PROTECTED a (When Part 1 Completed)

PROTECTED A (when Part 1 completed)

A-PM-245-001/FP-001Chapter 19, Annex A
Application for Exempt DUTY and Training (ED&T)
Part 1 – Member’s Particulars
SN / Rank / Surname / Initials
MOS ID / Unit Name / UIC
Part 2 – Member’s Application
I hereby apply for ED&T as follows:
a. to start on:
b. to end on:
c. for a total of: / calendar days
Substantiation:
()
Date / Member’s Signature / Home Phone Number
Part 3 – Commanding Officer’s Approval/Recommendation
With respect to the member’s application (cross out non applicable information and substantiate a lack of approval or recommendation):
I approve / I do not approve the ED&T as requested (maximum of 90 days)
I recommend / I do not recommend approval of the ED&T as requested (over 90 days)
Comments (as applicable):
()
Date / Commanding Officer’s Signature / Phone Number
Part 4 – Next Immediate Higher HQ Approval/Recommendation
With respect to the member’s application (cross out non applicable information and substantiate a lack of approval or recommendation):
I approve / I do not approve the ED&T as requested (maximum of 180 days)
I recommend / I do not recommend approval of the ED&T as requested (over 180 days)
Comments (as applicable):
Date / Appropriate Commander’s Signature / Position Title
Part 5 – Area HQ or Equivalent Approval/Recommendation
With respect to the member’s application (cross out non applicable information and substantiate a lack of approval or recommendation):
I approve / I do not approve the ED&T as requested (maximum of 365 days)
I recommend / I do not recommend approval of the ED&T as requested (over 365 days)
Comments (as applicable):
Date / Appropriate Commander’s Signature / Position Title
Part 6 – Commander of Command’s Approval
With respect to the member’s application (cross out non applicable information and substantiate a lack of approval):
I approve / I do not approve the ED&T as requested (excess of 365 days)
Comments (as applicable):
Date / Commander of Command’s Signature
Part 7 – Unit Clerk’s Records Action
The member’s EDT status has been entered into the (check those completed):
HRMS
RPSR
DND 1355 or DND 1356
Part 8 – Cancellation or Early Return to Duty
As stated above, mbr requested and was approved an ED&T period until
Mbr has requested:
a.an early return to duty for the / (an earlier date only); or
b. to cancel the ED&T period / (prior to the start date only);
c. for a total of amended ED&T: / days
Explanation :
Note. If a longer period of ED&T is required, then a new Application for Exempt Duty and Training (ED&T) form shall be processed.
()
Date / Member’s Signature / Home Phone Number
Distribution
Member
Member’s UPF
Reproduce this pro forma locallyDate of Issue: 28 Feb 09

PROTECTED A (when Part 1 completed)19-A1/3