Texas Hazlewood Act Exemption Application For Continued Enrollment
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1Texas Hazlewood Act Exemption Application
TVC‐ED‐2
Eff. June 2014
For Continued Enrollment *
Page 1 of 1
For (Term) (Year)
SUBMIT THIS APPLICATION TO YOUR COLLEGE OR UNIVERSITY
Student’s Name:
Last Name
First Name
MI
Student’s SSN:
Date of Birth: / /
(MM/DD/YYYY)
Student’s School ID#:
Address:
Street
City
State
Zip Code
To qualify for the Hazlewood Exemption, the Veteran, child or spouse cannot be in default on a loan that is
made or guaranteed by the state of Texas. State loans can be viewed at
Does the Veteran, child or spouse have a loan through the Texas Higher Education Coordinating Board?
[
] Yes
[
] No
If yes, is the loan in default status?
[
] Yes
[
] No
I am applying for continuation of the exemption from payment of tuition and fees under Texas Education Code §54.341,
(The Hazlewood Act). I understand that I may be entitled, under the law, to this exemption for up to 150 semester
credit hours at Texas public institutions of higher education. For the purpose of accounting for the total number of
hours for which I receive this exemption, I grant permission to any institution in which I have enrolled or will enroll to
release credit hour information to the Texas Veterans Commission and grant permission for TVC to share such
information with any institution that I might attend.
used hours
I have previously
under the Texas Hazlewood Act Exemption.
Student’s Signature:
Date:
* This form will not be used for initial application for the Hazlewood Exemption, but may be used for enrollment of
students subsequent to initial enrollment at the school in which the student is currently and consistently enrolled. If a
break in enrollment or change of school occurs then the complete Hazlewood Exemption application must be
completed.
TEXAS VETERANS COMMISSION
Phone: 1‐877‐898‐3833 or 512/463‐3168 | TTY/TDD: Dial 711 | Fax: 512/463‐3932 | E‐Mail: Education@tvc.texas.gov | Web:
An Equal Opportunity Employer
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