Commander US Army Military Leave Board Department

Military Leave Application Form

Requester Full Name

Email Address

Phone Number

Relationship To Applicant

Service Member Full Name

Service Number / Military ID

Rank

Branch

Unit / Battalion / Division

Current Duty Station

Date of Enlistment

Years in Service

Type of Leave Requested

Duration (Number of Days)

Leave Start Date

Expected Return Date

Reason for Leave

Commanding Officer Name

Officer Rank

Command Unit Address