DEPARTMENT OF THE ARMY UNITED STATES ARMY GARRISON GRAFENWOEHR

UNIT 28130 APO, AE 09114-8130

IMEU-GFW-PWH

MEMORANDUM FOR Housing Division

SUBJECT: Notification of Absence from Army Family Housing

RANK/NAME: SSN:

DUTY UNIT:

QUARTERS ADDRESS:

PHONE: (Telephone number where sponsor or family member(s) can be reached while quarters are vacant)

1. The below information is provided in support of this notification of absence:

a. Dates of absence from quarters: Leave: Return:

b. Point of Contact (POC): Name: Rank:

c. POC’s Duty Phone:

d. POC’s Home Phone:

e. POC will be given keys for quarters listed above: YES / NO (Circle one)

IF “NO” do you authorize the Housing Office to gain entry to our quarters in

case of an emergency? YES NO

2. The Reason for this departure:

Deployment of Sponsor Social Visit/Vacation Emergency Leave

Other, please explain:

3. I understand and accept the following conditions of being absent from my assigned

quarters. (The service member or spouse is to initial each of the bullets and

sign this statement.)

a. I have been briefed and fully understand that I am still responsible for my

assigned quarters even though no one will be living there during the period listed above.

IMEU-GFW-PWH SUBJECT: Notification of Absence from Army Family Housing

b. I understand that even though my quarters will be vacant, my Basic

Allowance for Housing (BAH) will still be forfeited.

c. I fully understand that I am responsible for finding a POC that will be in the

area during the period the quarters will be empty.

d. I fully understand that I am responsible for any arrangements for any pets and

that I am liable for any and all damages that my pet(s) may cause.

e. I fully understand that I am responsible for any veterinarian and/or kennel

fees that may be incurred if my pet has to be removed from my quarters due to

health and/or safety issues.

f. Windows will be closed during the period stated above.

g. If leaving the quarters for more than 30 days, the refrigerator and freezer

should have no food items left in it, in case of power loss.

h. The radiators should be set at one (1) while the quarters are vacant during

winter months.

i. I understand that I am responsible for having an alternate POC in case the

designated POC is unable to continue acting as POC. I understand I will be held

liable for any and all damages that may occur to my quarters if I fail to make

arrangements for an alternate POC.

j. If an alternate POC is used, I will inform Housing Division immediately of

who the alternate POC is and how to contact them. I understand, even though an

alternate POC is used, I am still responsible for any and all damages that may occur

while my family and I are absent from the quarters.

k. I will inform the Housing Division immediately if the dates I will be absent from

quarters change.

4. To be completed by the POC. (The POC is to initial each of the bullets and sign

this statement.)

a. As POC I will remain in the area and to the best of my knowledge, not be

deployed, on leave, in the field, etc., for the time period stated above.

IMEU-GFW-PWH SUBJECT: Notification of Absence from Army Family Housing

b. As POC, I am fully aware that I am responsible to be available for Housing

officials or personnel acting on Housing’s behalf during the time period.

c. I am responsible for the health and safety of any pets living in the

quarters while acting as POC.

d. I understand I am fully responsible for notifying the resident and housing

division if I am no longer able to act as POC.

e. I understand that I should periodically check the quarters and report any

problems (maintenance, safety, health, etc) to the Housing Office immediately.

Service Member or Spouse Signature Date

Point of Contact Signature Date

Rear Detachment Commander Signature Date