Forms & Brochures
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 |
 = fillable Word format |
 = Apply online |
| Form # | Form Title / Revision Date | Format |
| DOA 6448 | Substitute W-9 Taxpayer Identification Number Verification | |
| DOA 6448 | Subsitute W-9 Taxpayer Identification Number Verification – With Instructions for WDVA Military Funeral Honors Stipend Reimbursement Program | |
 |
||
| MV 2172 | Disabled Veteran License Plate Application | |
| MV 2653 | Veterans/Military License Plate Application | |
| MV 2930 | Veteran Motorcycle Plate Application | |
| MV 2951 | Gold Star License Plate Application | |
| MV 2954 | Wisconsin Salutes Veterans License Plate Application | |
|
||
| VA 10-0144A | Statement of Assurance of Compliance with Equal Opportunity Laws (04/99) | |
| VA 21-526 | Veterans Application for Compensation and/or Pension *Include Temporary Form VA-21-4138-temp.pdf until further notice |
|
| VA 22-1990 | Application for VA Education Benefits (10/10) | |
| VA 22-1995 | Application for Change of Program or Place of Training | |
| VA 22-5490 | Application for Survivors' and Dependents Educational Assistance | |
| VA 22-5495 | Application for Change of Program or Place of Training, Survivors' and Dependents Educational Assistance | |
| VA 22-8873 | Supplemental Information For Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress (09/97) | |
| VA 28-1900 | Disabled Veterans Application for Vocational Rehabilitation | |
|
||
| BVA 8001 | Application for Wisconsin Board of Veterans Affairs Committee Appointment (01/10) | |
|
||
| WDVA B0105 | Wisconsin Tuition Programs for Veterans, Qualifying Spouses, and Children (10/11) If you have already been certified, do not reapply even if you've changed schools. |
|
| WDVA B0106 | Wisconsin Veterans and Surviving Spouses Property Tax Credit (11/09) | |
| WDVA B0135 | Benefits and Services for Wisconsin Veterans and Their Families (03/13) | |
| WDVA B0137 | Southern Wisconsin Veterans Memorial Cemetery – Donation Program (11/07) | |
| WDVA B0141 | Northern Wisconsin Veterans Memorial Cemetery – Donation Program (07/12) | |
| WDVA B0145 | Wisconsin's Veterans Memorial Cemeteries – Union Grove, Spooner, King (04/08) | |
| WDVA B0202 | Homeless Veterans Assistance (01/13) | |
| WDVA B0204 | WDVA Claims Assistance (01/09) | |
| WDVA B0210 | Wisconsin Military Funeral Honors Program (04/11) | |
| WDVA B0215 | Wisconsin Veterans Home at Union Grove (06/07) (Assisted Living page revised 03/10; Daily Care Rates page revised 01/13) |
|
| WDVA B0218 | Wisconsin Woman Veteran of the Year Award (11/08) | |
| WDVA B0220 | Women Veterans Program (02/09) | |
| WDVA B3401 | Wisconsin Veterans Home at King – Caring for America's Heroes (01/12) | |
| WDVA B3402 | History of the Wisconsin Veterans Home at King (11/11) | |
| WDVA M2003 | Primary Loan Program – Servicer's Guide (03/08) (Appendix B revised 10/08/09) |
|
| WDVA P3499A | Wisconsin Veterans Home at King – History (01/11) | |
| WDVA P3499B | Wisconsin Veterans Home at King – Map (10/09) | |
| WDVA P3653 | Wisconsin Veterans Home at King – Site Plan (11/11) | |
| WDVA P4015 | Wisconsin Veterans Homes – Wonderful places to live! (10/10) | |
| WDVA 0001 | Eligibility Determination (09/10) | |
| WDVA 0001E | Non-Remarriage Certificate (09/06) | |
| WDVA 0005 | Notarized Residence Affidavit (09/06) | |
| WDVA 0012 | Wisconsin Women Veterans Information (09/11) | |
| WDVA 0030 | School Tour Evaluation (07/10) | |
| WDVA 0036 | Statement of Gift and Release of Rights for Video and Sound Recordings (from Oral History Interviewer Packet) (03/10) | |
| WDVA 0037 | Audio Recording Log and Summary Sheet (from Oral History Interviewer Packet) | |
| WDVA 0038 | Oral History Interview Request (from Oral History Interviewer Packet) | |
| WDVA 0040 | Wisconsin Veterans Memorial Catalog (07/03) | |
| WDVA 0055 | County Veterans Service Grant Application Packet (01/13) | |
| WDVA 0056 | American Indian Veterans Service Grant Application Packet (01/13) | |
| WDVA 1015 | Certification of Validity for Military Separation Records and/or Other Veterans Records (11/07) | |
| WDVA 1035 | Income Tax Release Authorization (08/09) | |
| WDVA 1037 | Veteran-Owned Business – Request for Certification (11/12) | |
| WDVA 1045 | Request for Release and/or Discussion of Veterans Records (06/12) | |
| WDVA 1076 | Pre-authorized ACH Debits Agreement (Direct Withdrawal) (11/06) | |
| WDVA 1077 | Donations – Pre-authorized ACH Debits Agreement (Direct Withdrawal) (07/12) | |
| WDVA 1081 | Waiver of Escrow Agreement (04/07) | |
| WDVA 1087 | Home of Record Notarized Affidavit (10/07) | |
| WDVA 1089 | Resident Veteran Certification Request / Release (08/04) | |
| WDVA 1130 | Sculptures, Statues & Memorials Donations (08/12) | |
| WDVA 1141 | Authorization Agreement for Restricted (ACH or DTC) Debits (04/07) | |
| WDVA 1300 | Transfer of Servicing Agreement (04/07) | |
| WDVA 1301 | Loan Servicing Transfer (04/07) | |
| WDVA 1327 | Multipurpose Loan Service Report (04/07) | |
| WDVA 1405 | Cover Letter to Accompany Authorization Agreement (04/07) | |
| WDVA 1409 | Custodial Account Analysis (04/07) | |
| WDVA 1412 | Loan Payoff & Removal Report (04/07) | |
| WDVA 1469 | Notification of Property Address Change (04/07) | |
| WDVA 1471 | Notification of Servicer Loan ID Change (04/07) | |
| WDVA 1472 | Pre-Authorized ACH Credits Agreement (Direct Deposit) (04/07) | |
| WDVA 1701 | Servicer Remittance Record (04/07) | |
| WDVA 1805 | Veteran's Residency Affidavit (07/10) | |
| WDVA 2016 | Authorized Signatures – Veterans Education Grant Programs (03/13) | |
| WDVA 2019 | Retraining Grant Application (08/10) | |
| WDVA 2029 | Application for Wisconsin G.I. Bill Benefits (10/11) | |
| WDVA 2030 | Request for Certification for Wisconsin G.I. Bill Benefits and Residency for Tuition Purposes (10/11) If you have already been certified, do not reapply even if you've changed schools. |
|
| WDVA 2039 | Retraining Grant Application – OJT (05/02) | |
| WDVA 2045 | Verification of Illness or Disability (07/08) | |
| WDVA 2068 | Wisconsin Woman Veteran of the Year Award – Nomination (11/08) | |
| WDVA 2077 | Loan Deferment Request (03/07) | |
| WDVA 2085 | Request for Second Payment (02/06) | |
| WDVA 2090 | Explanation of Accident or Injury (03/02) | |
| WDVA 2097 | Request for Certification for Wisconsin Veterans and Surviving Spouses Property Tax Credit (11/05) | |
| WDVA 2108 | WDVA Property Status Report (11/02) | |
| WDVA 2109 | Exceptions to Warranties and Representations (10/02) | |
| WDVA 2110 | County Transportation Grant Application (07/12) | |
| WDVA 2111 | Pre-registration for Cemetery Interment (05/08) | |
| WDVA 2200 | Online Application for Veterans Education Grant | |
| WDVA 2200 | Veterans Education Grant Application (01/10) | |
| WDVA 2230 | Eligibility Application – Professional/Occupational Licensure Fee Waiver (10/12) | |
| WDVA 2304 | Request for Verification of Employment (07/98) | |
| WDVA 2305 | Certificate of Non-Occupancy (04/07) | |
| WDVA 2329 | Servicing Agreement (01/07) | |
| WDVA 2352 | Claims Fax Transmittal Sheet (10/10) | |
| WDVA 2366 | Notice of Default and Customer's Right to Cure Default (04/07) | |
| WDVA 2374 | Notice of Assumption – RA Bond Issue (01/02) | |
| WDVA 2411 | Loan Service Report (04/07) | |
| WDVA 2413 | Foreclosure Expense Claim (04/07) | |
| WDVA 2414 | Reinstatement of Loan in Foreclosure (04/07) | |
| WDVA 2420 | Property Inspection Report (04/07) | |
| 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 2451 | Declaration of Aid (10/09) | |
| WDVA 2605 | Electronic Funds Transfer Request (11/06) | |
| WDVA 2640 | Certification Request for Veterans Employment Credit | |
| WDVA 2659 | Subordination (01/10) | |
| WDVA 2662 | Certificate of Lender Fees (12/99) | |
| WDVA 2669 | Information Notice (01/98) | |
| WDVA 2703 | Guarantor Letter of Intent (01/07) | |
| WDVA 2800 | Military Funeral Honors Request (03/12) | |
| WDVA 2801 | Military Funeral Honors Stipend Reimbursement Request (03/12) | |
| WDVA 2802 | "Taps" Tuition/Fee Voucher (08/03) | |
| WDVA 2900 | Initial School Approval (SAA) – Accredited Programs (09/02) | |
| WDVA 2901 | Initial School Approval (SAA) – Non-Accredited Programs (09/02) | |
| WDVA 2902 | Program Approval Checklist (SAA) (11/11) | |
| WDVA 2903 | High School Approval (SAA) (09/02) | |
| WDVA 2904 | New Branch Approval (SAA) – Public IHL/NCD/Private IHL (09/02) | |
| WDVA 2905 | New Branch Approval (SAA) – Private NCD (09/02) | |
| WDVA 2906 | Branch Compliance Statement (SAA) – (09/02) | |
| WDVA 2907 | New Program Approval – Branch (SAA) – Private IHL (09/02) | |
| WDVA 2908 | New Program Approval – Branch (SAA) – Private NCD (09/02) | |
| WDVA 2909 | New/Revised Program Approval for Veterans Training (SAA) (02/13) | |
| WDVA 2913 | Clock Hour Certification for Irregular Weeks (SAA) (03/11) | |
| WDVA 2915 | Waiver – 2 Year Period of Operation (SAA) – Branch Location – Private – Non-Profit (09/02) | |
| WDVA 2916 | Verification of Two-Year Period of Continuous Operation (SAA) (09/02) | |
| WDVA 2917 | Continued Program Approval (SAA) (09/02) | |
| WDVA 2918 | Change of Ownership or Control (SAA) (09/02) | |
| WDVA 2919 | Checklist – Change of Ownership or Control (SAA) (09/02) | |
| WDVA 2920 | Change of Name and/or Location (SAA) (09/02) | |
| WDVA 2921 | Application for Licensing & Certification Approval System (LACAS) – Testing Fee Reimbursement (SAA) (07/07) | |
| WDVA 2922 | Checklist – "LACAS" Test Eligibility (SAA) (07/07) | |
| WDVA 4000 | Application for Admission to the Wisconsin Veterans Home (05/13) | |
| WDVA 4002 | Authorization for Disclosure of Health Information (02/13) | |
| WDVA 4003 | Veteran's Residency Affidavit for Applications to a Veterans Home (04/12) | |
| WDVA 4006 | Applicant Admissions Checklist – Wisconsin Veterans Homes (05/13) | |
| WDVA 4020F | Admission Agreement – Attachment F – Privacy Practices (04/12) | |
|
||
© 2013 Wisconsin Department of Veterans Affairs • 201 W. Washington Ave. • PO Box 7843 • Madison, WI 53707-7843 • 1-800-WIS-VETS (947-8387)
Email: Benefits, Programs & Services Inquiries Email: Web Technical Support