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Fill Out a Valid Navpers 1336 3 Template

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Content Overview

Guide to Writing Navpers 1336 3

Completing the Navpers 1336 3 form is essential for requesting special considerations or authorizations within the Navy. It is crucial to ensure that all required information is filled out accurately to avoid delays in processing your request. Follow the steps below to complete the form effectively.

  1. Enter your full name in the designated field (Item 1).
  2. Specify your rate in the appropriate section (Item 2).
  3. Indicate your ship or station (Item 3).
  4. Fill in the date of your request using the format YYYYMMDD (Item 4).
  5. Provide your department or division (Item 5).
  6. List your duty section or group (Item 6).
  7. Select the nature of your request from the options provided (Item 7).
  8. State the number of days requested (Item 8).
  9. Indicate the start date and time and the end date and time for your request (Item 8).
  10. Specify the distance in miles you will be traveling (Item 9).
  11. Select your mode of travel from the options: car, air, train, or bus (Item 9).
  12. Provide your leave address (Item 10).
  13. Enter your telephone number (Item 11).
  14. Explain the reason for your request (Item 12).
  15. Sign the form in the designated area (Item 13), using your CAC for a digital signature if applicable.
  16. Confirm your eligibility and obligate yourself to perform all duties of the person making the application (Item 14).
  17. Obtain recommended approvals from the necessary ranks, rates, or titles (Items 15-20) by having them sign and date the form.
  18. Indicate the final approval status by signing in the designated area (Item 21) and marking approved or disapproved.
  19. Provide a reason for disapproval if applicable (Item 22).

Document Breakdown

Fact Name Description
Authority The authority to request information on the NAVPERS 1336/3 form is established under 5 USC 301.
Mandatory Completion Completing the form is mandatory. Failure to provide required information may delay or result in disapproval of your request.
Information Use The information collected will assist officials in determining eligibility for special considerations or authorizations.
Request Types The form allows requests for various types of considerations, including leave, special pay, and liberty rations.
Signatures Required Multiple signatures are required for approval, including the applicant's and several recommending authorities.

FAQ

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. This may include requests for leave, special pay, or other types of allowances. The information collected helps officials assess eligibility and make informed decisions regarding the requests.

Who needs to complete the Navpers 1336 3 form?

Any service member who wishes to request special consideration or authorization must complete this form. It is mandatory to provide the required information to ensure that the request is processed efficiently. Failure to do so may lead to delays or disapproval.

What information is required on the form?

The form requires several key pieces of information, including:

  1. Name
  2. Rate
  3. Ship or Station
  4. Date of Request
  5. Department/Division
  6. Duty Section/Group
  7. Nature of Request (e.g., leave, special pay)
  8. Number of Days Requested
  9. Distance of Travel
  10. Mode of Travel
  11. Leave Address
  12. Telephone Number
  13. Reason for Request
  14. Signature of Applicant

Each section must be filled out accurately to avoid complications.

What happens if I do not complete the form correctly?

If the form is not completed correctly, it may result in delays in processing your request. In some cases, the request could be disapproved entirely. It is important to review the form thoroughly before submission to ensure all information is accurate and complete.

How is the information on the form used?

The information provided on the Navpers 1336 3 form is used by officials within the Department of the Navy to determine your eligibility for the requested special consideration or authorization. It is treated with confidentiality and is subject to privacy protections under the Privacy Act.

Can I submit the form electronically?

Yes, you can submit the form electronically if you use your Common Access Card (CAC) for a digital signature. This allows for a secure and efficient submission process.

What should I do if my request is disapproved?

If your request is disapproved, the form will include a reason for the disapproval. You can review this reason and, if necessary, seek clarification from your supervisor or the appropriate department. Depending on the circumstances, you may have the option to submit a revised request.

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Navpers 1336 3 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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