Homepage Fillable Navpers 1336 3 Template

File Details

Fact Name Fact Description
Form Purpose The NAVPERS 1336/3 form is used to request special considerations or authorizations within the Department of the Navy.
Mandatory Completion Completion of this form is mandatory. Failing to provide the required information may lead to delays or disapproval of the request.
Privacy Act Statement The form includes a Privacy Act Statement, which informs users about the authority and purpose of collecting their information.
Information Usage The information collected will assist Navy officials in determining eligibility for the requested special consideration or authorization.
Required Fields Key fields include the applicant's name, rate, ship or station, and the nature of the request, among others.
Signature Requirement Applicants must sign the form, and digital signatures using a Common Access Card (CAC) are accepted.
Approval Process The form requires multiple recommended approvals, with spaces for signatures and dates for each approver.
Disapproval Reason If a request is disapproved, the form provides a section to specify the reason for disapproval.

Sample - Navpers 1336 3 Form

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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Common mistakes

Filling out the NAVPERS 1336/3 form can be straightforward, but many people make common mistakes that can delay their requests. One frequent error is not providing a complete name. Ensure that your full name is clearly written in the designated section. Missing or incorrect names can lead to confusion and may result in your request being denied.

Another mistake is neglecting to fill out the date of request correctly. The form requires the date in the YYYYMMDD format. Failing to follow this format can create issues in processing your request. Always double-check this detail before submitting.

People often forget to specify their mode of travel. Whether you plan to drive, fly, take a train, or use a bus, this information is essential. Leaving it blank can lead to misunderstandings about your travel plans and may affect the approval of your request.

Additionally, many applicants overlook the leave address section. This is where you will be during your leave. Providing an accurate address helps ensure that any necessary communication reaches you. If this section is left blank, it can cause delays in the processing of your request.

Another common oversight is not providing a telephone number. This contact information is vital for officials to reach you if they have questions about your request. Without it, your application may be stalled due to a lack of communication.

It's also important to clearly articulate the reason for your request. Vague explanations can lead to confusion and might result in disapproval. Take the time to explain your situation thoroughly and clearly in the designated space.

Many applicants forget to sign the form. Your signature is not just a formality; it confirms that you understand your obligations and the information provided. Ensure that you sign in the appropriate section before submission.

Finally, people sometimes rush through the approval signatures section. Each recommended approver must sign and date the form. Missing signatures can cause significant delays in processing. Make sure that all necessary approvals are obtained before submitting your request.

By avoiding these common mistakes, you can help ensure that your NAVPERS 1336/3 form is completed accurately and efficiently. Taking the time to double-check your work can save you from unnecessary delays.