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The Navpers 1336/3 form serves as a crucial document within the United States Navy, facilitating the process for personnel to formally request special considerations or authorizations. It is designed to collect essential information from service members, enabling them to express their needs for various items or permissions, such as leave, special pay, or other specific requests. The form mandates the inclusion of personal details, including the applicant's name, rate, and duty station, along with the nature of the request and the duration sought. In addition, it requires a clear indication of the mode of travel and a leave address, ensuring that all relevant information is available for review. The completion of this form is not merely a formality; it is a requirement that helps Navy officials assess eligibility and make informed decisions regarding approvals or disapprovals. Failure to provide the necessary details may lead to delays or outright disapproval of requests. The form also incorporates a section for recommended approvals from supervisory ranks, emphasizing the collaborative nature of the request process. With the inclusion of a Privacy Act statement, the form underscores the importance of confidentiality in handling the information provided by service members.

Dos and Don'ts

When filling out the Navpers 1336 3 form, it is important to ensure accuracy and clarity. Here are some guidelines to help you:

  • Do read the entire form carefully before starting.
  • Do provide all required information in the designated fields.
  • Do double-check your dates for accuracy.
  • Do use your Common Access Card (CAC) for digital signatures.
  • Don't leave any mandatory fields blank.
  • Don't use abbreviations that may not be understood.
  • Don't forget to review your completed form before submission.

Following these guidelines will help ensure that your request is processed smoothly. Your attention to detail is appreciated.

SPECIAL REQUEST/AUTHORIZATION

PRIVACY ACT STATEMENT

THE AUTHORITY TO REQUEST THIS INFORMATION IS CONTAINED IN 5 USC 301.

THE PRINCIPLE PURPOSE OF THE INFORMATION IS TO ENABLE YOU TO MAKE KNOWN YOUR DESIRE FOR ITEMS LISTED OR FOR SOME OTHER SPECIAL CONSIDERATION OR AUTHORIZATION. THE INFORMATION WILL BE USED TO ASSIST OFFICIALS AND EMPLOYEES OF THE DEPARTMENT OF THE NAVY IN DETERMINING YOUR ELIGIBILITY FOR AND APPROVING OR DISAPPROVING THE SPECIAL CONSIDERATION OR AUTHORIZATION BEING REQUESTED.

COMPLETION OF THE FORM IS MANDATORY, FAILURE TO PROVIDE REQUIRED INFORMATION MAY RESULT IN DELAY IN RESPONSE TO OR DISAPPROVAL OF YOUR REQUEST.

1. NAME:

3. SHIP OR STATION:

5. DEPARTMENT/DIVISION:

2. RATE:

4.DATE OF REQUEST: (YYYYMMDD)

6.DUTY SECTION/GROUP:

7. NATURE OF REQUEST:

 

LEAVE

 

SPECIAL

 

SPECIAL PAY

 

COMMUTED

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIBERTY

 

 

RATIONS

 

(BELOW)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

NO. OF DAYS REQUESTED:

 

 

FROM (DATE AND TIME):

 

 

TO (DATE AND TIME):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

DISTANCE (MILES):

 

 

MODE OF TRAVEL:

CAR

 

AIR

 

 

TRAIN

 

 

BUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. LEAVE ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

11. TELEPHONE NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.REASON FOR REQUEST:

13.SIGNATURE OF APPLICANT: (Use CAC for digital signature)

14. I am eligible and obligate myself to

SIGNATURE OF STANDBY:

DUTY STATION:

 

perform all duties of person making

 

 

 

 

 

 

application.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

RECOMMENDED APPROVAL

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

RECOMMENDED APPROVAL

 

 

 

 

 

 

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

RECOMMENDED APPROVAL

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

RECOMMENDED APPROVAL

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

RECOMMENDED APPROVAL

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

RECOMMENDED APPROVAL

RANK/RATE/TITLE:

SIGNATURE:

 

DATE:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED

 

 

DISAPPROVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. REASON FOR DISAPPROVAL:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAVPERS 1336/3 (Rev. 10-2011)

FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE

 

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Listed Questions and Answers

  1. What is the purpose of the NAVPERS 1336/3 form?

    The NAVPERS 1336/3 form is designed to allow service members to request special considerations or authorizations. This includes requests for leave, special pay, liberty, or other specific needs. By filling out this form, you make your desires known to the appropriate officials, who will assess your eligibility and process your request accordingly.

  2. Is it mandatory to complete the NAVPERS 1336/3 form?

    Yes, completing the NAVPERS 1336/3 form is mandatory. If you do not provide the required information, it may lead to delays in processing your request or even result in disapproval. It is important to fill out the form accurately and completely to avoid any issues.

  3. What information do I need to provide on the form?

    You will need to provide various details, including:

    • Your name
    • Your rate
    • The ship or station you are assigned to
    • The date of your request
    • Your department or division
    • Your duty section or group
    • The nature of your request (e.g., leave, special pay, etc.)
    • The number of days requested
    • Your travel details, including distance and mode of travel
    • Your leave address and telephone number
    • The reason for your request

    Make sure to include your signature and any necessary approvals from superiors.

  4. How do I submit the NAVPERS 1336/3 form?

    Once you have completed the form, it should be submitted to your commanding officer or designated authority. Ensure that you follow any specific submission guidelines provided by your command to facilitate a smooth process.

  5. What happens after I submit the form?

    After submission, your request will be reviewed by the appropriate officials. They will determine whether to approve or disapprove your request. You may receive feedback or additional questions if more information is needed. Keep an eye out for any communication regarding the status of your request.

  6. Can I appeal if my request is disapproved?

    If your request is disapproved, you may inquire about the reasons for disapproval. Depending on the circumstances, you might have the option to provide additional information or appeal the decision. It is best to discuss this with your chain of command for guidance on the next steps.

  7. What should I do if I need assistance with the form?

    If you need help completing the NAVPERS 1336/3 form, reach out to your supervisor or administrative personnel. They can provide guidance and ensure that you fill out the form correctly. Don't hesitate to ask for support to avoid any mistakes that could delay your request.

Form Overview

Fact Name Details
Authority The authority to request information on the NAVPERS 1336/3 form is found in 5 USC 301.
Purpose The primary purpose of this form is to enable individuals to express their desire for specific items or special considerations.
Mandatory Completion Completing the form is mandatory. Failure to provide the required information may lead to delays or disapproval of the request.
Information Use The information collected will assist Navy officials in determining eligibility for the requested special consideration.
Signature Requirement Applicants must provide a signature, which can be done digitally using a Common Access Card (CAC).
Approval Process The form includes multiple sections for recommended approvals, requiring signatures and dates from various ranks or titles.