Veterans Educational Benefits Request Form

You have three options for completing this form:

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.
Complete the form below. Clicking the button will download the filled out form for you to submit according to the form instructions.

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.