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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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Documents used along the form

The NAVPERS 1336/3 form is a critical document used by members of the Navy to request special considerations or authorizations, such as leave or special pay. Along with this form, several other documents may be necessary to support the request or provide additional information. Below are some commonly used forms and documents that often accompany the NAVPERS 1336/3.

  • NAVPERS 1070/613 - This is a record of administrative remarks. It may be used to document any significant events or actions related to a service member's performance or conduct. This form can provide context for requests made on the NAVPERS 1336/3.
  • DD Form 214 - This form is known as the Certificate of Release or Discharge from Active Duty. It summarizes a service member's military service and can be important for verifying eligibility for certain benefits or considerations.
  • Cease and Desist Letter Form: To address unwanted behaviors effectively, utilize the comprehensive Cease and Desist Letter resource that helps you craft an appropriate notification.
  • NAVCOMPT 2276 - This document is used to request travel advances. If a service member is requesting leave that involves travel, this form may be necessary to cover expenses related to the trip.
  • Leave Authorization Form - This form is often used to officially grant leave to service members. It may be required to accompany the NAVPERS 1336/3 to confirm that the leave has been approved by the appropriate authority.
  • Medical Documentation - If the leave or special consideration is requested for medical reasons, appropriate medical documentation may be required. This could include a doctor's note or other health-related records to support the request.

Understanding the purpose of each of these documents can help ensure that requests are complete and well-supported. Properly preparing these forms can facilitate a smoother process for obtaining the desired approvals or considerations.

Similar forms

  • DD Form 214: This form serves as a Certificate of Release or Discharge from Active Duty. Like the Navpers 1336 3, it is essential for documenting a service member's status and eligibility for various benefits.
  • NAVPERS 1070/602: Known as the Dependency Application/Record of Emergency Data, this document allows service members to declare dependents. Similar to the Navpers 1336 3, it requires specific information for processing requests related to family benefits.
  • DD Form 93: This form is the Record of Emergency Data. It collects vital information about a service member's emergency contacts and beneficiaries, paralleling the Navpers 1336 3 in its role of ensuring proper authorization and consideration.
  • NAVPERS 1070/601: This is the Officer's Record of Service. It provides a comprehensive overview of a service member's career, similar to how the Navpers 1336 3 documents requests for special considerations.
  • NAVPERS 1336/4: This form is used for requesting special leave. It shares similarities with the Navpers 1336 3 in that both are focused on leave requests and require detailed information about the nature and duration of the request.
  • SF 86: The Standard Form 86 is used for security clearance applications. Both forms collect personal data to assess eligibility, emphasizing the importance of accurate and complete information.
  • Illinois Durable Power of Attorney - This form allows individuals to appoint someone to manage their financial affairs if they become incapacitated, ensuring their financial matters are handled according to their wishes. For more information, visit Durable Power of Attorney.
  • DD Form 149: This is the Application for Correction of Military Records. Like the Navpers 1336 3, it serves as a formal request for consideration, requiring detailed information to support the application.
  • NAVPERS 1070/613: This is the Administrative Remarks form. It documents significant events in a service member's career, similar to how the Navpers 1336 3 records special requests and authorizations.
  • DD Form 788: This form is used for the Application for a Military Identification Card. It requires personal information and is essential for accessing military benefits, akin to the Navpers 1336 3’s purpose of documenting special requests.
  • NAVPERS 1336/2: This form is for requesting special pay. It is similar to the Navpers 1336 3 as both require detailed information regarding the request and its justification.

Misconceptions

Here are nine common misconceptions about the Navpers 1336 3 form, along with clarifications for each.

  • It is optional to complete the form. Many believe that filling out the Navpers 1336 3 form is optional. In reality, completion of the form is mandatory. Failing to provide the required information can lead to delays or disapproval of your request.
  • Only certain requests can be made using this form. Some think that the form is limited to specific types of requests. However, it is designed for a variety of special considerations, including leave, special pay, and other requests.
  • The form is only for active-duty personnel. There is a misconception that only active-duty members can use this form. In fact, it can also be used by reservists and other eligible personnel seeking special considerations.
  • Submitting the form guarantees approval. Many assume that submitting the Navpers 1336 3 form will automatically result in approval. Approval is not guaranteed; the request must still be evaluated based on eligibility and other factors.
  • The information is not confidential. Some believe that the information provided on the form is public. This is incorrect. The form contains sensitive information and is protected under the Privacy Act.
  • Digital signatures are not accepted. There is a misconception that only handwritten signatures are valid. The form allows for digital signatures using a Common Access Card (CAC), making the process more efficient.
  • All sections of the form must be filled out. Some think that every section of the form is mandatory. While many sections are required, certain fields may be left blank if they do not apply to your request.
  • Once submitted, the form cannot be changed. Many believe that the form is final once submitted. In reality, you can request changes or provide additional information if necessary.
  • The form is only relevant for leave requests. Some think that the Navpers 1336 3 form is solely for leave requests. However, it encompasses a range of special considerations, including special pay and other authorizations.

Understanding Navpers 1336 3

  1. What is the purpose of the Navpers 1336 3 form?

    The Navpers 1336 3 form is designed to allow individuals to formally request special considerations or authorizations within the Department of the Navy. This may include requests for leave, special pay, or other specific needs. By completing this form, you help officials determine your eligibility for the requested items or considerations.

  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 ensure all sections are filled out accurately to avoid complications.

  3. What information is required on the form?

    The form requests various pieces of information, including:

    • Your name and rate
    • The ship or station where you are assigned
    • The department or division you belong to
    • The nature of your request (e.g., leave, special pay, etc.)
    • The number of days requested and the dates for the leave
    • Your leave address and telephone number
    • The reason for your request

    Additionally, you will need to sign the form, confirming your eligibility and willingness to perform duties if required.

  4. What happens after I submit the Navpers 1336 3 form?

    Once you submit the form, it will be reviewed by designated officials. They will determine whether to approve or disapprove your request. The decision will be documented on the form, along with any reasons for disapproval if applicable. It is advisable to follow up if you do not receive a timely response.