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

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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

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