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(County, city, village, etc.) Signature of applicant. Date. Instructions for completing the Application for Refund Form.Complete Questions 1 through 4 and include the Case Caption on the top left of parenthesis. This application may be denied, or you discharge may be revoked, if you fail to provide testimony, a sworn statement, or documentation upon request, or if you. (1) Complete both sides of application in full; (2) Type or print in ink. General online filing procedures with this web site: Complete refund application DR-26 or DR-26S online. Application for Refund or Credit. Important: Applications not fully completed or received without supporting documentation will not be accepted. (1) This application must be completed to receive the refund requested via EFT. To get started, see the "Refunds" panel on the lowerleft side of the homepage.