Navy · Leave & Liberty · NAVPERS 1336/3, Rev. 10-2024 edition

Special Request Chit (NAVPERS 1336/3)

The Navy special request chit, blocks 1–22: leave, special liberty, special pay, commuted rations, or anything else, with the chain-of-command recommendations and the final approval.

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Every block on the NAVPERS 1336/3

Laid out block for block like the official SPECIAL REQUEST/AUTHORIZATION (Rev. 10-2024 edition), with the instruction for each block. Name, rank, and unit prefill from your service profile.

Form details

  • 1
    Name

    Your name, Last, First, MI.

  • 2
    Rate
  • 3
    Ship or Station
  • 4
    Date of Request (YYYYMMDD)
  • 5
    Department/Division
  • 6
    Duty Section/Group
  • 7
    Nature of Request

    Check the type of request. For OTHER, explain in block 12 (e.g., request mast, school, uniform exception).

  • 8
    No. of Days Requested
  • From (Date and Time)

    When the leave or liberty starts, in date and time.

  • To (Date and Time)
  • 9
    Distance (Miles)
  • Mode of Travel
  • 10
    Leave Address

    Where you will be: street, city, state, ZIP (or country for OCONUS leave).

  • 11
    Telephone Number
  • 12
    Reason for Request

    Say what you are asking for and why, specifically. Include anything the approver will ask about: leave balance, watch coverage, work turnover, and deadlines.

  • 13
    Signature of Applicant (Use CAC for digital signature)
  • 14
    Signature of Standby ("I am eligible and obligate myself to perform all duties of person making application.")

    A qualified Sailor who agrees to stand your watches while you are away. Their signature commits them to those duties.

  • Duty Station

    The standby's watch station or duty section.

  • Recommended Approval (blocks 15–20)

    Each level of the chain, in order: typically LPO, LCPO, Division Officer, Department Head, CMC, and XO. Each marks YES or NO, then signs and dates. Pre-fill the Block column with 15–20.

  • 21
    Approved / Disapproved

    The approving authority's decision, usually the CO or XO, or a department head for routine liberty per the command instruction.

  • Signature
  • Date
  • 22
    Reason for Disapproval

    Completed only when the request is disapproved.

Draft / worksheet aid. Prepare it here, then transcribe into your command's chit routing (paper or electronic). Leave itself is also entered in NSIPS Leave. This is not an official submission. Check it against the current official NAVPERS 1336/3 before use.

How to fill out the NAVPERS 1336/3

The "chit": a Sailor's formal written request to the commanding officer for leave, special liberty, special pay, commuted rations, or any other authorization. It collects each level of the chain's recommendation and the final decision. When: Whenever you need something the chain of command must authorize: leave outside a command leave period, special liberty (up to 4 days, MILPERSMAN 1050-290), a request to go on a school or program, a uniform or grooming exception, request mast, or an early or late liberty call.

Step by step

  1. Fill in blocks 1–6 (name, rate, ship or station, date, department/division, duty section).
  2. Check the nature of the request in block 7. Use OTHER and explain in block 12 for anything not listed.
  3. For leave or liberty, complete blocks 8–11: number of days, from and to (date and time), distance, mode of travel, leave address, and a phone number where you can be reached.
  4. Write block 12 as a short, specific justification. Include your leave balance and how your work and watches are covered.
  5. Sign block 13. If you stand watches, get a qualified standby to sign block 14 before you route it.
  6. Route it up the chain (blocks 15–20: typically LPO, LCPO, division officer, department head, CMC, XO). Each level checks YES or NO, signs, and dates.
  7. The approving authority checks APPROVED or DISAPPROVED in block 21. If disapproved, the reason goes in block 22.

What a strong one looks like

  • Submit leave chits early. Many commands require 2–4 weeks for routine leave and more for leave outside CONUS (which also needs an OCONUS leave brief).
  • Put the check-out and check-in times in blocks 8 FROM/TO. Leave charges run by calendar day under the Navy leave rules.
  • Settle your watch standby and turnover before you route. A missing standby signature is the most common reason a chit comes back.
  • For special liberty, say which MILPERSMAN 1050-290 circumstance applies (compassionate reason, special recognition, arduous duty).

Common mistakes

  • Routing around the chain. Every level between you and the approver gets a block, even when a recommendation is NO.
  • A vague reason like "personal". The approver needs enough to decide, and a clear request gets signed faster.
  • Leaving before the chit comes back APPROVED, which can make you UA (Article 86).
References: MILPERSMAN 1050-290, Policy Concerning Liberty (special liberty); MILPERSMAN 1050 series, Leave; U.S. Navy Regulations, Art. 1151 (direct communication with the commanding officer / request mast); Command leave and liberty instruction and SORM (routing chain) Checked against the official source: Sep 2026 Official blank form

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