Coast Guard
Leave & Liberty
Leave request
Coast Guard Leave Request
Draft your Coast Guard leave request — annual, emergency, or terminal — before submitting through Direct Access.
What this worksheet covers
Open it in the toolkit and these fields prefill from your service profile — rank, name, and unit are filled in on the spot.
Administrative data
- Name (Last, First, MI)
- Rank / rate
- Unit
Leave
- Type of leave
- Number of days
- Departure date
- Return date
- Leave address
- Contact phone during leave
- Emergency contact (name / phone)
Draft / worksheet aid. Prepare it here, then transcribe into your official system of record. This is not an official submission — verify against the current official Leave request before use.
Related Leave & Liberty worksheets
Fill, save & export this worksheetPrefilled from your profile · autosaves to your account · export to PDF. Free to preview, Pro to save & export.
Open in the toolkit →