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 firstname.lastname@example.org.
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