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www.WisVets.com/Forms

 

Most WDVA benefits may be initiated through your local County Veterans Service Office (CVSO) or directly with the Wisconsin Department of Veterans Affairs. Applications for many benefits can be submitted online, and online applications are clearly marked below.

For more information about specific programs, please visit WDVA's Wisconsin State-Level Veterans' Programs and Services section.

Not sure how to contact your local CVSO? Check the statewide CVSO listing.

  • Applications for the Assistance to Needy Veterans and Family Members Grant must be submitted through your local CVSO.

Our forms are all available in Adobe Acrobat PDF format. Adobe Acrobat documents can be opened and printed across a wide range of computer platforms through the use of a free Adobe Acrobat Reader software program available here.

Many forms are also available as a Microsoft Word fillable document. Fillable documents can be completed when opened in Word, saved, and printed with the typed input.

Forms in Form Number Alpha/Numeric Order

Click an icon in the Format column below to open the file.
= Adobe format Microsoft Word logo = fillable Word format Microsoft Internet Explorer logo = Apply online
Form # Form Title / Revision Date Format
DOA 6448 Substitute W-9 Taxpayer Identification Number Verification DOA 6448 in Word fillable format
DOA 6448 Subsitute W-9 Taxpayer Identification Number Verification – With Instructions for WDVA Military Funeral Honors Stipend Reimbursement Program DOA 6448 with WDVA Military Funeral Honors Instructions in PDF format
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MV 2172 Disabled Veteran License Plate Application MV 2172 in PDF format
MV 2653 Veterans/Military License Plate Application MV 2653 in PDF format
MV 2930 Veteran Motorcycle Plate Application MV 2930 in PDF format
MV 2951 Gold Star License Plate Application MV 2951 in PDF format
MV 2954 Wisconsin Salutes Veterans License Plate Application MV 2954 in PDF format
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VA 10-0144A Statement of Assurance of Compliance with Equal Opportunity Laws (04/99) USDVA 10-0144A in PDF format
VA 21-526 Veterans Application for Compensation and/or Pension
*Include Temporary Form VA-21-4138-temp.pdf until further notice
VA 21-526 in PDF fillable formatVA On-line Application Web page (VONAPP)
VA 22-1990 Application for VA Education Benefits (10/10) VA On-line Application Web page (VONAPP)VA 22-1990 in PDF fillable format
VA 22-1995 Application for Change of Program or Place of Training VA On-line Application Web page (VONAPP)VA 22-1995 in PDF fillable format
VA 22-5490 Application for Survivors' and Dependents Educational Assistance VA On-line Application Web page (VONAPP)VA 22-5490 in PDF fillable format
VA 22-5495 Application for Change of Program or Place of Training, Survivors' and Dependents Educational Assistance VA On-line Application Web page (VONAPP)VA 22-5495 in PDF fillable format
VA 22-8873 Supplemental Information For Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress (09/97) VA 22-8873 in PDF fillable format
VA 28-1900 Disabled Veterans Application for Vocational Rehabilitation VA 28-1900 in PDF fillable formatVA On-line Application Web page (VONAPP)
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BVA 8001 Application for Wisconsin Board of Veterans Affairs Committee Appointment (01/10) BVA 8001 in Word fillable formatBVA 8001 in PDF format
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WDVA B0105 Wisconsin Tuition Programs for Veterans, Qualifying Spouses, and Children (08/13)
If you have already been certified, do not reapply even if you've changed schools.
WDVA B0105 in PDF format
WDVA B0106 Wisconsin Veterans and Surviving Spouses Property Tax Credit (11/09) WDVA B0106 in PDF format
WDVA B0135 Benefits and Services for Wisconsin Veterans and Their Families (02/14) WDVA B0135 in PDF format
WDVA B0137 Southern Wisconsin Veterans Memorial Cemetery – Donation Program (08/14) WDVA B0137 in PDF format
WDVA B0141 Northern Wisconsin Veterans Memorial Cemetery – Donation Program (07/12) WDVA B0141 in PDF format
WDVA B0145 Wisconsin's Veterans Memorial Cemeteries – Union Grove, Spooner, King (08/14) WDVA B0145 in PDF format
WDVA B0202 Homeless Veterans Assistance (01/13) WDVA B0202 in PDF format
WDVA B0204 WDVA Claims Assistance (01/09) WDVA B0204 in PDF format
WDVA B0210 Wisconsin Military Funeral Honors Program (08/14) WDVA B0210 in PDF format
WDVA B0215 Wisconsin Veterans Home at Union Grove (06/07)
(Assisted Living page revised 03/10; Daily Care Rates page revised 01/13)
WDVA B0215 in PDF format
WDVA B0220 Women Veterans Program (09/14) WDVA B0220 in PDF format
WDVA B3401 Wisconsin Veterans Home at King – Caring for America's Heroes (03/14) WDVA B3401 in PDF format
WDVA B3402 History of the Wisconsin Veterans Home at King (11/11) WDVA B3402 in PDF format
WDVA B3404 Volunteering at King (09/14) WDVA B3404 in PDF format
WDVA B3405 Wisconsin Veterans Home at King – Clinical Outreach (10/14) WDVA B3404 in PDF format
WDVA B3406 Wisconsin Veterans Home at King – Certified Nursing Assistant (CNA) Brochure (10/14) WDVA B3406 in PDF format
WDVA B3655 Wisconsin Veterans Home at King – Admissions Staff (06/14) WDVA B3655 Wisconsin Veterans Home at King - Admissions Staff brochure
WDVA B3656 Wisconsin Veterans Home at King – What to Bring on the Day of Admission (02/14) WDVA B3656 Wisconsin Veterans Home at King - What to Bring on the Day of Admission brochure
WDVA B6000 Wisconsin Veterans Home at Chippewa Falls (06/13) WDVA B3402 in PDF format
WDVA M2003 Primary Loan Program – Servicer's Guide (03/08)
(Appendix B revised 10/08/09)
WDVA M2003 in PDF format
WDVA P2500 Wisconsin Veteran Employment Resources (07/14) WDVA P2500 in PDF format
WDVA P2600 Veterans Benefits Resource Center Poster (03/14) WDVA P2600 in PDF format
WDVA P3014 King Walking Tour Map (06/14) WDVA P3014 in PDF format
WDVA P3025 Veterans of King – Letter by Erling Landsverk (10/13) WDVA P3025 in PDF format
WDVA P3027 Medal of Honor Monument Brick Contribution (10/13) WDVA P3027 Medal of Honor Monument Brick Contribution
WDVA P3032 Wisconsin Veterans Home at King – Welcome: What to Expect (02/14) WDVA P3032 Wisconsin Veterans Home at King - Welcome: What to Expect
WDVA P3033 Wisconsin Veterans Home at King – Long Term Care Nursing Resources (02/14) WDVA P3033 Wisconsin Veterans Home at King - Long Term Care Nursing Resources
WDVA P3034 Wisconsin Veterans Home at King – FAQ: Finance (05/14) WDVA P3034 WVH-King FAQ: Finance
WDVA P3499A Wisconsin Veterans Home at King – History (02/14) WDVA P3499A in PDF format
WDVA P3499B Wisconsin Veterans Home at King – Map (02/14) WDVA P3499B in PDF format
WDVA P3653 Wisconsin Veterans Home at King – Site Plan (11/11) WDVA P3653 in PDF format
WDVA P4015 Wisconsin Veterans Homes – Wonderful places to live! (10/10) WDVA P4015 in PDF format
WDVA P4020 Did You Know: 70% Rule/Residency (10/13) WDVA P4020 in PDF format
WDVA 0001 Eligibility Determination (09/10) WDVA 0001 in PDF formatWDVA 0001 in Word fillable format
WDVA 0001E Non-Remarriage Certificate (09/06) WDVA 0001E in PDF formatWDVA 0001E in Word fillable format
WDVA 0005 Notarized Residence Affidavit (09/06) WDVA 0005 in PDF formatWDVA 0005 in Word fillable format
WDVA 0012 Wisconsin Women Veterans Information (04/14) WDVA 0012 in PDF formatWDVA 0012 in Word fillable format
WDVA 0030 School Tour Evaluation (07/10) WDVA 0030 in PDF format Go to online School Tour Evaluation
WDVA 0037 Audio Recording Log and Summary Sheet (from Oral History Interviewer Packet) WDVA 0037 in PDF format
WDVA 0038 Oral History Interview Request (from Oral History Interviewer Packet) Online Oral History Interview Request
WDVA 0040 Wisconsin Veterans Memorial Catalog (07/03) WDVA 0040 in PDF format
WDVA 0055 County Veterans Service Grant Application Packet (03/14) WDVA 0055 in PDF format WDVA 0055 in Word fillable format
WDVA 0056 American Indian Veterans Service Grant Application Packet (03/14) WDVA 0055 in PDF formatWDVA 0056 in Word fillable format
WDVA 1015 Certification of Validity for Military Separation Records and/or Other Veterans Records (11/07) WDVA 1015 in PDF formatWDVA 1015 in Word fillable format
WDVA 1035 Income Tax Release Authorization (08/09) WDVA 1035 in PDF formatWDVA 1035 in Word fillable format
WDVA 1037 Veteran-Owned Business – Request for Certification (04/14) WDVA 1037 in PDF formatWDVA 1037 in Word fillable format
WDVA 1042 Request for Release of Military Separation Records to the County or Tribal Veterans Service Office (09/14) WDVA 1042 in PDF formatWDVA 1045 in Word fillable format
WDVA 1045 Request for Release and/or Discussion of Veterans Records (09/14) WDVA 1045 in PDF formatWDVA 1045 in Word fillable format
WDVA 1076 Pre-authorized ACH Debits Agreement (Direct Withdrawal) (11/06) WDVA 1076 in PDF formatWDVA 1076 in Word fillable format
WDVA 1077 Donations – Pre-authorized ACH Debits Agreement (Direct Withdrawal) (07/12) WDVA 1077 in PDF formatWDVA 1077 in Word fillable format
WDVA 1081 Waiver of Escrow Agreement (04/07) WDVA 1081 in PDF formatWDVA 1081 in Word fillable format
WDVA 1087 Home of Record Notarized Affidavit (10/07) WDVA 1087 in PDF formatWDVA 1087 in Word fillable format
WDVA 1089 Resident Veteran Certification Request / Release (08/04) WDVA 1089 in PDF formatWDVA 1089 in Word fillable format
WDVA 1130 Sculptures, Statues & Memorials Donations (08/12) WDVA 1130 in PDF formatWDVA 1130 in Word fillable format
WDVA 1141 Authorization Agreement for Restricted (ACH or DTC) Debits (04/07) WDVA 1141 in PDF formatWDVA 1141 in Word fillable format
WDVA 1300 Transfer of Servicing Agreement (04/07) WDVA 1300 in PDF formatWDVA 1300 in Word fillable format
WDVA 1301 Loan Servicing Transfer (04/07) WDVA 1301 in PDF formatWDVA 1301 in Word fillable format
WDVA 1327 Multipurpose Loan Service Report (04/07) WDVA 1327 in PDF formatWDVA 1327 in Word fillable format
WDVA 1405 Cover Letter to Accompany Authorization Agreement (04/07) WDVA 1405 in PDF formatWDVA 1405 in Word fillable format
WDVA 1409 Custodial Account Analysis (04/07) WDVA 1409 in PDF formatWDVA 1409 in Word fillable format
WDVA 1412 Loan Payoff & Removal Report (04/07) WDVA 1412 in PDF formatWDVA 1301 in Word fillable format
WDVA 1469 Notification of Property Address Change (04/07) WDVA 1469 in PDF formatWDVA 1469 in Word fillable format
WDVA 1471 Notification of Servicer Loan ID Change (04/07) WDVA 1471 in PDF formatWDVA 1471 in Word fillable format
WDVA 1472 Pre-Authorized ACH Credits Agreement (Direct Deposit) (04/07) WDVA 1472 in PDF formatWDVA 1472 in Word fillable format
WDVA 1701 Servicer Remittance Record (04/07) WDVA 1701 in PDF formatWDVA 1701 in Word fillable format
WDVA 1805 Veteran's Residency Affidavit (11/14) WDVA 1805 in PDF formatWDVA 1805 in Word fillable format
WDVA 2016 Authorized Signatures – Veterans Education Grant Programs (03/13) WDVA 2016 in PDF formatWDVA 2016 in Word fillable format
WDVA 2019 Retraining Grant Application (09/14) WDVA 2019 in PDF formatWDVA 2019 in Word fillable format
WDVA 2029 Application for Wisconsin G.I. Bill Benefits (08/13) WDVA 2029 in PDF formatWDVA 2029 in Word fillable format
WDVA 2030 Request for Certification for Wisconsin G.I. Bill Benefits and Residency for Tuition Purposes (10/13)
If you have already been certified, do not reapply even if you've changed schools.
WDVA 2030 in PDF formatWDVA 2030 in Word fillable format
WDVA 2039 Retraining Grant Application – OJT (05/02) WDVA 2039 in PDF formatWDVA 2039 in Word fillable format
WDVA 2045 Verification of Illness or Disability (07/08) WDVA 2045 in PDF formatWDVA 2045 in Word fillable format
WDVA 2058 VETTransfer Inc. Grant – Request for Certification – Approval Checklist (11/13) WDVA 2058 in PDF formatWDVA 2058 in Word fillable format
WDVA 2068 Wisconsin Woman Veteran of the Year Award – Nomination (06/14) WDVA 2068 in PDF formatWDVA 2068 in Word fillable format
WDVA 2077 Loan Deferment Request (03/07) WDVA 2076 in PDF formatWDVA 2076 in Word fillable format
WDVA 2085 Request for Second Payment (02/06) WDVA 2085 in PDF formatWDVA 2085 in Word fillable format
WDVA 2090 Explanation of Accident or Injury (03/02) WDVA 2090 in PDF formatWDVA 2090 in Word fillable format
WDVA 2097 Request for Certification for Wisconsin Veterans and Surviving Spouses Property Tax Credit (11/05) (via brochure WDVA B0106; not available as a standalone form) WDVA 2097 in PDF format with brochure
WDVA 2108 WDVA Property Status Report (11/02) WDVA 2108 in PDF formatWDVA 2108 in Word fillable format
WDVA 2109 Exceptions to Warranties and Representations (10/02) WDVA 2109 in PDF formatWDVA 2109 in Word fillable format
WDVA 2110 County Transportation Grant Application (08/14) WDVA 2110 in PDF formatWDVA 2110 in Word fillable format
WDVA 2110A County Transportation Grant Application – Supplement (08/14) WDVA 2110A in PDF formatWDVA 2110A in Word fillable format
WDVA 2111 Pre-registration for Cemetery Interment (05/08) WDVA 2111 in PDF formatWDVA 2111 in Word fillable format
WDVA 2200 Online Application for Veterans Education Grant (VetEd) Click Here to Apply On-line
WDVA 2200 Veterans Education Grant (VetEd) Application (01/10) WDVA 2200 in PDF formatWDVA 2200 in Word fillable format
WDVA 2205 Online Application for Tribal College Veterans' Education Reimbursement Grant (Tribal VetEd) Click Here to Apply On-line
WDVA 2205 Tribal College Veterans' Education Reimbursement Grant (Tribal VetEd) Application (06/14) WDVA 2205 in PDF formatWDVA 2205 in Word fillable format
WDVA 2230 Eligibility Application – Professional/Occupational Licensure Fee Waiver (10/12) WDVA 2230 in PDF formatWDVA 2230 in Word fillable format
WDVA 2240 Eligibility Application – For WisDNR Returning Service Member (10/13) WDVA 2240 in PDF formatWDVA 2240 in Word fillable format
WDVA 2241 Eligibility Application – For WisDOT Veteran Identifier (11/13) WDVA 2241 in PDF formatWDVA 2241 in Word fillable format
WDVA 2304 Request for Verification of Employment (07/98) WDVA 2304 in PDF formatWDVA 2304 in Word fillable format
WDVA 2305 Certificate of Non-Occupancy (04/07) WDVA 2305 in PDF formatWDVA 2305 in Word fillable format
WDVA 2328 Veterans Housing Loan Processing and Closing Contract (01/07) WDVA 2328 in PDF formatWDVA 2328 in Word fillable format
WDVA 2329 Servicing Agreement (01/07) WDVA 2329 in PDF formatWDVA 2329 in Word fillable format
WDVA 2352 Claims Fax Transmittal Sheet (10/10) WDVA 2352 in PDF formatWDVA 2352 in Word fillable format
WDVA 2366 Notice of Default and Customer's Right to Cure Default (04/07) WDVA 2366 in PDF formatWDVA 2366 in Word fillable format
WDVA 2374 Notice of Assumption – RA Bond Issue (01/02) WDVA 2374 in PDF formatWDVA 2374 in Word fillable format
WDVA 2411 Loan Service Report (04/07) WDVA 2411 in PDF formatWDVA 2411 in Word fillable format
WDVA 2413 Foreclosure Expense Claim (04/07) WDVA 2413 Fin PDF formatWDVA 2413 in Word fillable format
WDVA 2414 Reinstatement of Loan in Foreclosure (04/07) WDVA 2414 in PDF formatWDVA 2414 in Word fillable format
WDVA 2420 Property Inspection Report (04/07) WDVA 2420 in PDF formatWDVA 2420 in Word fillable format
WDVA 2450 Assistance to Needy Veterans Grant Application (02/11)
Applications for the Assistance to Needy Veterans and Family Members Grant must be submitted through your local CVSO.
WDVA 2450 in PDF formatWDVA 2450 in Word fillable format
WDVA 2451 Declaration of Aid (10/09) WDVA 2451 in PDF formatWDVA 2451 in Word fillable format
WDVA 2605 Electronic Funds Transfer Request (11/06) WDVA 2605 in PDF formatWDVA 2605 in Word fillable format
WDVA 2640 Certification Request for Veterans Employment Credit (10/13) WDVA 2640 in PDF formatWDVA 2640 in Word  fillable format
WDVA 2659 Subordination (01/10) WDVA 2659 in PDF formatWDVA 2659 in Word fillable format
WDVA 2662 Certificate of Lender Fees (12/99) WDVA 2662 in PDF formatWDVA 2605 in Word fillable format
WDVA 2669 Information Notice (01/98) WDVA 2669 in PDF formatWDVA 2669 in Word fillable format
WDVA 2703 Guarantor Letter of Intent (01/07) WDVA 2703 in PDF formatWDVA 2703 in Word fillable format
WDVA 2800 Military Funeral Honors Request (03/12) WDVA 2800 in PDF formatWDVA 2800 in Word fillable format
WDVA 2801 Military Funeral Honors Stipend Reimbursement Request (03/12) WDVA 2801 in PDF formatWDVA 2801 in Word fillable format
WDVA 2802 "Taps" Tuition/Fee Voucher (08/03) WDVA 2802 in PDF format
WDVA 2900 Initial School Approval (SAA) – Accredited Programs (09/02) WDVA 2900 in PDF format WDVA 2900 in Word fillable format
WDVA 2901 Initial School Approval (SAA) – Non-Accredited Programs (09/02) WDVA 2901 in PDF formatWDVA 2901 in Word fillable format
WDVA 2902 Program Approval Checklist (SAA) (11/11) WDVA 2902 in PDF formatWDVA 2902 in Word fillable format
WDVA 2903 High School Approval (SAA) (09/02) WDVA 2903 in PDF formatWDVA 2903 in Word fillable format
WDVA 2904 New Branch Approval (SAA) – Public IHL/NCD/Private IHL (09/02) WDVA 2904 in PDF formatWDVA 2904 in Word fillable format
WDVA 2905 New Branch Approval (SAA) – Private NCD (09/02) WDVA 2905 in PDF formatWDVA 2905 in Word fillable format
WDVA 2906 Branch Compliance Statement (SAA) – (09/02) WDVA 2906 in PDF formatWDVA 29026 in Word fillable format
WDVA 2907 New Program Approval – Branch (SAA) – Private IHL (09/02) WDVA 2907 in PDF formatWDVA 2907 in Word fillable format
WDVA 2908 New Program Approval – Branch (SAA) – Private NCD (09/02) WDVA 2908 in PDF formatWDVA 2908 in Word fillable format
WDVA 2909 New/Revised Program Approval (SAA) (12/13) WDVA 2909 in PDF formatWDVA 2909 in Word fillable format
WDVA 2913 Clock Hour Certification for Irregular Weeks (SAA) (03/11) WDVA 2913 in PDF formatWDVA 2913 in Word fillable format
WDVA 2915 Waiver – 2 Year Period of Operation (SAA) – Branch Location – Private – Non-Profit (09/02) WDVA 2915 in PDF formatWDVA 2915 in Word fillable format
WDVA 2916 Verification of Two-Year Period of Continuous Operation (SAA) (09/02) WDVA 2916 in PDF formatWDVA 2916 in Word fillable format
WDVA 2917 Continued Program Approval (SAA) (09/02) WDVA 2917 in PDF formatWDVA 2916 in Word fillable format
WDVA 2918 Change of Ownership or Control (SAA) (09/02) WDVA 2918 in PDF formatWDVA 2918 in Word fillable format
WDVA 2919 Checklist – Change of Ownership or Control (SAA) (09/02) WDVA 2919 in PDF formatWDVA 2919 in Word fillable format
WDVA 2920 Change of Name and/or Location (SAA) (12/14) WDVA 2920 in PDF formatWDVA 2920 in Word fillable format
WDVA 2921 Application for Licensing & Certification Approval System (LACAS) – Testing Fee Reimbursement (SAA) (07/07) WDVA 2921 in PDF formatWDVA 2921 in Word fillable format
WDVA 2922 Checklist – "LACAS" Test Eligibility (SAA) (07/07) WDVA 2922 in PDF formatWDVA 2922 in Word fillable format
WDVA 4000 Application for Admission to the Wisconsin Veterans Home (03/14) WDVA 4000 in PDF formatWDVA 4000 in Word fillable format
WDVA 4002 Authorization for Disclosure of Health Information (02/13) WDVA 4002 in PDF formatWDVA 4002 in Word fillable format
WDVA 4003 Veteran's Residency Affidavit for Applications to a Veterans Home (04/12) WDVA 4003 in PDF formatWDVA 4003 in Word fillable format
WDVA 4006 Applicant Admissions Checklist – Wisconsin Veterans Homes (08/13) WDVA 4006 in PDF formatWDVA 4006 in Word fillable format
WDVA 4020A Admission Agreement – Attachment A – Daily Rates (11/14) WDVA 4006 in PDF formatWDVA 4006 in Word fillable format
WDVA 4020F Admission Agreement – Attachment F – Privacy Practices (08/13) WDVA 4020F in PDF formatWDVA 4020F in Word fillable format
WDVA 4700 Volunteer Registration (07/14) WDVA 4700 in PDF formatWDVA 4700 in Word fillable format
WDVA 4704 Volunteer Agreement (07/14) WDVA 4704 in PDF formatWDVA 4704 in Word fillable format
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