Reginfo publicdoExpiration Date: XX XX XXXX APPLICATION FOR REFUND OF 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part I - Identification Data. Fill in your name, social security number, mailing address, branch of service, VA file number (if applicable), phone number, and email address.
  3. Proceed to Part II - Notice of Disenrollment and Application for Refund. Indicate your reason for disenrollment by selecting one of the options provided: personal hardship, education completed, vocation obtained, or other.
  4. Sign and date the application in the designated areas. If you are on active duty, ensure that a Service Approving Official also signs where required.
  5. Complete any additional sections as necessary based on your status (active duty or not) and ensure all information is accurate before submission.
  6. Finally, review the instructions for mailing your completed form to the appropriate VA regional office based on your state.

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