Homepage Free Navpers 1336 3 PDF Form

Preview - 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

 

Reset Form

Print Form

Similar forms

The NAVPERS 1336/3 form is a crucial document used by members of the Navy to request special considerations or authorizations. It shares similarities with several other forms that serve related purposes in various military and administrative contexts. Below is a list of eight documents that are similar to the NAVPERS 1336/3 form, along with a brief explanation of how they are alike.

  • DD Form 214: This form is issued upon a service member's retirement, separation, or discharge from active duty. Like the NAVPERS 1336/3, it requires personal information and serves to document the individual's military history and eligibility for benefits.
  • DA Form 31: Used by Army personnel to request leave, this form also captures essential details about the service member, the nature of the leave, and required approvals. Both forms emphasize the necessity for official authorization.
  • Room Rental Agreement: For those looking to secure housing arrangements, the informative Room Rental Agreement guidelines provide essential details regarding rental terms and tenant rights.
  • SF 86: This is the Standard Form used for background investigations for security clearances. Similar to the NAVPERS 1336/3, it collects personal information to assess eligibility for specific privileges and responsibilities.
  • NAVPERS 1070/613: This form, known as the Administrative Remarks form, is used to document significant events or changes in a service member's career. Like the NAVPERS 1336/3, it requires signatures for approval and involves official record-keeping.
  • AF Form 988: This Air Force form is for requesting leave and passes. It shares a similar structure, requiring personal information and the nature of the request, along with necessary approvals from superiors.
  • OPNAV 5211/9: This form is a Privacy Act Statement that informs individuals about the collection of their personal information. Like the NAVPERS 1336/3, it emphasizes the importance of privacy and the purpose of the information collected.
  • NAVPERS 1070/602: This form is used for record updates regarding a service member's personal data. Similar to the NAVPERS 1336/3, it requires accurate information and official endorsements to ensure proper documentation.
  • Form W-4: While primarily a tax form, the W-4 collects personal information to determine withholding allowances. It is similar in that it requires accurate information and may impact eligibility for benefits, much like the NAVPERS 1336/3 does for special considerations.

Each of these documents plays a significant role in maintaining accurate records and ensuring that service members receive the appropriate considerations and authorizations. Understanding their similarities helps clarify the importance of proper documentation in military operations.