through your commanding officer’s leave listing. Make sure to fill out blocks 17 and 18 accurately.
  • Immediate Communication: Maintain communication with your command while on leave. If you need to request an extension, do so promptly via telegram to your commanding officer.
  • Return Authorization: Upon your return, it is essential to submit the original leave authorization to the designated office in your command immediately.
  • Privacy Considerations: Be aware of the Privacy Act provisions. Your information will be used to authorize leave and manage your leave balance, so ensure all data is accurate and complete.

By adhering to these guidelines, you can navigate the leave request process more effectively and ensure compliance with military protocols.