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Printable Navcompt 3065 Template

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The Navcompt 3065 form serves as a critical tool for military personnel seeking to request and authorize leave. This form includes essential information such as the date of the leave request, the service member's name, pay grade, and duty station. It also outlines the type of leave being requested, whether for regular, sick, emergency, or other reasons. The form requires details about the leave period, including the start and end dates, as well as normal working hours on those days. Additionally, it captures the leave balance and any leave used during the current fiscal year. The applicant must certify that they have sufficient funds for travel and acknowledge the potential consequences of exceeding their leave entitlement. Approval of the leave request is contingent upon a review by a designated officer, who must sign and date the form. Important reminders are included, emphasizing the need for communication while on leave and the process for handling any extensions or emergencies. Overall, the Navcompt 3065 form is designed to ensure a structured approach to managing military leave while maintaining accountability and adherence to regulations.

Common mistakes

  1. Not using the correct writing tool: The form must be filled out in ballpoint pen or typed. Using a pencil or other writing tools can lead to illegibility and processing delays.

  2. Leaving required fields blank: Many people forget to fill in essential sections, such as the Social Security Number (SSN) or the type of leave requested. Each block must be completed to avoid rejection.

  3. Incorrectly entering dates: When specifying the dates for leave, ensure that the format is correct. Mistakes in the date format can cause confusion and may result in the denial of the leave request.

  4. Failing to check leave balances: Applicants often neglect to verify their leave balances. Not knowing how much leave is available can lead to overestimating what can be taken, resulting in complications.

  5. Ignoring the approval process: Some individuals submit the form without understanding that it requires approval from their commanding officer. Failing to follow up can lead to unexpected issues.

  6. Not keeping a copy of the form: After submission, it’s crucial to retain a copy of the completed form. This ensures you have a record of your request and any subsequent communications regarding your leave.

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Key takeaways

When filling out and using the Navcompt 3065 form, it is important to understand the key elements involved. Here are some essential takeaways to keep in mind:

  • Complete the Form Accurately: Use a ballpoint pen or typewriter to fill out the form. Ensure that all entries are legible and accurate.
  • Know Your Leave Types: Familiarize yourself with the different types of leave available, such as regular, sick, emergency, and retirement leave.
  • Leave Dates Matter: Pay attention to the dates you request. The starting hour for leave cannot be before the end of your workday if it begins on a workday.
  • Leave Balances: Check your leave balance before submitting the form. This information can be found on your Leave and Earnings Statement.
  • Communication is Key: Maintain communication with your command while on leave. Inform them of any changes to your leave address.
  • Emergency Situations: If you encounter a serious illness or injury while on leave, report it to your commanding officer immediately.
  • Extensions Require Approval: If you need to extend your leave, communicate your request to your commanding officer via telegram. Await their response before considering the extension approved.
  • Return Promptly: Be aware that the day of your return from leave may be counted as a day of leave unless you return before the start of your workday.
  • Keep a Copy: Retain a copy of the Navcompt 3065 form for your records. It serves as your official leave authorization.

By following these guidelines, you can navigate the leave request process with greater ease and confidence. Remember, being well-informed is key to managing your time off effectively.

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

 

 

►

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

Understanding Navcompt 3065

  1. What is the Navcompt 3065 form?

    The Navcompt 3065 form is a Leave Request and Authorization form used by military personnel to formally request leave. It helps ensure that all necessary information is documented for approval and record-keeping purposes. This form is essential for managing leave balances and ensuring compliance with military regulations.

  2. How do I complete the Navcompt 3065 form?

    To complete the Navcompt 3065 form, follow these steps:

    • Use a ballpoint pen or typewriter to fill out the form.
    • Complete the form in triplicate, ensuring all copies are legible.
    • Fill in the required blocks, such as your name, Social Security Number (SSN), pay grade, and type of leave requested.
    • Pay special attention to the dates and times for leave, ensuring they align with your normal working hours.
    • After returning from leave, submit the original form to your command’s designated office.

  3. What information do I need to provide on the form?

    You will need to provide various details, including:

    • Your name, SSN, pay grade, and ship/station.
    • The type of leave you are requesting (e.g., regular, sick, emergency).
    • The dates and times for when you plan to leave and return.
    • Your leave address and contact information during your leave.

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

    The Navcompt 3065 form allows you to request various types of leave, including:

    • Regular leave
    • Sick leave
    • Emergency leave
    • Separation or retirement leave
    • Other types of leave as specified

  5. How is leave calculated on the Navcompt 3065 form?

    Leave is calculated based on specific rules:

    • The day you depart on leave is counted as a duty day unless it begins after your normal workday.
    • The day you return is counted as a leave day unless you return before your normal workday starts.

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

    If you need to request an extension of your leave, you must communicate this to your commanding officer. It’s best to do this via telegram. Remember, if you do not receive a reply, consider your request not approved and plan to return as originally scheduled.

  7. What happens if I take more leave than I have earned?

    If you take more leave than you have accrued, your pay will be checked for any excess leave taken. It’s crucial to be aware of your leave balance and plan accordingly to avoid any issues with your pay.

  8. What should I do if I face an emergency while on leave?

    In case of a serious illness or injury while on leave, report the situation to your commanding officer as soon as possible. If you are near a naval facility, inform them of your condition. Remember, costs for medical treatment at non-Federal facilities may only be covered by the Navy in emergency situations.

  9. Is the information on the Navcompt 3065 form confidential?

    Yes, the information you provide on the Navcompt 3065 form is subject to the Privacy Act of 1974. This means that the information is collected for specific purposes related to military leave and is protected to ensure your privacy.

How to Use Navcompt 3065

Filling out the Navcompt 3065 form is essential for obtaining official leave authorization. This process ensures that all necessary information is recorded accurately to facilitate the approval of your leave request. Follow the steps below to complete the form correctly.

  1. Begin by entering the date of your request in block 1.
  2. Leave block 2 blank, as it is for administrative use only.
  3. In block 3, provide your Social Security Number (SSN).
  4. Enter your name in block 4, formatted as Last, First, Middle Initial.
  5. Fill in your pay grade in block 5.
  6. Specify your ship or station in block 6.
  7. Indicate your department or division in block 7.
  8. Provide your duty section in block 8.
  9. Enter your duty phone number in block 9.
  10. Select the type of leave you are requesting in block 10.
  11. For blocks 11a and 11b, indicate whether you are leaving the area and taking leave in the United States.
  12. In block 13, state the number of days requested.
  13. Fill in the date and hour you plan to start leave in block 14.
  14. In block 15, enter the date and hour you plan to return from leave.
  15. Provide your normal working hours for the day of departure and return in block 16.
  16. Check your leave balance and enter it in block 17.
  17. Indicate the leave used this fiscal year in block 18.
  18. In block 19, provide your leave phone number.
  19. Enter your leave address in block 20.
  20. Complete block 21 with your ration status and any necessary meal pass information.
  21. Sign and date the form in block 22.
  22. Ensure to complete any additional required blocks for approval and comments.
  23. Submit the form to your commanding officer or designated office for processing.