Veterans Information Form
Download a blank fillable Veterans Information Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Veterans Information Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Veteran Information Form
Please complete and submit this form to:
Office of Veterans Affairs
221 Anderson Hall
office: (785) 532-7061
Manhattan, KS 66506-1110
fax: (785) 532-7628
k-state.edu/veteran
veteran@k-state.edu
Term:
Fall
Spring
Summer
q
q
q
Campus:
Manhattan
Salina
Olathe
q
Distance Only
____________
__________
____________
Name
Soc. Sec. No.
_____________________________________________________________________________
_________________________________________________________________________
(First)
(M.I.)
(Last)
VA “C” No.
_____________________________________________________________________________
(Required for dependents eligible for DEA/ch. 35)
Current
mailing address:
Date of Birth: ________________________________________________
_________________________________________________________________
Degree:
Assoc.
Bach.
M.S.
Ph.D.
DVM
q
q
q
q
q
_________________________________________________________________
Curriculum or major
_________________________________________________________________
________________________________________________________________
Phone No.
__________________________________
VA chapter 30
q
31
q
35
q
1606
q
REAP 1607
q
33 (Post 9/11)
q
Have you previously attended or used your Veterans Educational Benefits at another post-secondary institution? Yes*
q
No
q
*If yes, you need to complete a Form 22-1995
Are you the Veteran
Child
Spouse
q
q
q
Will you receive federal tuition assistance? Yes
q
No
q
Will you receive ROTC? Yes
q
No
q
Are you Active Duty military? Yes
No
Is spouse Active Duty if ch 33TOE? Yes
No
q
q
q
q
Class Schedule
Only list the course for which credit hours are assigned
5-Digit
Office Use Only
Retake
Reference
Course
Credit
Course
Enrollment
Drop
Total T&F Cert to VA
_____________
Yes / No
number
name/number
hour
title
Dates
Date
Tuition - Fees - YR
Primary Institution (if other than K-State)
OFFICE USE ONLY
Emp ID:
Name of school
______________________
CHAPTER:
____________________
Street address
Transcripts:
__________________
CURR:
________________________
City/State/Zip
Listserv:
______________________
Degree Track:
_______________
PLEASE READ AND SIGN
AWARD
A signature from your academic advisor is required as verification that the courses listed on this form are needed to complete
Full:
___________________________
your degree.
Transmittal date:
A debt may be posted to your account if you decided to withdraw on or before the first day of a course and funds have already
been received from the VA.
A new Veteran Information Form (VIF) is required for each semester you want to use your VA benefits. An updated VIF will be
requested if you add courses to your schedule.
All the information on this form is true and complete to the best of my knowledge.
Signature of student
Date
Printed name of academic advisor
Signature
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Fl 70-2 - Request To Correspondent For Identifying Information Regarding Veteran - Department Of Veterans Affairs
Legal
Form 10-5368 - Department Of Veterans Affairs Research And Development Information System Investigator Data - State Of West Virginia
Legal
Related Categories
Parent category: Legal