Professional Documents
Culture Documents
Appendix Q
TEMPORARY LEAVE OF ABSENCE
INDIANA
JOINT FORCES HEADQUARTERS
INDIANA GUARD RESERVE
2002 SOUTH HOLT ROAD
INDIANAPOLIS, INDIANA 462414839
____________
(Date)
TO: HQ IGR G1
1. I hereby request a temporary Leave of Absence from the Indiana Guard Reserve
effective ______________ and should expire on _________________.
(Date) (Month and Year)
Reason: _______________________________________________________________
2. I understand that my Time In Grade (TIG) will continue to be counted, provided that I am taking
this Leave of Absence due to supporting the War on Terror.
3. I understand that my Time In Grade (TIG) will be readjusted upon my return to active IGR,
provided that I am taking this Leave of Absence for personal reasons (ie. Job demands, family
situations).
4. I understand that should my Time In Grade (TIG) be counted, I still must meet the promotion
eligibility requirements of the current IGR Regulation 104 before being promoted to the next
higher grade.
5. I understand that while on a leave of absence, any unit awards or decorations for which the unit
becomes eligible, that I would not be eligible if I am absent during the award period.
6. I understand that after my Temporary Leave of Absence has expired that I must return to active
status with the IGR or submit a request for discharge/retirement.
7. I understand that should I not return to active IGR status upon termination of my Temporary
Leave of Absence, or submit for an extension of leave, the IGR could discharge me for failure to
participate.
8. I understand that I must keep my unit informed of my intentions and status.
JFHQINIGR Form 17R (1 October 2007) Page 1 of 2 pages
(Supersedes JFHQINIGR Form 17R dtd 1 November 2006)
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1 October 2007 JFHQINIGR Reg 104
(Continuation of Temporary Leave of Absence)
9. I understand that, should my ETS fall within my absent period, I can reenlist prior to my
departure. My ETS will automatically be extended until I return from my Leave of Absence if I fail
to reenlist prior.
_________________________________ _____________ ______________
(Print last name, first name, MI) (Rank) (Last four of SSAN)
_____________________________________
(Signature)
Approved/Disapproved.
______________________
(Commander)
_____________________
(Date)
I hereby request to be removed from Temporary Leave of Absence, effective this date, and returned to duty with the
Indiana Guard Reserve and will resume attending drills.
_________________________________________ ________________________________
(Signature) (Date)
JFHQINIGR Form 17R (1 October 2007) Page 2 of 2 pages
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