Veterans Educational Benefits Request Form

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Download the PDF, print it out, and complete by hand.
Download the PDF, open it in your favorite app to fill out and submit either by printing or emailing.
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Please complete the information below and return this form to the Office of Financial Aid. Students applying for admission to W&L who intend to use VA benefits are required to submit this form. Continuing W&L students do not need to resubmit this form in subsequent academic years.

Printed Name

Email Address

Phone Number

W&L Graduation Year

School

Undergraduate Law

For which academic year are you requesting benefits?

VA File Number

Payee Number

Are you receiving benefits under the Post 9/11 GI Bill (Chapter 33)?

Yes No

Are you applying under any of the following?

MGIB Chapter 30

VOC REHAB Chapter 31

VEAP Chapter 32

Reserves Chapters 1606/1607

The information I submit on this form is true and correct to the best of my knowledge.