MEMORANDUM FOR: TAGPA, Dept of Mil & VA Affairs, ATTN: MP-SPT-IB
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MEMORANDUM FOR: TAGPA, Dept of Mil & VA Affairs, ATTN: MP-SPT-IB Annville, PA 17003-5002
SUBJECT: Termination of MGIB/SRIP/FTA/Education Assistance Program (EAP) Benefits
1. Request ______, ______be terminated NAME SSN from the following program(s):
SRIP______EAP______
MGIB______FTA______
UNIT NAME ______Payroll Number______
2. Soldier has accrued the ninth AWOL within a 12-month period effective ______. The soldier understands that recoupment of benefits plus interest may be required.
a. MGIB - The amount of recoupment will be determined by the Department of Defense and by the Department of Military Veteran Affairs.
b. SRIP- The amount recouped will be determined by the Incentive Branch Manager per NGB Guidance and directives.
c. EAP - Pennsylvania Higher Education Assistance Agency (PHEAA) will determine the amount of recoupment as agreed upon the EAP Promissory Note.
d. FTA - The amount recouped will be determined by the FTA manager.
3. I have verified the ninth AWOL by comparing the units DA Form 1379. I understand that the date I indicated above will begin irreversible recoupment action.
Commanders Signature block
______soldier’s signature date