If you are requesting a protest or assistance for any other debt, claim or payment, please see our other AskDFAS request forms, or Click Here to access the website.

If you did not find the answer you are looking for in the FAQs, fill out the request below and click on the "Submit" button. Please complete the following form and attach all necessary documents to ensure accurate processing.

Please Click Here for the ONLINE DEBT PAYMENT STATUS for immediate account balance information.

Thank You!

Your Information

Debt Repayment
Reduced Installment Repayment Request
 
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Account number begins with CL, DE, IN, KC, or MS. (ex. IN123J321) *NOTE* If account number is not available, you may enter your social security number with no spaces or dashes.
Branch of Service in which the debt incurred or a Correction of Record/Claim is to be filed.
California (CA) Canada (CN) Macedonia (MK)
Nine digit phone number including area code. No dashes, spaces, or special characters.
 

Information and Documentation
 

This request form is for former Army/Air Force/Navy/Marine active, reserve or guard members as well as separated Civilian Employees who are submitting a request to establish an installment agreement or payment plan to pay an Out-of-Service debt account.

 
In order to process your request, you must complete a Voluntary Repayment Agreement (VRA) and Financial Hardship Application (FHA) form and attach them to this request.

Required - VRA and FHA Form

Required - Supporting documents as stated in the VRA/FHA Application
 
*At least 2 files must be uploaded.


Upload the required Reduced Installment Payment Request, the required Financial Hardship Application, as well as all other supporting documents to your ticket. You must click the Upload Files button before pressing the submit button to make sure they get included.
Submits your item to a customer service representative.
Cancels your inquiry and returns you back to the FAQ Page.
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