NAVPERS 1336/3 – Fill Out and Use This PDF

Updated: Oct 26, 2026

The Navpers 1336/3 form, or Special Request/Authorization, is a crucial document for members of the United States Navy. It is designed to officially record and process requests for special consideration or authorization, such as leave, special pay, liberty, or other matters. Failure to properly complete the form can lead to delays or disapproval, making it essential for personnel to fill it out accurately and comprehensively. To start the process of submitting your special request, click the button below.

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NAVPERS 1336/3 PDF Details

In the world of military documentation and personnel management, every form and procedure carries its importance, including the NAVPERS 1336/3 form. This particular document serves as a vital tool for members of the Navy, enabling them to formally request special consideration or authorization for a variety of needs, such as leave, special liberty, commuted rations, and special pay, among others. The form's structure, consisting of sections that cover everything from personal and assignment information to the specifics of the request, underscores its comprehensive nature. Its primary role is to facilitate clear communication between naval personnel and their superiors, ensuring that requests are properly understood and evaluated. The underlying principle of the NAVPERS 1336/3 form is rooted in the Privacy Act Statement, which highlights the confidentiality and importance of the information provided by the applicants. Completion of the form is not only mandatory but also critical, as failure to provide the necessary details can lead to delays or disapprovals, directly impacting the requesting individual's eligibility for the desired consideration or authorization. This process underscores the form's function as a bridge between the needs of Navy personnel and the operational and administrative frameworks designed to address those needs effectively.

Question	Answer
Form Name	NAVPERS 1336/3
Form Length	1 page
Fillable?	Yes
Fillable fields	53
Avg. time to fill out	27 sec
Other names	navy special request chit 2021, special request navy pdf, request chit, navpers

How to Fill Out NAVPERS 1336/3

NAVPERS 1336/3 at a glance

What it is: NAVPERS 1336/3 (Rev. 10-2024), Special Request/Authorization, enables Service members to make known their desire for items listed or for some other special consideration or authorization.

Who signs: In Box 20, the one who approves or disapproves marks APPROVED or DISAPPROVED and signs on the SIGN line.

Service members use the form to make known their desire for items listed or for some other special consideration or authorization.

A filled-in NAVPERS 1336/3 example: a request for special liberty

NAVPERS 1336/3 example filled out, example: a request for special liberty — Jordan Sample asks for special liberty on NAVPERS 1336/3. The request covers 3 days, from 20261120 to 20261122, and it is approved. The picture shows the whole form, and all its values are invented. The 3 days run from 20261120 0800 to 20261122 2000. The DATE OF REQUEST, 20261105, comes before the first day requested. Only SPECIAL LIBERTY is marked in Box 7, so SPECIAL PAY, COMMUTED RATIONS and OTHER (BELOW) stay empty. Casey Example signs Box 13 and serves on the same ship, so DUTY STATION repeats the ship. All six RECOMMEND APPROVAL boxes are marked YES, each with its own signer, RANK/RATE/TITLE and DATE, and the dates run from 20261106 to 20261111. Box 20 is marked APPROVED, so DISAPPROVED and Box 21, REASON FOR DISAPPROVAL, stay empty.

How to fill out NAVPERS 1336/3, box by box

Boxes 1 to 6, NAME to DUTY SECTION/GROUP

Enter your NAME in Box 1 and your RATE in Box 2.

Enter your SHIP OR STATION in Box 3 and the DATE OF REQUEST in Box 4 as YYYYMMDD.

Enter your DEPARTMENT/DIVISION in Box 5 and your DUTY SECTION/GROUP in Box 6.

Box 7, NATURE OF REQUEST

In Box 7, NATURE OF REQUEST, mark the box for Special Liberty, Special Pay, Commuted Rations or Other (below).

Box 8, NO. OF DAYS REQUESTED

In Box 8, enter the NO. OF DAYS REQUESTED, the FROM (DATE AND TIME) and the TO (DATE AND TIME).

Boxes 9 and 10, LIBERTY ADDRESS and TELEPHONE NUMBER

Enter the LIBERTY ADDRESS in Box 9 and the TELEPHONE NUMBER in Box 10.

Box 11, REASON FOR REQUEST, and SIGN

Enter the REASON FOR REQUEST in Box 11, then sign on the SIGN line below it.

Box 13, DUTY STATION and SIGN

Box 13: I am eligible and obligate myself to perform all duties of person making application.

In Box 13, the person who is eligible and obligates to perform all duties of person making application signs on the SIGN line and enters the DUTY STATION.

Boxes 20 and 21, APPROVED or DISAPPROVED and the REASON FOR DISAPPROVAL

In Box 20, the one who approves or disapproves marks APPROVED or DISAPPROVED and signs on the SIGN line.

In Box 21, enter the REASON FOR DISAPPROVAL.

More rules for NAVPERS 1336/3

Previous editions are obsolete.

Disclosure is voluntary, however, failure to provide required information may result in delay in response to or disapproval of your request.

Common questions about NAVPERS 1336/3

What is Navpers 1336 3?

NAVPERS 1336/3 (Rev. 10-2024), Special Request/Authorization, enables Service members to make known their desire for items listed or for some other special consideration or authorization. The supporting directive is MILPERSMAN 15560D.

Sources

[1] NAVPERS 1336/3 (Rev. 10-2024), Special Request/Authorization, Department of the Navy (the Official source link on this page).