Leave Settlement Option and Privacy Act Statement
This file provides the Leave Settlement Option for military personnel during reenlistment or voluntary extension. It outlines the privacy act statement and legal authority for leave settlement decisions. Follow the instructions carefully to ensure your leave balance is correctly processed.
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How do I fill this out?
To fill out this form, start by providing your identification data including your name, unit, and SSN. Next, select your leave settlement election options for reenlistment or extension. Ensure you understand the implications of your choices before signing the document.

How to fill out the Leave Settlement Option and Privacy Act Statement?
1
Read the instructions carefully.
2
Complete the identification data section.
3
Select your leave settlement option.
4
Acknowledge understanding of the leave policies.
5
Sign and date the form.
Who needs the Leave Settlement Option and Privacy Act Statement?
1
Military personnel planning to reenlist.
2
Service members applying for voluntary extensions.
3
Reservists completing MPA/RA tours.
4
Finance officers processing leave settlements.
5
Counselors advising service members on leave options.
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What are the important dates for this form in 2024 and 2025?
Key dates for filing this form during 2024 and 2025 will vary based on individual reenlistment or extension timelines. It is advisable to submit your request as early as possible before your reenlistment date to avoid any issues.

What is the purpose of this form?
The Leave Settlement Option form serves to document military members' decisions regarding leave settlement during reenlistment or extension. It ensures individuals are aware of their options and the implications of their choices. This form is a critical tool for managing accrued leave effectively within military regulations.

Tell me about this form and its components and fields line-by-line.

- 1. Identification Data: Includes personal details such as name, unit, and SSN.
- 2. Leave Settlement on Reenlistment: Choices related to cash settlements or carrying forward leave.
- 3. Leave Settlement on Extension: Specifies the conditions for leave settlement during extensions.
- 4. MPS Verification Section: For military personnel support verification.
- 5. Member's Verification Section: Includes the member's signature and date of completion.
What happens if I fail to submit this form?
Failure to submit this form can lead to delays in processing your leave settlement. Without this documentation, your leave balance may not be accurately settled during reenlistment or extensions.
- Delayed Processing: Your leave settlement request may be postponed until the form is submitted.
- Impact on Leave Balance: Inaccurate leave balance may affect your reenlistment options.
- Ineligibility for Settlement: You might forfeit your ability to sell accrued leave.
How do I know when to use this form?

- 1. Reenlistment: When a military member decides to reenlist.
- 2. First Extension of Enlistment: Applicable when entering the first voluntary extension.
- 3. End of MPA/RA Tour: Required at the conclusion of Military Personnel Augmentation/Reserve Active Tours.
Frequently Asked Questions
What is this PDF about?
This PDF outlines the Leave Settlement Option for military members.
How can I fill out this form?
Begin by providing your personal identification data and selecting your leave settlement options.
Can I edit the PDF directly?
Yes, you can easily edit the PDF on PrintFriendly before downloading it.
Is this form mandatory?
This form is required for military personnel opting for leave settlements.
What should I do if I need assistance?
Reach out to your finance officer for guidance on filling out this form.
What types of leave can I settle?
You may choose to carry forward all accrued leave or settle for a cash amount.
Can I change my election after signing?
No, you cannot change your election once you have reenlisted.
Where can I find more information?
Further information can be obtained from your local Accounting and Finance Office.
How do I submit this form?
Follow the submission instructions provided on the form or through your financial office.
Will I receive confirmation of my submission?
You will typically receive confirmation from your finance office regarding your settlement.
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