Leave of Absence Request
Please submit this form if you need to step away from Active Duty for a short or long term basis.
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Name *
Please provide your name (as registred in the UFS Membership Database)
Your Starfleet Security Code (SSC) *
Your membership number as shown in the UFS Membership Database
Your email *
email you use for UFS related matters
Duty Assignment *
The ship you are currently serving on (put unassigned if you are not assignd to a ship of the line)
Informed your Commanding Officer? *
Did you inform your Commanding Officer of your intended LOA?
Date your Leave of Absence begins *
When does your LOA taks effect?
MM
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DD
/
YYYY
Approximatly how long will your Leave of Absence last? *
When do you foresee returning to duty?
MM
/
DD
/
YYYY
Please state your reason for taking a Leave of Absence *
Please be honest so that we can try to solve any problems you ar facing. Your answer will remian confidential
Final Confirmation *
I understand that by checking the box below, my Leave of Absence is dependent on renewing its status within 1 (ONE) year, or it will be deemed a resignation from UFS. As I have read and understand the group policies which details with issues of official leave
Required
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