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The NAVPERS 1336/3 form plays a crucial role in the process of requesting special considerations or authorizations within the Department of the Navy. Designed to streamline communication between personnel and decision-makers, this form allows individuals to express their desires for various items, such as leave, special pay, or other specific requests. It collects essential information, including the applicant's name, rank, ship or station, and the nature of the request, ensuring that all relevant details are documented. Furthermore, the form outlines the mandatory nature of its completion, emphasizing that failure to provide required information may lead to delays or disapproval of the request. With sections dedicated to detailing the duration of the request, mode of travel, and the reason for the request, it facilitates a comprehensive review process. The form also requires signatures from both the applicant and their superiors, ensuring accountability and proper authorization. Overall, the NAVPERS 1336/3 is a vital tool for Navy personnel seeking specific approvals, reflecting the structured approach to managing requests within military operations.

Document Data

Fact Name Details
Authority The request for information is authorized by 5 USC 301.
Purpose The form is designed to allow individuals to express their desire for specific items or special considerations.
Mandatory Completion Filling out the form is mandatory; failure to provide required information may delay or result in disapproval of the request.
Usage The information collected will assist Department of the Navy officials in determining eligibility for the requested considerations.

How to Write Navpers 1336 3

Filling out the NAVPERS 1336/3 form is a straightforward process that requires attention to detail. This form is essential for making requests related to leave, special pay, and other considerations. To ensure a smooth submission, follow these steps carefully.

  1. Start with your name: Write your full name in the designated space.
  2. Enter your rate: Fill in your military rank or rate.
  3. Provide your ship or station: Indicate the name of your ship or duty station.
  4. Fill in the date of request: Use the format YYYYMMDD to enter the date you are submitting the form.
  5. Specify your department or division: Write the name of your department or division.
  6. Indicate your duty section or group: Fill in the name of your duty section or group.
  7. Choose the nature of your request: Select from leave, special pay, commuted rations, or other special considerations.
  8. Number of days requested: Enter the total number of days you are requesting.
  9. Provide the date and time: Specify the start and end date and time for your request.
  10. Distance: Indicate the distance in miles you will be traveling.
  11. Mode of travel: Select your mode of travel from car, air, train, or bus.
  12. Leave address: Write the address where you can be reached during your leave.
  13. Telephone number: Provide a contact number where you can be reached.
  14. Reason for request: Clearly explain the reason for your request.
  15. Signature of applicant: Sign the form, using your Common Access Card (CAC) for a digital signature if applicable.
  16. Signature of standby: If applicable, the standby must sign and confirm eligibility to perform duties.
  17. Recommended approvals: Fill out the rank/rate/title, signature, and date for each recommended approval, indicating yes or no for approval.
  18. Final signature: Sign the form again to indicate approval or disapproval.
  19. Reason for disapproval: If applicable, provide a reason for any disapproval.

Navpers 1336 3 Example

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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