US-DBC FORM 3211 SD
Refund PAF Application Form
(Refund Processing Authorization Fee Application Form)
Effective: May 05, 2024
Owned by: Office of U.S Department of Bank Card
OMB Control Number: 3211-0513
Related Programs: RPAF
File size: 591KB
REFUND PROCESSING AUTHORIZATION FEE PROGRAM
FIRST DRAW APPLICATION FORM
Revised May 12, 2024
Control No.: 3211-0513
Expiration Date: 12/12/2024
This form is to be completed by the Applicant and all individuals identified below and submitted to U.S Department of Bank Card.
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Version I
Version H
Version G
Version F
Version D
Version C
Version B
Version A
| Effective: 2024-05-13
| Effective: 2024-04-22
| Effective: 2024-04-08
| Effective: 2024-03-06
| Effective: 2024-01-20
| Effective: 2023-12-30
| Effective: 2023-12-08
| Effective: 2023-11-11
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Disclaimer: Translations are for informational purposes only. Applications must be submitted in English.
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