Tuition Application - Sc Division Of Veterans' Affairs (Page 2 of 4) in pdf

Application f or T uition A ssistance

South C arolina

for C ertain W ar V eterans’ C hildren

Division o f V eterans’ A ffairs

(Title 5 9-‐111-‐20, 1 976 C ode o f L aws o f S outh C arolina a s a mended)

Part T hree: V eteran I nformation ( continued)

Was/Is t he V eteran a P risoner o f W ar? I f y es, p lease g ive t he d ates a nd l ocation. A lso, p lease s ubmit a c ertified c opy o f t he

Veteran’s D D214.

Is t he V eteran a r ecipient o f t he P urple H eart? I f y es, p lease

Is t he V eteran a r ecipient o f t he M edal o f H onor? I f y es, p lease

submit a c ertified c opy o f t he V eteran’s D D214 a nd a c opy o f t he

award c ertificate.

If t he V eteran i s a live:

Is t he V eteran M issing i n A ction?

Has t he V eteran b een r ated p ermanently a nd t otally d isabled b y

the U .S. D epartment o f V eterans A ffairs?

If t he V eteran i s d eceased:

Date o f D eath:

State o f r esidency a t t he t ime

Did t he V eteran d ie d uring m ilitary s ervice?

of d eath:

Did t he U . S . D epartment o f V eterans A ffairs r ate h is/her d eath a s b eing S ervice C onnected o r h as D IC ( Dependency I ndemnity

Compensation/death b enefits) b een g ranted?

Was h e/she r ated p ermanently a nd t otally d isabled b y t he U . S . D epartment o f V eterans A ffairs o n t he d ate o f d eath?

Signature: _ _________________________________________________ D ate: _ ____________________

(Application m ust b e s igned b y P arent o r C ustodian o f S tudent o r S tudent, i f o ver 1 8 y ears o f a ge.)

Completed A pplications c an b e m ailed o r f axed t o o ur o ffice:

SC D ivision o f V eterans’ A ffairs

VA R egional O ffice

6437 G arners F erry R oad, S uite 1 126

Columbia, S C 2 9209

(803) 6 47-‐2434 F ax ( 803) 6 47-‐2312

The e ffective d ate o f t his b enefit i s t he d ate o f r eceipt o f t he a pplication.

____________________________________________________________________________________________________

FOR S OUTH C AROLINA D IVISION O F V ETERANS’ A FFAIRS U SE O NLY

Recommend f or A pproval/Disapproval: _ _______________________________ Date: _ _____________________________

Application A pproved/Disapproved: _ _________________________________ Date: _ ______________________________

SOUTH CAROLINA DIVISION OF VETERANS’ AFFAIRS

VA REGIONAL OFFICE

6437

1126

29209

GARNERS FERRY ROAD, SUITE

, COLUMBIA, SOUTH CAROLINA,

803.647.2434

803.647.2312

PHONE

FAX

Tuition Application - Sc Division Of Veterans' Affairs Page 2

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