Official Military Form DA-31 / NAVPERS

Leave & Clearance Application

Submit your military absence authorization request. All submissions are cryptographically logged and routed to the corresponding command clearance desk.

Service Info

Leave & Cost

Emergency Contact

Signature & Review

Step 1: Service Personnel Identification

Full Legal Name * Include name as listed on CAC / Official Service ID.

Service / Roster Number *

Military Service Branch *

Military Pay Grade & Rank *

Duty Status *

Current Military Base / Station *

Step 2: Leave Category, Transit & Cost Calculation

Leave Category / Authorization Type *

Transit Mode *

Departure / Start Date *

Return / End Date *

Clearance Cost Package & Rate Tier * 0 Days Calculated

Calculated Clearance Fee Breakdown

Base $150.00 + (0 Days × $15.00/day)

Total Authorized Cost

$150.00 USD

Primary Destination Physical Address *

City

State / Province

Country

Reason / Mission Justification for Leave

Step 3: Emergency Contact & Sponsor Liaison

Emergency Contact Full Name *

Relationship to Service Member *

Emergency Contact Email Address * Notification dossier and transit advisories will be transmitted to this email address.

In the event of an emergency recall or operational readiness shift, the designated contact will be formally notified through official DoD digital communications channels.

Step 4: Digital Signature & Final Confirmation

Digital Signature of Applicant *

Draw signature inside box using mouse or touch screen.

I certify under penalty of the Uniform Code of Military Justice (UCMJ) that the above statements are true, accurate, and submitted for authorized official leave clearance.