NAVPERS Form 1336 / 3 Special Request / Authorization Form

NAVPERS Form 1336 / 3 Special Request / Authorization Form

What Is a Navy Special Request Chit?

NAVPERS Form 1336/3 Special Request/Authorization Form, is a legal document used to communicate the desire for items listed in the form (leave, special liberty, commuted rations, etc.) or some other special authorization or consideration.

Alternate Name:

  • Navy Special Request Chit.

The information on the NAVPERS 1336/3 Form is used to assist the commanding officer or some other employee in the department of the Navy to determine the applicant's eligibility for the authorization or consideration being requested. Certain requests are only approved in the case of special occasions or circumstances - for instance, individuals who worked unusually long hours or need to attend a funeral of a family member may be granted special liberty.

This form was released by the Navy Personnel Command on February 1, 2011, with all previous editions obsolete. You can download a Navy Special Request Chit fillable version through the link below.

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How to Fill Out a Navy Special Request Chit?

Navy Special Request Chit instructions are as follows:

  1. Write down your name, rate, ship or station, department or division, and duty section or group.
  2. State the date of the request and describe its nature - leave, special liberty, special pay, or commuted rations. If your request is not listed in the form, you may check the box "other" and explain the request below.
  3. Enter the number of days requested and specify the date and time of the request. If you travel, indicate the mode of travel and its distance. Provide the leave address and telephone number.
  4. Describe the reason for the request in full detail. For example, you may need a leave to attend a Naval Technical Training Center class;
  5. Sign the form.

Once you complete the form, present it to the official in your department or division who is responsible for approving or disapproving your request. The commanding officer will check the appropriate box ("yes" or "no"), write down their rank or title, date, and sign the form. Since the NAVPERS Form 1336/3 is most often used to request leave or special liberty, here are some tips for the travel:

  1. Keep the Navy Special Request Chit in your possession at all times;
  2. If your leave address is permanently changed, inform your commanding officer;
  3. Safe sufficient money and buy a round-trip ticket to make sure you have return transportation. Do not forget to check transportation schedules and weather forecasts through your return route and make allowances for delays;
  4. Plan the trip carefully, allow yourself sufficient travel time, and keep your travel to a minimum during the hours of darkness;
  5. In case of a serious injury or illness incurred while on leave which will require hospitalization or some other medical attention, report it to the commanding officer;
  6. If the conditions beyond your control indicate a late return to your duty section or group, obtain written evidence from the transportation agency, physician, recruiting station, etc. for consideration by your commanding officer.

Download NAVPERS Form 1336 / 3 Special Request / Authorization Form

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  • NAVPERS Form 1336 / 3 Special Request / Authorization Form, Page 1
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