Form 2854-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section I, where you will enter the Sponsor Information. Fill in the Sponsor's Social Security Number, Name, and Date of Birth accurately.
3. Move to Section II for Individual(s) Requesting Disenrollment. Provide the names and dates of birth for each individual disenrolling. Select a reason for disenrollment by marking the appropriate box.
4. In this section, also include the requested disenrollment date and contact information such as telephone numbers and email address if applicable.
5. Finally, navigate to Section III. Ensure you sign and date the application to certify that all provided information is true and complete.
6. Once completed, save your form and submit it to your Military Treatment Facility while keeping a copy for your records.

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