How to Fill Out a Da 31

|REQUEST AND AUTHORITY FOR LEAVE |1. CONTROL NUMBER |

|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) | |

|PART - I |

|2. NAME (Last, First, Middle Initial) |3. SSN |4. RANK |5. DATE |

|TUCKSEN, JOHN R |      |SGT |11 MAY 2015 |

|6. LEAVE ADDRESS (Street, City, State, ZIP Code and Phone No.) |7. TYPE OF LEAVE | |8. ORGN, STATION, AND PHONE NO. |

| |ORDINARY |EMERGENCY |      |

|4055# B DAISDY MINE CT | PERMISSIVE TDY | OTHER |MNT TRP, RSS, 11TH ACR |

|FT IRWIN CA 92310 |OPPORTUNIT LEAVE |Fort Irwin CA, 92310 |

|661-917-4550 | |760-380-4908 |

|9. |NUMBER DAYS LEAVE |10. |DATES...