Table of Contents
The Navcompt 3065 form serves as a crucial document for military personnel seeking to request and authorize leave. This form captures essential details, including the applicant's name, social security number, pay grade, and duty station, ensuring that all necessary information is readily available for processing. It outlines various types of leave, such as regular, sick, emergency, and retirement, allowing service members to specify their needs. The form also requires the applicant to provide dates and times for the requested leave, along with their leave balance and any used leave for the current fiscal year. Furthermore, it emphasizes the importance of maintaining communication during leave and provides guidelines for transportation and potential emergencies. The form includes sections for approval and comments from reviewing officers, ensuring that all requests are properly vetted and documented. With clear instructions and a privacy statement, the Navcompt 3065 form is designed to facilitate a smooth leave process while safeguarding the rights and responsibilities of military personnel.
Document Specifics
| Fact Name | Description |
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| Form Purpose | The NAVCOMPT 3065 form is used to request and authorize leave for military personnel, ensuring that the necessary information is documented for approval. |
| Privacy Act Compliance | This form adheres to the Privacy Act of 1974, which mandates that individuals are informed about the collection and use of their personal information. |
| Completion Requirements | It must be completed in triplicate, using a ballpoint pen or typewriter, with all copies being legible to ensure proper processing. |
| Leave Types | Various types of leave can be requested, including regular leave, sick leave, and emergency leave, among others, depending on the circumstances. |
| Approval Process | The leave request is subject to approval by a commanding officer, and a control number must be assigned for the leave to be valid. |
| Legal Authority | The form is governed by Title 10 and 37 of the United States Code, which provide the legal framework for military leave policies. |
Similar forms
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DD Form 214: This document serves as a Certificate of Release or Discharge from Active Duty. Like the Navcompt 3065, it provides essential details regarding a service member's time in service, including periods of leave. Both documents are crucial for maintaining accurate records of a service member's status and entitlements.
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Leave and Earnings Statement (LES): The LES outlines a service member's pay, deductions, and leave balances. Similar to the Navcompt 3065, it tracks leave usage and balances, ensuring that members are aware of their available leave and any implications of taking additional leave.
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Request for Leave of Absence (Form 5-8): This form is used to formally request leave from duty. Like the Navcompt 3065, it requires specific information about the type of leave requested and the duration, ensuring that proper procedures are followed for leave authorization.
Non-disclosure Agreement (NDA): This form is crucial for protecting sensitive information between parties, ensuring confidentiality and security of proprietary data. It is important to understand how to effectively implement this agreement, which can be found at https://nytemplates.com/blank-non-disclosure-agreement-template.
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Travel Orders (DD Form 1610): Travel orders authorize a service member to travel for official duty. Both the travel orders and the Navcompt 3065 involve planning and authorization for time away from regular duties, ensuring that the service member's absence is documented and approved.
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Emergency Leave Request Form: This document is specifically for urgent leave requests due to emergencies. Similar to the Navcompt 3065, it requires justification for the leave and is subject to approval, highlighting the necessity of following protocol even in urgent situations.
Navcompt 3065 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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TRAIN |
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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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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
Understanding Navcompt 3065
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 their duties. It ensures that the request is processed through the appropriate channels and that the member's leave is officially recorded. The form helps maintain accurate records of leave taken and balances remaining.
How do I fill out the Navcompt 3065 form?
To complete the Navcompt 3065 form, you should use a ballpoint pen or a typewriter. Fill out the required fields, including your name, social security number, pay grade, and details about the leave you are requesting, such as dates and type of leave. Make sure to follow the instructions carefully, especially for blocks related to your leave dates and working hours. It's important to complete the form in triplicate, ensuring all copies are legible.
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, and retirement. You must indicate the type of leave you are requesting in the designated section of the form. If you have any special circumstances, you can note them in the comments section for consideration.
What happens after I submit my leave request?
Once you submit your Navcompt 3065 form, it will be reviewed by your commanding officer or designated personnel. They will either approve or disapprove your request. If approved, you will receive a leave control number, which is essential for your leave to be valid. It’s important to keep a copy of the approved form with you during your leave.
What should I do if I need to extend my leave?
If you find that you need to extend your leave, you must communicate with your commanding officer as soon as possible. This can typically be done via telegram. Remember, if you do not receive a response to your extension request, you should consider your request as not approved and plan to return on the original date granted.
What should I do if I experience an emergency while on leave?
In the event of a serious illness or injury while on leave, you should report your situation to your commanding officer immediately. If you are near a naval activity, you can also inform them about your condition. Be aware that any medical treatment received outside of federal facilities may only be covered in emergency situations, so it’s crucial to keep your commanding officer informed.
Dos and Don'ts
When filling out the Navcompt 3065 form, it's essential to follow specific guidelines to ensure your leave request is processed smoothly. Here are six important dos and don'ts:
- Do complete the form in ballpoint pen or typewriter to ensure clarity.
- Do print or type your information clearly in the designated blocks.
- Do submit your leave request well in advance to allow for processing time.
- Do maintain communication with your leave address in case of a recall.
- Don't discuss classified information or Navy matters publicly without proper guidance.
- Don't forget to return your original leave authorization to the designated office upon your return.
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