Michigan Form 4363 at a glance
What it is: Michigan Department of Treasury 4363 (5-12) is the Application to Determine Eligibility for Educational Benefits, Children of Veterans Tuition Grant Program.
Where and when to file: Submit application and required documentation to: Student Scholarships and Grants, P.O. Box 30462, Lansing, MI 48909-7962.
This application must be completed to apply for educational opportunities provided for children of certain members of the armed forces of the United States.
What to bring and attach to Michigan Form 4363
Send photocopies only as documents must remain a permanent part of the application.
Applicant's (child's) birth certificate (must list parents' names).
Veteran's discharge certificate or separation document (DD Form 214 or Casualty Report).
Veteran's death certificate or casualty report.
Proof of total and permanent disability or death due to service-incurred causes.
A filled-in Michigan Form 4363 example: a child of a deceased veteran applies
How to fill out Michigan Form 4363, box by box
Name of Applicant
Type or print all information. Enter the Name of Applicant, Social Security Number, Address (No., Street, P.O. Box or Rural Route), City, State, ZIP Code, Telephone Number, Date of Birth and Michigan Resident Since (mm/dd/yyyy).
Name of Surviving Parent or Guardian
Enter the Name of Surviving Parent or Guardian, the Relationship, the Address, City, State and ZIP Code.
Benefits from another state and felony conviction
Mark Are you receiving benefits from another state? with Yes or No. If Yes, what state?
Mark Have you ever been convicted of a felony involving an assault, physical injury or death? with Yes or No.
Name of College you plan to attend
Enter the Name of College you plan to attend and the College Enrollment Date (mm/dd/yyyy).
Signature of Applicant
By your signature, you confirm that the information provided on this form is true and accurate, and you give the institution permission to release/verify your academic data for the purposes of this program to the Student Scholarships and Grants. [Required for processing.] Sign on the Signature of Applicant line and enter the Date.
Deceased or Disabled Veteran's Service Record
In the Deceased or Disabled Veteran's Service Record (Parent of the Applicant), enter the Name of Veteran, Military Service Number, Date of Entry into Service, Date of Separation and U.S. Dept. of Veterans Affairs Claim No.
Enter the Veteran Affairs Regional Office where claim folder is located.
Mark Is the veteran totally and permanently disabled due to service-incurred causes? with Yes or No; Yes (see #4).
Mark Is the veteran's death due to service-incurred causes? with Yes or No; Yes (see #4).
Common questions about Michigan Form 4363
Where do I file it?
Submit application and required documentation to: Student Scholarships and Grants, P.O. Box 30462, Lansing, MI 48909-7962.
Sources
[1] Michigan Department of Treasury Form 4363 (5-12), Application to Determine Eligibility for Educational Benefits, Children of Veterans Tuition Grant Program (the Official source link on this page).