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Form 816 - VA Educational Benefits Request

Student Information

Mailing Info

Curriculum / Academics

Military Service

(For dependents only.)
VA Eligibility
Please check education benefit you are eligible for.
Will you receive Tuition Assistance from the military?
Currently on Active Duty?
Indicate the date of your discharge.

Payment Preferences

Advance Payment Request
Note: Advance payment is not an option for Post-9/11 GI Bill.

** Advance Payment requests must be submitted to the Military & Veteran Services Department at least six weeks before the start of the term. The VA reserves the right to reject any Advance Payment requests.

Attest & Sign

I acknowledge the information provided is accurate. Should any information change, I will notify the Military & Veterans Services Department in writing. I agree to adhere to policies and procedures set forth by both the U.S. Department of Veterans Affairs and Wake Technical Community College.

Attestation & Signature