Michigan Form 4363 PDF Details

In an era where the cost of higher education is increasingly burdensome, schemes aimed at alleviating financial pressure for deserving families are more important than ever. The Michigan Department of Treasury's 4363 form serves as a critical pathway for children of certain armed forces members to access the Children of Veterans Tuition Grant Program. Established under the auspices of Public Act 248 of 2005, this program underscores a commitment to recognizing the sacrifices made by military families by offering educational benefits to their children. Applicants are required to furnish detailed personal information, including their connection to a deceased or disabled veteran, while also disclosing pertinent academic intentions and any concurrent state benefits. The process demands the submission of several key documents to affirm eligibility, such as birth and death certificates, proof of the veteran's permanent disability or service-incurred death, and educational enrollment details. By navigating the stipulations laid out in Form 4363, applicants signal their readiness to embark on a journey towards securing a college education, affirming a collective belief in the transformative power of learning and the nation's obligation to those who have served.

QuestionAnswer
Form NameMichigan Form 4363
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesEnrollment, Applicant, michigan department of treasury form 4363, Eligibility

Form Preview Example

Michigan Department of Treasury 4363 (5-12)

Application to Determine Eligibility for Educational Benefits

Children of Veterans Tuition Grant Program

Issued under authority of Public Act 248 of 2005.

Type or print all information. This application must be completed to apply for educational opportunities provided for children of certain members of the armed forces of the United States.

Name of Applicant

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (No., Street, P.O. Box or Rural Route)

 

 

 

 

 

City

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

Date of Birth

 

 

 

 

 

Michigan Resident Since (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Surviving Parent or Guardian

 

 

 

 

 

 

 

 

 

 

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

City

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

Are you receiving benefits from another state?

฀

Yes

฀

No

If Yes, what state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been convicted of a felony involving an assault, physical injury or death?

฀

Yes

฀

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of College you plan to attend

 

 

 

 

 

 

 

 

 

 

College Enrollment Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

By my signature, I confirm that the information provided on this form is true and accurate, and I give the above institution permission to release/verify my academic data for the purposes of this program to the Student Scholarships and Grants. [Required for processing.]

Signature of Applicant

Date

 

 

Deceased or Disabled Veteran’s Service Record (Parent of the Applicant named above)

Name of Veteran

 

 

 

 

Military Service Number

 

 

 

 

 

Date of Entry into Service

Date of Separation

U.S. Dept. of Veterans Affairs Claim No.

 

 

 

 

 

Veteran Affairs Regional Office where claim folder is located

 

 

 

 

 

Is the veteran totally and permanently disabled due to service-incurred causes?

 

฀ Yes (see #4 below)

฀ No

 

 

Is the veteran’s death due to service-incurred causes?

 

฀ Yes (see #4 below)

 

 

 

 

 

 

฀

No

 

 

 

 

 

 

 

 

Required Documentation

Send photocopies only as documents must remain a permanent part of the application.

1.Applicant’s (child’s) birth certificate (must list parents’ names).

2.Veteran’s discharge certificate or separation document (DD Form 214 or Casualty Report)

3.Veteran’s death certificate or casualty report.

4.Proof of total and permanent disability or death due to service-incurred causes.

Submit application and required documentation to: Student Scholarships and Grants, P.O. Box 30462, Lansing,

MI 48909-7962. Telephone: 1-888-4-GRANTS (1-888-447-2687), extension 3-7120. Fax: 517-241-5835.

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Pay attention while filling out this document. Make sure all mandatory blank fields are done correctly.

1. Begin filling out your 1-888-4-GRANTS with a number of essential blanks. Get all of the information you need and make certain absolutely nothing is overlooked!

Eligibility completion process explained (part 1)

2. Right after filling out the last part, go to the next part and complete the necessary particulars in these blank fields - Date of Separation, Military Service Number, US Dept of Veterans Affairs Claim, and Deceased or Disabled Veterans.

Ways to complete Eligibility portion 2

As for Date of Separation and Military Service Number, make sure you get them right in this current part. Those two are considered the most important fields in this form.

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