Navcompt 3065 Template

Navcompt 3065 Template

The Navcompt 3065 form serves as a Leave Request/Authorization for military personnel. It is essential for documenting and approving requests for military leave, whether due to personal reasons, emergencies, or other circumstances. Understanding this form is crucial for service members planning their time away from duty.

To begin the process of filling out the Navcompt 3065 form, click the button below.

Content Overview

The Navcompt 3065 form plays a critical role in the leave request process for military personnel, specifically within the U.S. Navy. This form requires individuals to provide essential information for the approval of their leave, including details such as the date of the leave request, social security number, name, paygrade, and ship or station. Information on the type of leave requested—whether it be annual, sick, or emergency leave—is also mandatory, along with the specific dates and times for departure and return. The form emphasizes the necessity of maintaining communication with the leave address, given that leave can be subject to immediate recall. Furthermore, it includes stipulations about travel arrangements and responsibilities in case of illness or injury incurred during leave. Applicants must also demonstrate financial preparedness to cover travel costs, a critical element in securing approval. The completion instructions highlight the need for accuracy in filling out the form and detail the significance of its approval status, which must be authenticated by relevant authority signatures. Overall, understanding the components of the Navcompt 3065 is indispensable for service members seeking leave, as it ensures compliance with military regulations and safeguards operational readiness.

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

Document Attributes

Fact Name Description
Purpose The Navcompt 3065 form serves as a formal request for leave authorization within the military. It allows service members to document their request for leave and provides a record for administrative use.
Privacy Act Compliance This form includes a Privacy Act Statement to inform individuals about the collection of personal data. It adheres to the provisions of the Privacy Act of 1974, ensuring that members understand how their information will be used.
Completion Guidelines Members must complete this form using a ballpoint pen or typewriter. It must be filled out in triplicate, with all copies legible. Specific blocks require particular types of information, such as leave dates and type of leave.
Legal Authority The Navcompt 3065 form operates under Title 10 and Title 37 of the U.S. Code, which govern military leave policies. This legal framework supports the proper management and authorization of leave within the military.

Completing the NAVCOMPT 3065 form is an essential step when requesting leave. Below are clear and precise instructions to help streamline the process. Ensure you follow each step carefully to submit your request successfully.

  1. Start by filling in Block 1 with the date of your leave request.
  2. Leave Block 2 blank; this is for administrative use only.
  3. Provide your Social Security Number in Block 3.
  4. In Block 4, write your name in the format of Last, First, and Middle Initial.
  5. Indicate your pay grade in Block 5.
  6. Enter your ship/station in Block 6.
  7. Specify your department/division in Block 7.
  8. Fill in your duty section in Block 8.
  9. Provide your duty phone number in Block 9.
  10. Select the type of leave you are requesting in Block 10.
  11. Indicate whether you are leaving the area of permanent duty station in Block 11a and taking leave within the continental United States in Block 11b.
  12. Specify the days requested in Block 13.
  13. Fill out the FROM time and date in Block 14 and the TO time and date in Block 15.
  14. Provide your normal working hours for the day of departure and return in Block 16.
  15. Check your leave balance to include in Block 17 and the leave used this fiscal year in Block 18.
  16. Fill in your leave phone number for the duration of your leave in Block 19.
  17. List your leave address in Block 20.
  18. Complete the ration status information in Block 21.
  19. Sign and date Block 22 to certify your leave request.
  20. After review, await the signature of the reviewing officer in Block 23.
  21. Provide any additional comments or remarks in Block 24.
  22. Fill in the ship or station in Block 25 and report on expiration of leave in Block 26.
  23. Complete the hour and date fields in blocks 27, 28, and 29 for your departure and return details.
  24. Get the appropriate signatures for blocks 27c, 28c, and 29c.
  25. Fill out Block 30 with the inclusive leave period and Block 31 with the applicable number of leave days.
  26. Lastly, certify the information in Block 32 with your name, rank, and title, and provide your signature in Block 33.

Once you have completed all steps, ensure that you retain a copy for your records. Also, remember that you must submit the original leave authorization to the designated office upon your return from leave.

Frequently Asked Questions

  1. What is the Navcompt 3065 form?

    The Navcompt 3065 form is a leave request and authorization document used by service members in the U.S. Navy. It officially requests and documents military leave, ensuring that all necessary information is collected for approval.

  2. Who needs to fill out the Navcompt 3065 form?

    Any service member who wishes to take leave must complete this form. This includes members seeking vacation leave, sick leave, or any other type of authorized leave.

  3. What information is required on the form?

    Key details include your name, Social Security Number (SSN), pay grade, ship or station, duty section, type of leave, days requested, and your leave address. You must also certify that you have sufficient funds for round-trip travel.

  4. How is leave calculated?

    Leave is calculated based on your departure and return dates. The day you leave is generally counted as a duty day unless it begins after your normal work hours. The day you return is counted as a leave day unless you return before your workday starts.

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

    If you require an extension of your leave, inform your commanding officer via telegram. It is critical to do this to obtain approval for any extra time off. If you do not receive a reply, you should assume your extension request has not been approved.

  6. What happens if I do not return on time?

    If situations beyond your control result in a late return, you must gather written evidence from transportation agencies or authorities as proof of your circumstances. This will be needed for consideration by your commanding officer.

  7. What is the significance of the Privacy Act statement?

    The Privacy Act statement informs you about how personal information, such as your SSN, will be used. It primarily serves to authorize your leave and manage your leave balance effectively.

  8. What are the consequences of taking leave without authorization?

    Taking leave without proper authorization can lead to disciplinary actions. It may also affect your leave balance and pay if it exceeds what you have earned during your active duty period.

  9. What must I do upon returning from leave?

    You are required to return the original leave authorization to the designated office in your command as soon as you return from leave. This is an important step in processing your leave accurately.

  10. Is there a specific format for completing the Navcompt 3065 form?

    The form must be completed in pen or typed. It should be filled out in triplicate, ensuring that all copies are legible. It is crucial to follow proper formatting as specified in the instructions on the form.

Common mistakes

Filling out the Navcompt 3065 form is crucial for anyone wanting to request leave. However, common mistakes can lead to unnecessary delays or even denials of leave. One frequent error occurs in Block 14 and Block 15, where applicants often choose starting and ending times that conflict with their duty schedule. It's essential to remember that if you are starting leave on a workday, your leave cannot begin until after your normal work hours. Similarly, your return should not be earlier than the start of your workday unless specified otherwise.

Another typical mistake is neglecting Block 16, which asks for your normal working hours on the days of departure and return. Many forget to fill this out or incorrectly state their working hours. This information is vital for proper leave accounting and ensuring that your leave is accurately recorded. If either day falls on a non-workday, making a note of "NONE" ensures clarity.

When it comes to personal details, Block 3 is frequently mishandled. Some people either forget to include their Social Security Number (SSN) or write it incorrectly. This step is not trivial; your SSN is used to track your leave accurately. Double-checking this block can eliminate significant processing issues later.

In Block 17 and Block 18, where leave balance information is required, individuals often make the mistake of estimating their leave balance instead of obtaining precise figures from their Leave and Earnings Statement or their commanding officer. Accurate data is crucial for ensuring that you do not request excessive leave that could jeopardize your pay or service obligations.

Filling Block 19 is another area where mistakes frequently happen. Some applicants forget to indicate their planned duration of leave. Leaving this blank can delay approval as it brings uncertainty regarding your leave request. Be sure to clearly state the number of days you are requesting.

Another common oversight happens in Block 20, the leave address. Many applicants do not provide an address where they can be reached during their leave. This leaves room for confusion, as the commanding officer may need to contact you during your absence. Always provide a valid address where you can be reached.

Lastly, it is imperative to pay attention to the signature requirements. In Block 22, the applicant's signature is mandatory. It might seem basic, but failing to sign the form can result in it being considered incomplete. Moreover, any additional signatures needed from approving officers should not be overlooked.

By being mindful of these areas and taking extra time to complete the form, you can help ensure that your leave request is processed smoothly and efficiently. Remember, being thorough and careful can save you a lot of hassle in the future.

Documents used along the form

The Navcompt 3065 form is a crucial document for military personnel requesting leave. It serves as the official leave authorization, encapsulating essential details about the leave request. Alongside the Navcompt 3065, several other forms and documents may be required to streamline the leave process. Each of these documents serves a specific purpose, crucial for efficient leave management and compliance with military regulations.

  • Leave Control Document: This document tracks the approval status of leave requests, ensuring that leave dates align with organizational needs while maintaining personnel accountability.
  • Leave and Earnings Statement: This statement provides members with information regarding their leave balance and earnings, allowing them to verify their available leave days before submitting requests.
  • Medical Certification: If a leave request is due to medical reasons, a certification from a healthcare provider may be necessary. This confirms the medical necessity for the requested leave duration.
  • Travel Orders: For members traveling beyond specific areas, travel orders authorize the journey and outline any allowances for travel expenses incurred during the leave period.
  • Extension Request Form: If additional leave is needed beyond the initial request, this form formalizes the request for an extension and includes reasons for the additional time off.
  • Emergency Leave Request: This specialized request form is for situations requiring immediate leave due to emergencies, allowing for expedited processing of such requests.
  • Military Leave Authorization Letter: This letter outlines the approval for leave and any specific conditions that may apply. It serves as an official communication from command regarding leave status.
  • Return from Leave Notification: Upon returning from leave, this form ensures that personnel notify their unit about their return, aiding in tracking personnel availability.

In conclusion, understanding the various forms and documents related to the Navcompt 3065 is essential for military personnel navigating the leave process. Each document plays a vital role in maintaining organization and accountability, ensuring that leave is granted efficiently and responsibly.

Similar forms

  • DD Form 1610: This form is used for travel authorization within the military. Similar to the Navcompt 3065, it requires details about the individual’s travel dates as well as purpose and approvals needed.
  • VA Form 21-526EZ: This form is for applying for VA benefits, including leave verification incidents for medical emergencies. Like the Navcompt 3065, it tracks personal details and requires a signature.
  • SF-50: The Notification of Personnel Action form is often used to document changes in an employee's status, including leave. It shares the same focus on official approval and personal information.
  • SF-271: This is the leave request and authorization form for civilian employees of federal agencies. Similar to Navcompt 3065, it includes information about leave types and necessary approvals.
  • Form 1040: The U.S. Individual Income Tax Return form, while not related to leave, similarly requires personal details and documentation for processing. Each form details specific information about the individual involved.

Dos and Don'ts

  • Do fill out the form in ballpoint pen or typewriter to ensure legibility.
  • Don’t leave any required blocks blank; each must be filled accurately.
  • Do submit your leave request well in advance to allow for processing.
  • Don’t disregard the importance of maintaining communication with your leave address.
  • Do ensure you have sufficient funds for round-trip travel.
  • Don’t discuss any confidential matters related to the Navy unless certain they are unclassified.
  • Do return your original leave authorization to the designated office promptly upon your return.

Misconceptions

The Navcompt 3065 form, used for leave requests by military personnel, often encounters various misconceptions. Understanding the facts about this form can help ensure that leave is requested and authorized correctly.

  • Misconception 1: The Navcompt 3065 form is not necessary for all types of leave.
  • In reality, the Navcompt 3065 form is required for various types of leave, including regular and emergency leave. Using this form ensures that all leave requests are processed through official channels.

  • Misconception 2: Submitting the form guarantees automatic approval of leave.
  • Approval of leave is not automatic. While the form is a formal request, the leave must still receive approval from the appropriate commanding officer. Approval depends on various factors, including duty requirements and the timing of the request.

  • Misconception 3: It does not matter how early the leave request is submitted.
  • Early submission of the leave request is crucial. Requests should be made sufficiently in advance to accommodate processing through official channels. Late submissions may lead to denial of the request.

  • Misconception 4: The leave authorization does not need to be retained once approved.
  • Retaining the leave authorization is essential. This document serves as the official leave authorization, and it should be kept in one's possession throughout the leave period. Losing this document could lead to complications in case of recall or other issues.

Key takeaways

Filling out the Navcompt 3065 form requires careful attention to detail. Here are key takeaways to consider:

  • The form must be completed in triplicate and in legible handwriting or typed using a ballpoint pen or typewriter.
  • Do not fill out block 2, as it is reserved for administrative use only.
  • Provide accurate personal information in blocks 3 through 21, including your full name, Social Security Number, and ship/station details.
  • Blocks 14 and 15 dictate the start and end times of your leave. Adhere to the guidelines related to workdays and non-workdays.
  • Ensure that the information entered in blocks 17 and 18 reflects your current leave balance. This can be verified from your Leave and Earnings Statement.
  • Before submitting the leave request, check that all fields are completed to avoid any delays in processing.
  • Retain a copy of the leave authorization; it serves as your official documentation for the leave period.
  • Communication with your commanding officer is vital if any issues arise during your leave, such as needing an extension or facing emergencies.
  • Be aware of your obligation to maintain communication during your leave, as you may be subject to recall.
  • Upon return from leave, submit your original authorization to the designated office promptly to fulfill your reporting requirements.

It is crucial to follow these points closely to ensure compliance and smooth processing of your leave request.

More PDF Forms