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WHAT ARE THE BENEFITS?

any

Waiver of all mandatory system wide tuition and fees at

State of California Community College, Campus of the University of California,

or Campus of the California State University system.

WHO MAY APPLY?

1 – Students must meet the California residency requirements as determined by the school they will attend.

2 - Students who meet the requirements of at least one of the following plans

PLAN A:

The spouse, child or unmarried surviving spouse or California certified registered domestic partner (RDP) of a veteran who is

totally service-connected disabled or who has died of service-related causes, may qualify. The veteran must have served during

a period of war declared by Congress, or been awarded a Campaign or Expeditionary Medal. This program does not have an

income limit. A child must be under 27 years of age to receive the fee waiver benefit. The age limit is extended to 30 years of

age if the child is a veteran. There are no age limits for a spouse, surviving spouse or RDP. *Note: a dependent cannot receive

this benefit if they are in receipt of VA Chapter 35 benefits,

OR,

PLAN B:

The child (no age limit) of a veteran who has a service-connected disability, or had a service-connected disability at the time of

death, or who died of service-related causes, may also qualify for a waiver of fees. The child’s income, which includes the

student’s ADJUSTED GROSS INCOME, PLUS THE VALUE OF SUPPORT provided by a parent, cannot exceed the

“national poverty level” as published by the U.S. Census Bureau on December 31

of last year. *NOTE: This figure changes

annually. To obtain the applicable national poverty level, contact your local County Veterans Service Office (CVSO).

PLAN C:

Any dependent, non-remarried surviving spouse, or current RDP of a member of the California National Guard

who was killed, permanently disabled or died of this disability that resulted from activation under Military and

Veterans Code Section 146. OR

PLAN D:

Plan D Benefits are available to Congressional Medal of Honor recipients and their children.

HOW TO APPLY:

(1) This form must be fully completed, signed by the student and the veteran (or parent, but you must explain why the veteran is not available), and all

questions must be answered. If a question does not apply, write "N/A”. If neither parent is available to sign, please attach an explanation.

(2) A Child, under PLAN B, must submit either a copy of their federal income tax form 1040 or state income tax form 540, from "Last Year" or, if a child does

not have a copy of their income tax, or if a child did not file a return, they must submit a statement from the Internal Revenue Service (800-852-5711) or the

Franchise Tax Board (800-829-1040) which must verify the amount of adjusted gross income or the fact that a return was not filed. **NOTE**: Current academic

year entitlement is based upon last year’s adjusted gross income and value of support. i.e.: If applying for benefits for academic year 2015-2016, the total amount

of your reported adjusted gross income and value of support from calendar year 2014 will be used to determine eligibility.

(3) If you are a "child" of a veteran, you must attach a Verification of Dependency. Acceptable verifications include a Birth Certificate, Adoption

Records, Court Order, or other Governmental Documents.

WHEN TO APPLY:

Always try to apply for these benefits prior to attending school. Benefits are awarded on an academic year basis and students are required to reapply each year for

ongoing benefits. NOTE: The earliest effective date fee waiver benefits may be awarded is the first day of the academic year in which an application is received.

WHERE TO APPLY:

To obtain an application, additional information and to apply for benefits under this program, contact your local County Veterans Service Office (look in the

"Government Listings" section of your telephone book under "County Government Offices".), or on their website at:

“If eligibility criteria are met, use of the California College Fee Waiver for Veterans Dependents may be applied to state-supported programs in the CCC, CSU,

and UC systems. Some academic programs at these institutions that are considered self-supported, commonly referred to as extension courses or extended

education are not covered under the Fee Waiver because these courses, degrees, and certificates are neither funded by the state nor are they system-wide programs.

Veteran’s dependents applying for this waiver should research their academic programs thoroughly before applying to the college or university.”

YOU MAY BE ENTITLED TO ADDITIONAL VETERANS BENEFITS

TO LEARN MORE ABOUT THE BENEFITS YOU HAVE EARNED, VISIT:

PRIVACY NOTIFICATION

The Information Practices Act of 1977 (Civil Code Section 1798.17) and the Federal Privacy Act (Public Law 93-579) require that this notice be provided

when collecting personal information from individuals. Information requested on this form is voluntary and will be used for the purposes of identification

and to determine eligibility for benefits under the provisions of the Military and Veterans Code, Sections 890 through 899 and 980 and Education Code,

Section 66025.3. The program is administered by: Deputy Secretary, Veterans Services Division, 1227 "O" Street, Sacramento, CA 95814. Failure to

provide requested information will result in the delay or denial of benefits. Individuals may review available personal records during normal business

hours. Appeals of denied benefits shall be filed with the Veterans Services Division (note address above). Appeals must be in writing, stating the reasons

you feel the benefits should be granted, and filed within 90 days after the date of the "letter of denial."

DVS-40 (7/1/15)