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Family Member Leave Form Please complete this form prior to your departure and provide it to the Commander or FRG Leader. This will assist us in contacting you in case of an emergency.

FAMILY MEMBER INFORMATION Name:       Sponsor’s name:       Sponsor’s Rank:      

Section/Platoon:      

ITINERARY (or attach a copy) Date leaving:       Notes:      

Date returning:      

Mode of transportation:      

IN AND AROUND TRAVEL (please list any other trips you may take while on vacation)      

LEAVE ADDRESS Street:       City:       Phone Number:      Alternate POC:      

State:      

Zip Code:       Cell:      

HOUSING POC DURING YOUR ABSENCE Name:      

Phone:      

Address for your quarters:      

OTHER NOTES      

PRIVACY ACT STATEMENT Authority: 10 U.S.C. Section 3010, 5 U.S.C. 522a Principle Purpose: To assist the command in contacting family members during an emergency when the family has left the area on vacation. Mandatory or Voluntary Disclosure: Voluntary

Spouse leave form  

Please complete and turn into your FRG leader or to SFC Thomas