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DEPARTMENT OF DEFENSE • OFFICIAL LEAVE
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DEPARTMENT OF DEFENSE • UNITED STATES ARMED FORCES

REQUEST AND AUTHORITY FOR LEAVE

STANDARD FORM DA-31 / NAVPERS 1070/613 • SECNAVINST 1050.4
Verification QR Code
SCAN TO VERIFY
CONTROL / TRACKING NUMBER
ML-2026-10492
CLEARANCE STATUS
Approved & Authorized
SECURITY CLASSIFICATION
UNCLASSIFIED // FOUO

PART I — SERVICE PERSONNEL DOSSIER

1. Full Legal Name (Last, First, Middle)
Staff Sgt. Marcus Aurelius Sterling
2. Service / Roster Number
USAF-3112-9840
3. Service Branch & Grade/Rank
United States Air Force — Staff Sergeant (E-5)
4. Station of Record / Base Command
Joint Base Langley-Eustis, VA
5. Active Duty Status
Active Duty
6. Clearance Cost Package & Fee
Standard Clearance • $0.00 USD

PART II — LEAVE SPECIFICATIONS & TRANSIT ROUTE

7. Type of Leave Requested
Convalescent / Medical Leave (CONV-MED)
8. Total Authorized Days
20 Calendar Days
9. Effective Departure Date
September 16, 2026
10. Mandatory Return / Check-In Date
October 06, 2026 (23:59 hrs)
11. Primary Physical Destination Address During Leave
450 Pine Valley Way, Colorado Springs, CO 80906, Colorado Springs, CO, United States
12. Emergency Contact / Next of Kin
Rachel Sterling (Spouse)
13. Emergency Contact Email
rachel.sterling@defensehealth.org

PART III — COMMAND AUTHORIZATION & AUTHENTICATION

COMMANDING OFFICER / APPROVING AUTHORITY
Col. Patricia Gomez, Chief Medical Officer
Defense Personnel Records Command • Clearance Authenticated
Date Cleared: Sep 13, 2026 01:31
Official Authorized Stamp
*ML-2026-10492*
This document constitutes an official military travel & leave pass under 10 U.S.C. Chapter 40. Alteration or unauthorized use is punishable under Article 134, Uniform Code of Military Justice (UCMJ).