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DA Form 31 - Instructions
Form issues? Send an Email to: usarmy.knox.hrc.mbx.tagd-leave-and-pass-policy@mail.mil
1. CONTROL NUMBER
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 DCS, G-1. (See instructions by clicking on the instructions button.)
PART I - REQUESTOR INFORMATION
3. DOD ID
2. NAME (Last, First, Middle Initial)
Flagg,Jonathan,R
4. RANK
1568239926
5. DATE (YYYYMMDD)
SPC
20010101
6. LEAVE ADDRESS (Street, City, State, ZIP Code and Phone Number)
7. ORGANIZATION, STATION, POC EMAIL AND PHONE NUMBER
150 south main st Hightstown NJ 08520
609-598-6609
A CO. 129 DSSB
6748, DESSERT STORM AVE
FORT CAMPBELL, KY 4223
270-421-0042
8. TYPE OF ABSENCE
✔ CHARGEABLE
NON-CHARGEABLE
✔ Annual (Ordinary) Leave
COMBINATION
Emergency Leave
Permanent Change of Station (PCS) Leave
Accession Leave
Environmental Morale Leave (EML)
Reenlistment Leave
Advance Leave
Environmental Morale Leave, Funded (FEML)
Rest and Recuperation Leave
Consecutive Overseas Tour (COT) Leave
Pass Termination, Leave Charged After
Terminal Leave
9b. TOTAL DAYS REQUESTED
9a. FROM (YYYYMMDD)
10a. ACCRUED
LEAVE
(CR BAL) FROM
(YYYYMMDD)
59
10b. CHARGEABLE LEAVE REQUESTED
DAYS REQUESTED TO
ADVANCE
(YYYYMMDD)
21
20220601
20220621
NA
9c. TO (YYYYMMDD)
EXCESS
10c. NON-CHARGEABLE ABSENCE REQUESTED
DAYS REQUESTED TO
FROM
(YYYYMMDD)
(YYYYMMDD)
NA
REQUESTOR / SUPERVISOR / APPROVING AUTHORITY SIGNATURES
11. SIGNATURE OF REQUESTOR (Supervisor can sign for requestor when requestor is not available to sign.)
FLAGG.JONATHAN.RICHARD.1568239926
12. SUPERVISOR NAME
TITLE
DATE
Digitally signed by FLAGG.JONATHAN.RICHARD.1568239926
Date: 2022.05.16 22:32:36 -05'00'
RANK/GRADE
RECOMMENDATION SIGNATURE
20220516
DATE
APPROVAL
DISAPPROVAL
SIGNATURE
DATE
e. SIGNATURE
f. DATE
15.
EXTENSION - APPROVAL AUTHORITY SIGNATURE
a. NUMBER DAYS b. DATE APPROVED c. NAME APPROVAL AUTHORITY d. TITLE
e. SIGNATURE
f. DATE
16.
a. DATE
e. SIGNATURE
f. DATE
13. APPROVING AUTHORITY NAME TITLE
RANK/GRADE
ACTION
APPROVED
DISAPPROVED
14.
a. DATE
DEPARTURE - AUTHORITY SIGNATURE
c. NAME DEPARTURE AUTHORITY d. TITLE
b. TIME
RETURN - AUTHORITY SIGNATURE
c. NAME RETURN AUTHORITY
d. TITLE
b. TIME
17. REMARKS
PERSONNEL/FINANCE ONLY: Chargeable leave is from date (YYYYMMDD):
DA FORM 31, JUN 2020
PREVIOUS EDITIONS ARE OBSOLETE.
to date (YYYYMMDD):
APD AEM v1.14ES