Nationalsecurityagency

USA National Security Agency

"Intelligence • Security • Excellence • Integrity"

ESTABLISHED 1952

Official Intelligence Branch

SECURE LEAVE REQUEST FORM

Complete all required fields to submit your agency leave application. Ensure all information is accurate as this will be reviewed by your department supervisor.

NSA FORM 11-B

Authority for Official Personnel Leave

All fields marked with (*) are mandatory for processing. This form must be submitted by the staff member or an authorized agency liaison.

AGENCY PERSONNEL DETAILS

Section I - Staff Identification

Full Name *

Personnel ID / SSN *

Staff Grade / Rank *

Agency Status *

Duty Location *

Leave Logistics

Leave Type *

Accrued Leave Balance

NSA PROTOCOL

Leave Process

Review these agency guidelines before submitting to ensure secure processing.

Director Approval

Department Directors: Up to 30 days
Division Chiefs: 31+ days

Security Clearance

Personnel must maintain contact via encrypted channels during leave duration.

Agency Entitlements

Annual Personnel Leave

30 days per annum • Earned at 2.5 days/month

Official Bereavement

Immediate family support • Verified through Agency Liaison