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Most WDVA benefits may be initiated through your local County Veterans Service Officer (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 our 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 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 document or a Microsoft Word fillable document. Fillable documents can be completed when opened in Word, saved, and printed with the typed input. The other Word documents can only be printed and completed manually.

Forms in Alphabetical - Numerical Order

Left click an icon below in the Format column to open the file Right click an icon below to save the file to your computer
= Adobe format	= Apply online
= fillable Word 97 format	= Word 97 print-only format

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 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 10-10EZ	Application for Health Benefits (11/09)
VA 10-5345	Request for and Authorization to Release Medical Records or Health Information (05/05)
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 B0100	State Programs and Services for Wisconsin Veterans (03/12)
WDVA B0105	Wisconsin Tuition Programs for Veterans, Qualifying Spouses, and Children (10/11)
WDVA B0106	Wisconsin Veterans and Surviving Spouses Property Tax Credit (11/09)
WDVA B0135	Benefits and Services for Wisconsin Veterans and Their Families (10/10)
WDVA B0137	Southern Wisconsin Veterans Memorial Cemetery — Donation Program (11/07)
WDVA B0141	Northern Wisconsin Veterans Memorial Cemetery — Donation Program (06/08)
WDVA B0145	Wisconsin's Veterans Memorial Cemeteries — Union Grove — Spooner — King (04/08)
WDVA B0202	Veterans Assistance Program (11/07)
WDVA B0203	Troops to Teachers Program (11/05)
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 01/12)
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 (01/12)
WDVA 0056	American Indian Veterans Service Grant Application Packet (01/12)
WDVA 0140	Annual Veterans Award Nomination (07/09)
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 (02/12)
WDVA 1045	Request for Release and/or Discussion of Veterans Records (01/08)
WDVA 1076	Pre-authorized ACH Debits Agreement (Direct Withdrawal) (11/06)
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 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 (05/02)
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)
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 (07/11)
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 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 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 (SAA) — Private IHL/NCD (09/02)
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 2935	Dual Degree / Dual Major Request for Student Receiving VA Benefits (SAA) (04/08)
WDVA 4000	Application for Admission to the Wisconsin Veterans Home (04/12)
WDVA 4001	Applicant's Financial Statement (04/12)
WDVA 4002	Authorization for Disclosure of Health Information (04/12)
WDVA 4003	Veteran's Residency Affidavit for Applications to a Veterans Home (04/12)
WDVA 4004	Medical Care Determination (04/12)
WDVA 4006	Applicant Admissions Checklist — Wisconsin Veterans Homes (04/12)
WDVA 4020F	Admission Agreement — Attachment F — Privacy Practices (04/12)