The Navpers 1336 3 form serves as a special request and authorization document within the Department of the Navy. This form allows individuals to formally express their needs for specific items or special considerations, such as leave or special pay. Completing this form is crucial, as it directly impacts the approval process for the requests being made.
The NAVPERS 1336/3 form is an essential document for service members in the U.S. Navy, facilitating requests for special considerations or authorizations. This form allows individuals to communicate their needs for various items, such as leave, special pay, or other types of liberty. It is important to note that the completion of this form is mandatory, and failure to provide the required information can lead to delays or disapproval of requests. Key details required on the form include the applicant's name, rate, ship or station, and the nature of the request. Additionally, the form captures information about the duration of the request, travel details, and a reason for the request. Applicants must also provide a signature, confirming their eligibility and commitment to fulfill the duties of the person making the application. Furthermore, the form includes sections for recommended approvals from superiors, ensuring that all requests undergo proper review. Understanding the significance of the NAVPERS 1336/3 form is crucial for Navy personnel seeking to navigate the process of obtaining special considerations effectively.
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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.
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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