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Navpers 1336 3 Sample

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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Instructions on Utilizing Navpers 1336 3

Filling out the NAVPERS 1336/3 form is essential for submitting a special request or authorization. Each section of the form requires specific information to ensure that the request is processed efficiently. Follow these steps to complete the form accurately.

  1. Name: Enter your full name in the designated field.
  2. Rate: Fill in your military rank or rate.
  3. Ship or Station: Indicate the name of your ship or duty station.
  4. Date of Request: Write the date in the format YYYYMMDD.
  5. Department/Division: Specify your department or division.
  6. Duty Section/Group: Enter your duty section or group.
  7. Nature of Request: Select one option: Leave, Special Liberty, Special Pay, Commuted Rations, or Other.
  8. Number of Days Requested: State the number of days you are requesting.
  9. From (Date and Time): Provide the start date and time of your request.
  10. To (Date and Time): Provide the end date and time of your request.
  11. Distance (Miles): Enter the distance you will travel.
  12. Mode of Travel: Choose from Car, Air, Train, or Bus.
  13. Leave Address: Write the address where you will be during your leave.
  14. Telephone Number: Provide a contact number where you can be reached.
  15. Reason for Request: Clearly explain the reason for your request.
  16. Signature of Applicant: Sign the form using your Common Access Card (CAC) for a digital signature.
  17. Signature of Standby: A standby must sign, confirming their eligibility to perform duties.
  18. Recommended Approval: Multiple sections for recommended approval will require the rank/rate/title, signature, date, and approval status (Yes/No).
  19. Final Signature: The final reviewer must sign and indicate whether the request is approved or disapproved.
  20. Reason for Disapproval: If disapproved, provide a reason in the designated space.

Misconceptions

Understanding the Navpers 1336 3 form is crucial for anyone in the Navy seeking special considerations. However, several misconceptions can lead to confusion. Here are six common misunderstandings:

  • It’s optional to fill out the form. Many believe that submitting the Navpers 1336 3 form is not mandatory. In reality, completing this form is required for processing requests for special considerations.
  • Only certain requests can be made. Some think the form is limited to specific types of requests. In fact, it covers a variety of requests, including leave, special pay, and other considerations.
  • Submitting the form guarantees approval. There is a misconception that filling out the form ensures that your request will be approved. Approval is contingent upon eligibility and the discretion of the reviewing officials.
  • All information is kept confidential. While the form includes a privacy statement, some may underestimate the importance of providing accurate information. Incomplete or incorrect data can lead to delays or disapproval.
  • The form can be submitted without a digital signature. Many individuals think they can skip the digital signature step. However, a signature is essential for validating the request and confirming eligibility.
  • There is no time limit for submitting the form. Some believe they can submit the form at any time. Timeliness is important, as delays in submission can impact the approval process and your ability to receive the requested consideration.

Being informed about these misconceptions can help ensure a smoother process when requesting special considerations through the Navpers 1336 3 form. Take the time to understand the requirements and act promptly.

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. However, this form often goes hand-in-hand with other important documents that help facilitate the process. Here’s a list of forms and documents that you may encounter alongside the NAVPERS 1336/3:

  • NAVPERS 1070/602 - This is the Dependency Application/Record of Emergency Data form. It provides vital information regarding dependents, which can be essential for leave requests and benefits.
  • NAVPERS 1336/4 - This form is used for the request for leave or liberty for members of the Navy. It is similar to the NAVPERS 1336/3 but focuses specifically on leave requests.
  • DD Form 214 - This form is issued upon a service member's retirement, separation, or discharge from active duty. It summarizes the member's service record and is often required for various benefits.
  • Standard Form 180 (SF-180) - This form is used to request military records. If you need to verify service or obtain records for a leave request, this is the form to use.
  • NAVPERS 1070/601 - This is the Officer Record Data form, which provides a summary of an officer's career and qualifications. It can be useful in determining eligibility for certain requests.
  • Form 1-9 - The Employment Eligibility Verification form is required for verifying the identity and employment authorization of individuals hired for employment in the U.S. It may be needed for certain benefits or requests.
  • Travel Orders - These are official documents issued to service members detailing travel assignments. They provide authorization for travel and reimbursement for expenses incurred.
  • Dirt Bike Bill of Sale: This form is essential for documenting the transfer of ownership of a dirt bike, as it provides a clear record of the transaction, ensuring that both parties understand the sale terms. For more details, visit https://nypdfforms.com/dirt-bike-bill-of-sale-form.
  • Medical Documentation - In some cases, medical documentation may be required to support a leave request, especially if the leave is due to health reasons. This could include notes from healthcare providers.

Understanding these documents can streamline the process of submitting requests and ensure that all necessary information is provided. Each form serves a specific purpose, and together they create a comprehensive picture of a service member’s situation. By being prepared with the right forms, you can help facilitate a smoother approval process for your requests.