ACCOUNTING CITATION 28. DATE ISSUED 29. TRAVEL ORDER NUMBER DA FORM 31 SEP 93 30. ORDER AUTHORIZING OFFICIAL Title and signature OR AUTHENTICATION EDITION OF 1 AUG 75 IS OBSOLETE ORIGINAL 1 USAPPC V4. However this form will not be processed without a soldier s SSN since the Army identifies members by SSN for pay or leave purposes. REQUEST AND AUTHORITY FOR LEAVE 1. CONTROL NUMBER 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. PART I 2. NAME Last First Middle Initial 3. SSN 6. LEAVE ADDRESS Street City State ZIP Code and Phone No* 4. RANK 7. TYPE OF LEAVE 8. ORGN STATION AND PHONE NO. EMERGENCY ORDINARY PERMISSIVE TDY OTHER NUMBER DAYS LEAVE a* ACCRUED b. REQUESTED 11. SIGNATURE OF REQUESTOR 5. DATE c* ADVANCED d. EXCESS 12. SUPERVISOR RECOMMENDATION/SIGNATURE APPROVAL DATES a* FROM b. TO 13. SIGNATURE AND TITLE OF APPROVING AUTHORITY a* DATE b. TIME DEPARTURE c* NAME/TITLE/SIGNATURE OF DEPARTURE AUTHORITY a* NUMBER DAYS b. DATE APPROVED EXTENSION RETURN 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 extension 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 23. ARRIVED HOME UNIT PART III - DEPENDENT TRAVEL AUTHORIZATION Space available or required cash reimbursable ONE WAY ROUND TRIP Space required TRANSPORTATION AUTHORIZED FOR DEPENDENTS LISTED IN BLOCK NO. 25 a* DEPENDENTS Last name First MI DEPENDENT INFORMATION b. RELATIONSHIP c* DATES OF BIRTH Children d. PASSPORT NUMBER PART IV - AUTHENTICATION FOR TRAVEL AUTHORIZATION 26. DESIGNATION AND LOCATION OF HEADQUARTERS 27. 00 INDIVIDUAL 2 SUSPENSE 3 ORGANIZATION 4 PRIVACY ACT STATEMENT AUTHORITY PRINCIPAL PURPOSE S Title 5 USC Section 301. To authorize military leave document start and stop of such leave record address and telephone number where a soldier may be contacted in case of an emergency during leave and certify leave days chargeable to a soldier s leave account. ROUTINE USES To update a soldier s military leave and pay records. Information furnished may be disclosed to DOD officials or employees who need this information to perform their duties to federal state and local law enforcement authorities in appropriate cases the American Red Cross and relatives.
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