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