Dvs Form 01 PDF Details

In the heart of Virginia's commitment to honor its military personnel and their families, the Virginia Military Survivors and Dependents Education Program (MSDEP) stands as a testament to the state's gratitude and recognition of their sacrifices. Facilitated through the DVS 01 form, the application process for MSDEP is a pivotal step for eligible participants aiming to avail themselves of educational benefits. This form, routinely updated to ensure its relevance and efficiency, is a critical document that gathers applicant information, details of the military service member’s record, and residency prerequisites to verify eligibility for the benefits. Intended for the spouses, children, and in some cases, other dependents of veterans who either lost their lives, were captured, went missing in action, or suffered disabilities due to their military service, the MSDEP underlines Virginia's commitment to providing educational support to the families of those who have contributed so significantly to the nation's security and well-being. The detailed sections of the form not only streamline the application process but also reflect a structured approach towards ensuring that the aid reaches those who need it most, underlining the Commonwealth’s respectful acknowledgment of service and sacrifice.

QuestionAnswer
Form NameDvs Form 01
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesbenefits_VMSDEA PPLICATION virginia military survivors and dependents education program roanoke va form

Form Preview Example

VirginiaDepartment of

Veterans Services

1351 Hershberger Road, N.W.

Suite 220

Roanoke, VA 24012

(540)561-6625 Fax (540) 857-7573

VIRGINIA MILITARY SURVIVORS AND DEPENDENTS

EDUCATION PROGRAM

Application

PURPOSE: Use this form to apply for the Virginia Military Survivors and Dependents Education Program (MSDEP). Provide as much detail as possible so that we can verify your eligibility for MSDEP benefits.

INSTRUCTIONS: Type or print in ink.

APPLICANT INFORMATION

NAME last

first

middle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

DATE OF BIRTH

 

 

PHONE NUMBER

(

)

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

STATE

ZIP

 

 

 

 

 

 

 

 

 

SCHOOL LAST ATTENDED

 

 

 

 

 

LAST YEAR OF ATTENDANCE

 

 

 

 

 

 

 

PARENT OR GUARDIAN NAME last

 

first

middle

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

PHONE NUMBER

(

)

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

STATE

ZIP

 

 

 

 

 

 

 

 

 

 

 

RELATIONSHIP TO MILITARY SERVICE MEMBER

 

Spouse

Child

Surviving Spouse

Natural

 

Step-child

 

Adopted

 

Other

MILITARY SERVICE INFORMATION

NAME OF MILITARY SERVICE MEMBER

last

first

middle

 

 

 

 

SOCIAL SECURITY NUMBER

 

SERVICE NUMBER

U.S. VETERANS AFFAIRS CLAIM NUMBER

 

 

 

 

DVS FORM 01

JUNE 2011

RESIDENCY AND OTHER INFORMATION

Was the military service member a citizen and legal resident of Virginia when he or she

YES

NO

entered the service?

 

 

Was the military service member a citizen and legal resident of Virginia for 5 consecutive years immediately prior to the date of this application?

YES

NO

In the case of a deceased military service member, was the surviving spouse a citizen and legal resident of Virginia 5 years before he or she married the service member?

YES

NO

In the case of a deceased military service member, was the surviving spouse a citizen and legal resident of Virginia for 5 consecutive years immediately prior to the date of this application

YES

NO

List the names and birthdates of siblings or children who have attended college under the Virginia War Orphans Education Program or the Virginia Military Survivors and Dependents Education Program

NAME

NAME

Applicant will attend the following colleges or universities:

SCHOOL NAME

SCHOOL NAME

I certify that the information in this application is true and correct to the best of my knowledge.

APPLICANT

SIGNATURE

DATE OF BIRTH

DATE OF BIRTH

START DATE

START DATE

DATE

OFFICE USE ONLY

DEATH

Y ES

 

NO

90 % OR MORE

YES

NO

POW/MIA

YES

NO

 

 

DISABILITY IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARMED CONFLICT

 

 

 

 

 

 

 

AGE

YES

 

NO

RESIDENCY

YES

NO

ELIGIBLE

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

Receiving Chapter 35

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If not eligible, why?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIMS EXAMINER

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIMS EXAMINER

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DVS FORM 01

JUNE 2011

How to Edit Dvs Form 01 Online for Free

Through the online PDF tool by FormsPal, it is possible to fill in or alter Dvs Form 01 here. Our tool is consistently evolving to deliver the very best user experience possible, and that's due to our commitment to continual enhancement and listening closely to testimonials. It just takes a few easy steps:

Step 1: Click the "Get Form" button at the top of this webpage to get into our PDF tool.

Step 2: Once you access the editor, you will see the document ready to be completed. Aside from filling out different blank fields, you might also perform several other things with the PDF, such as writing any words, changing the original textual content, adding illustrations or photos, placing your signature to the document, and more.

When it comes to fields of this precise form, here's what you need to do:

1. Start completing the Dvs Form 01 with a selection of necessary blanks. Consider all of the information you need and make certain not a single thing forgotten!

The way to complete Dvs Form 01 step 1

2. The third step is to submit the following fields: Surviving Spouse, Natural, Stepchild, Adopted, Other, NAME OF MILITARY SERVICE MEMBER, MILITARY SERVICE INFORMATION, SOCIAL SECURITY NUMBER, SERVICE NUMBER, US VETERANS AFFAIRS CLAIM NUMBER, DVS Form, and June.

Best ways to fill out Dvs Form 01 portion 2

3. This next section is focused on Was the military service member a, YES, Was the military service member a, YES, In the case of a deceased military, YES, In the case of a deceased military, YES, List the names and birthdates of, NAME, NAME, Applicant will attend the, DATE OF BIRTH, and DATE OF BIRTH - type in all these blanks.

Dvs Form 01 completion process shown (stage 3)

In terms of YES and Was the military service member a, be certain that you review things in this section. Both of these could be the most important ones in the page.

4. To go ahead, your next step requires filling out a couple of form blanks. Included in these are Applicant will attend the, SCHOOL NAME, SCHOOL NAME, I certify that the information in, START DATE, START DATE, DATE, APPLICANT SIGNATURE, DEATH, Y ES, AGE, YES, Receiving Chapter, YES, and If not eligible why, which you'll find essential to going forward with this particular form.

Dvs Form 01 conclusion process explained (part 4)

5. To finish your document, this particular subsection incorporates a number of extra blank fields. Filling in CLAIMS EXAMINER, CLAIMS EXAMINER, DVS Form, DATE, DATE, and June will finalize the process and you'll be done very fast!

Writing segment 5 in Dvs Form 01

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