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Request for Benefits

Please fill out this form to request benefits for Fall 2019 VA education benefits.

*If there are any issues or questions regarding the form, please contact Kelli Blanton at


TYPO: "Spring Semester (15 week)" should be "Fall Semester (15 week)" - This is the traditional fall semester. Other sessions listed will be class/program specific.

  • Fall 2019 - Request for Benefits

    • What VA education benefit are you requesting to use?
    • No you plan to use any of the following? (Check all that apply)
    • Select the semesters you are requesting benefits for:

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