Fillable Printable Request and Authority for Leave
Fillable Printable Request and Authority for Leave
Request and Authority for Leave
REQUEST AND AUTHORITY FOR LEAVE
This form is subject to the Privacy Act of 1974. For use of this form, see AR 600-8-10.
The proponent agency is ODCSPER. (See Instructions on Reverse)
1. CONTROL NUMBER
PART - I
2. NAME (Last, First, Middle Initial)
3. SSN
4. RANK
5. DATE
6. LEAVE ADDRESS (Street, City, State, ZIP Code and
Phone No.)
7. TYPE OF LEAVE
ORDINARY
EMERGENCY
8. ORGN, STATION, AND PHONE NO.
PERMISSIVE TDY OTHER
9. NUMBER DAYS LEAVE 10. DATES
a. ACCRUED
b. REQUESTED
c. ADVANCED
d. EXCESS
a. FROM
b. TO
11. SIGNATURE OF REQUESTOR
12. SUPERVISOR RECOMMENDATION/SIGNATURE
APPROVAL DISAPPROVAL
13. SIGNATURE AND TITLE OF
APPROVING AUTHORITY
14. DEPARTURE
a. DATE
b. TIME
c. NAME/TITLE/SIGNATURE OF DEPARTURE AUTHORITY
15. EXTENSION
a. NUMBER DAYS
b. DATE APPROVED
c. NAME/TITLE/SIGNATURE OF APPROVAL AUTHORITY
16. RETURN
a. DATE
b. TIME
c. NAME/TITLE/SIGNATURE OF RETURN AUTHORITY
17. REMARKS
Chargeable leave is from to
PART II - EMERGENCY LEAVE TRANSPORTATION AND TRAVEL
18. You are authorized to proceed on official travel in connection with emergency leave and upon completion of your leave and travel will
return to home station (or location) designated by military orders. You are directed to report to the Aerial Port of Embarkation (APOE) for
onward movement to the authorized international airport designated in your travel documents. All additional travel is chargeable to leave.
Do not depart the installation without reservations or tickets for authorized space required transportation. File a no-pay travel voucher with
a copy of your travel documents or boarding pass within 5 working days after your return. Submit request for leave extensions to your
commander. The American Red Cross can assist you in notifying your commander of your request for extension of leave.
19. INSTRUCTIONS FOR SCHEDULING RETURN TRANSPORTATION:
For return military travel reservations in CONUS call the MAC Passenger Reservation Center (PRC):
Should you require other assistance call PAP:
20. DEPARTED UNIT
21. ARRIVED APOD
22. ARRIVED APOE (return only)
23. ARRIVED HOME UNIT
24.
PART III - DEPENDENT TRAVEL AUTHORIZATION
25.
(Space available or required cash reimbursable) ONE WAY ROUND TRIP
(Space required) TRANSPORTATION AUTHORIZED FOR DEPENDENTS LISTED IN BLOCK NO. 25
DEPENDENT INFORMATION
a. DEPENDENTS (Last name, First, MI)
b. RELATIONSHIP
c. DATES OF BIRTH (Children)
d. PASSPORT NUMBER
PART IV - AUTHENTICATION FOR TRAVEL AUTHORIZATION
26. DESIGNATION AND LOCATION OF HEADQUARTERS
27. ACCOUNTING CITATION
28. DATE ISSUED
29. TRAVEL ORDER NUMBER
30. ORDER AUTHORIZING OFFICIAL (Title and signature) OR AUTHENTICATION
DA FORM 31, SEP 93
EDITION OF 1 AUG 75 IS OBSOLETE ORIGINAL 1
