Free Navpers 1336 3 PDF Form Get Document

Free Navpers 1336 3 PDF Form

The Navpers 1336 3 form is a special request and authorization document used by members of the Navy. It allows individuals to formally express their needs for various items or considerations, such as leave or special pay. Completing this form is essential, as it helps determine eligibility and ensures timely processing of requests.

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Outline

The NAVPERS 1336/3 form serves as a crucial tool for members of the Department of the Navy, enabling them to formally request special considerations or authorizations. Designed to streamline the process of obtaining leave, special pay, or other accommodations, this form requires specific information from the requester. Individuals must provide their name, rate, ship or station, and details about their request, including the nature of the request and the duration. Additionally, the form prompts users to specify their mode of travel and leave address, ensuring that all necessary logistics are accounted for. Each request must be supported by a signature, affirming eligibility and commitment to perform duties in the absence of the applicant. The approval process involves multiple levels of review, with designated officials required to sign off on the request, indicating their recommendation. Failure to complete the form accurately or provide required information can lead to delays or disapproval, emphasizing the importance of thoroughness in this process. Privacy considerations are paramount, as the form is protected under the Privacy Act, ensuring that the information collected is used solely for the purpose of evaluating the request. Understanding the components and requirements of the NAVPERS 1336/3 form is essential for Navy personnel seeking to navigate the complexities of special requests effectively.

Key takeaways

Here are some key takeaways regarding the Navpers 1336 3 form:

  • Mandatory Completion: Filling out the form is required. Incomplete submissions may lead to delays or disapproval.
  • Purpose: The form allows individuals to request special considerations or authorizations from the Department of the Navy.
  • Information Usage: Submitted information helps officials determine eligibility for the requested items or considerations.
  • Personal Details: Be sure to provide your name, rate, ship or station, and department/division accurately.
  • Request Nature: Clearly indicate the type of request, such as leave, special pay, or liberty.
  • Travel Details: Specify the mode of travel and distance in miles, along with the requested dates and times.
  • Leave Address: Include a valid leave address and a telephone number for any follow-up communication.
  • Signatures Required: Both the applicant and standby must sign the form. Use a CAC for digital signatures.
  • Approval Process: Multiple recommended approvals may be needed, with signatures and dates for each approver.

Keep these points in mind to ensure a smooth process when using the Navpers 1336 3 form.

Form Preview 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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