The Navpers 1336 3 form is a vital document used by members of the Navy to request special considerations or authorizations. This form allows individuals to formally express their needs, whether for leave, special pay, or other requests, ensuring that their applications are processed efficiently. Completing this form is mandatory, and providing accurate information is essential to avoid delays in approval.
If you're ready to make your request, fill out the Navpers 1336 3 form by clicking the button below.
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The NAVPERS 1336/3 form is essential for service members seeking special requests or authorizations. To ensure a smooth process, several other documents often accompany this form. Each serves a unique purpose in the request and approval process.
Understanding these documents can significantly enhance the chances of a successful request. Each form plays a role in providing clarity and context to the NAVPERS 1336/3, ensuring that all necessary information is readily available for decision-makers.
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.
17.
18.
19.
20.
21.
APPROVED
DISAPPROVED
22. REASON FOR DISAPPROVAL:
NAVPERS 1336/3 (Rev. 10-2011)
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE
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