Leave Request

  • It is the goal of the Veterans Accession House program to support reasonable resident requests to socialize and advance their stated service plan objectives. Our responsibility is to care for the health and safety of our residents. To accomplish this duty, it is program policy to require an independent submission for each planned extended leave away from the program.
  • Extended leave is considered any amount of time greater than 18 hours (between 0600 – 2400) away from the program. Requests must be discussed in advance with the Veteran’s Case Manager.
  • Requests must be submitted at a minimum of five business days prior to the first day of the Veteran’s leave date. Final approval is contingent on good standing in the program. Authorization for leave is not automatic, Veteran will be notified of approval or denial.

    Veteran's Name:

    Proposed Date of Departure:

    Proposed Date of Return:

    Location of Offsite Stay:

    Reason for Trip: