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The NAVPERS 1336/3 form serves as a critical tool for service members in the U.S. Navy, enabling them to formally request special considerations or authorizations. This form is not merely a bureaucratic requirement; it allows individuals to articulate their needs for various types of requests, including leave, special pay, and other considerations. The form is structured to collect essential information, such as the applicant's name, rate, ship or station, and the nature of the request, all of which are vital for processing. Additionally, it requires details like the number of days requested, travel distance, and the mode of travel, ensuring that all necessary information is available for decision-making. A privacy statement underscores the importance of the information collected, emphasizing that it will be used to determine eligibility and facilitate approval or disapproval of requests. Completing this form is mandatory, and failure to provide the required information can lead to delays or disapproval. The form also incorporates a section for recommendations and approvals from superiors, making it a comprehensive document that reflects the hierarchical structure of the Navy while safeguarding the privacy of the applicant.

Documents used along the form

The NAVPERS 1336/3 form is an essential document for Navy personnel seeking special requests or authorizations. Alongside this form, several other documents may be required to support the request. Each of these documents serves a specific purpose and helps streamline the approval process.

  • Leave Request Form (NAVPERS 1336/4): This form is used to formally request leave from duty. It captures the details of the leave, including dates and reasons, and requires signatures for approval.
  • Special Duty Assignment Request (NAVPERS 1306/7): This document is necessary for personnel seeking a special duty assignment. It outlines the applicant's qualifications and reasons for the request, aiding in the evaluation process.
  • Travel Authorization Form (DD 1610): This form is used to authorize travel for official duties. It includes travel details such as destination, purpose, and estimated costs, ensuring proper funding and accountability.
  • California Affidavit of Service: This legal document serves as proof of delivery for essential legal paperwork, ensuring that all parties are notified. For more information, visit California PDF Forms.
  • Medical Clearance Form: This document may be required for personnel requesting leave or special assignments due to medical reasons. It provides verification of the individual's health status and ability to perform duties.

Each of these forms plays a vital role in ensuring that requests are processed efficiently and in compliance with Navy regulations. Having the necessary documentation ready can significantly reduce delays and improve the chances of approval.

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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FAQ

What is the Navpers 1336 3 form used for?

The Navpers 1336 3 form is primarily a request and authorization form used by members of the Department of the Navy. It allows individuals to formally express their desires for specific items or special considerations, such as leave, special pay, or other requests. By completing this form, you enable officials to assess your eligibility for the requests made.

Who needs to fill out the Navpers 1336 3 form?

This form must be completed by any member of the Navy who is seeking special consideration or authorization. Whether you are requesting leave, special pay, or other forms of authorization, filling out this form is a necessary step in the process.

What information is required on the Navpers 1336 3 form?

The form requires several pieces of information, including:

  1. Your name
  2. Your rate
  3. Your ship or station
  4. The date of your request
  5. Your department or division
  6. Your duty section or group
  7. The nature of your request
  8. The number of days requested
  9. Your leave address and telephone number
  10. The reason for your request
  11. Your signature and the signature of any standby personnel

Completing all required fields is crucial, as missing information can delay the processing of your request.

What happens if I don’t complete the form correctly?

Failure to provide all required information or to fill out the form correctly may lead to delays in processing your request. In some cases, it could result in disapproval. It’s essential to review your entries carefully before submitting the form to ensure everything is accurate and complete.

How is my information protected when I submit the Navpers 1336 3 form?

Your information is protected under the Privacy Act. The form includes a privacy statement that outlines how your information will be used and emphasizes that it will only be shared with officials and employees of the Department of the Navy who are involved in processing your request. It is important to understand that this information is treated with confidentiality and is only used for official purposes.

Can I submit the Navpers 1336 3 form digitally?

Yes, you can submit the Navpers 1336 3 form digitally. The form allows for a digital signature using your Common Access Card (CAC). This feature streamlines the submission process and ensures that your request is processed efficiently.

What should I do if my request is disapproved?

If your request is disapproved, the form will typically include a section detailing the reason for disapproval. It’s advisable to review this reason carefully. If you believe there has been an error or if you have further questions, consider discussing the matter with your supervisor or the appropriate administrative personnel. They can provide guidance on the next steps or help you understand the decision.

Key takeaways

When filling out the Navpers 1336 3 form, there are several key points to keep in mind to ensure your request is processed smoothly.

  • Mandatory Completion: Filling out the form is required. Incomplete submissions can lead to delays or disapproval.
  • Accurate Information: Provide correct details, including your name, rate, and ship or station. This helps in identifying your request.
  • Clear Purpose: Specify the nature of your request clearly, whether it is for leave, special pay, or other considerations.
  • Dates Matter: Clearly indicate the start and end dates of your request, including the times. This information is crucial for approval.
  • Travel Details: Include the mode of travel and the distance in miles. This helps in assessing your request appropriately.
  • Contact Information: Provide a valid telephone number and leave address. This ensures that you can be reached for any follow-up.
  • Signature Requirement: Use your Common Access Card (CAC) for digital signatures. Ensure all necessary signatures are obtained for approval.
  • Understand the Review Process: Be aware that multiple approvals may be required. Each approver will need to sign and date the form.

By keeping these points in mind, you can help facilitate a more efficient processing of your request. Properly completing the Navpers 1336 3 form is essential for ensuring that your needs are addressed in a timely manner.

Form Characteristics

Fact Name Description
Purpose of the Form This form allows individuals to request special considerations or authorizations from the Department of the Navy.
Mandatory Completion Filling out the NAVPERS 1336/3 is required. Not providing the necessary information may lead to delays or disapproval of requests.
Privacy Act Statement The form includes a Privacy Act statement, which informs users that their information is protected under 5 USC 301.
Information Use Information collected will be used by Navy officials to assess eligibility for the requested special consideration or authorization.
Required Information Applicants must provide personal details, including name, rate, ship or station, and the nature of the request.
Approval Process The form outlines a multi-level approval process, requiring signatures from recommended approvers at various ranks.
Final Decision The final decision on the request is indicated at the end of the form, with options for approval or disapproval, along with reasons if disapproved.