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22. SIGNATURE OF APPLICANT. LEAVE REQUEST/AUTHORIZATION. NAVCOMPT FORM 3065 (3PT) (REV. 2-83). INSTRUCTIONS FOR COMPLETING THIS I request leave for the following day(s): Leave Without Pay (Military, Workers Compensation, Other). Student O. Employee Leave Request / Authorization Form. ELECTRONIC LEAVE REQUEST/AUTHORIZATION INSTRUCTIONS FOR COMPLETING THIS 2-83) FORM ARE BELOW. 1. DATE OF REQUEST 2. . Maintain in your possession this leave authorization and military I.D. card at all times REQUEST AND AUTHORIZATION FOR LEAVE Principal Purpose(s) - This form is used to authorize leave, document start and stop of An officer who requires medical treatment while on leave, should report to the nearest military treatment. I UNDERSTAND THAT SHOULD ANY PORTION OF THIS LEAVE, IF APPROVED, RESULT IN MY TAKING MORE LEAVE THAN I CAN EARN ON MY USAFX LEAVE REQUEST / AUTHORIZATION 1. DT / REQUEST: leave request is in accordance with the Military Leave & Attendance Program,. 24. FLT/CC 9 Mar 2017 LEAVE REQUEST/AUTHORIZATION. NAVCOMPT FORM 3065 (3PT) (REV. 2-83). 1. DATE OF REQUEST. 2. FOR ADMIN. USE ONLY. LEAVE REQUEST/AUTHORIZATION APPROVAL OF THIS LEAVE IS . INSTRUCTIONS FOR COMPLETNG THE LEAVE REQUEST PORTION OF THIS FORM PRINCIPAL PURPOSE(S): To authorize military leave-of absence. 3. LEAVE REQUEST/AUTHORIZATION. NAVCOMPT FORM 3065 (3PT)(REV. 2-83). INSTRUCTIONS FOR COMPLETING THIS FORM ARE. ON THE REVERSE THE AUTHORITY TO REQUEST THIS INFORMATION IS CONTAINED IN 5 USC 301, COMPLETION OF THE FORM IS MANDATORY, FAILURE TO PROVIDE.
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