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Office of the University Registrar

Veterans Educational Forms Veterans

Most forms related to Veterans Educational Benefits have been placed on this page. You may download them by clicking on the form below.

Note: These forms require Adobe Reader, Click here to download Adobe Reader.

VA Form 21-4138 – Statement in Support of Claim (Chapters 30, 31, 35, 1606, & 1607)

VA Form 22-1990 – Application for VA Educational Benefits (Chapters 30, 1606, & 1607)

VA Form 22-1990t – Application and Enrollment Certification for Individualized Tutorial Assistance (Chapters 30, 1606, & 1607)

VA Form 22-1995 – Request for Change of VA Educational Program or Place of Training (Chapters 30, 1606, & 1607)

VA Form 22-5490 – Application for Survivors' and Dependents' Educational Assistance (Chapter 35)

VA Form 22-5495 – Request for Change of Program or Place of Training Survivors' and Dependents' Educational Assistance (Chapter 35)

VA Form 28-1905M – Request for and receipt of Supplies

Veterans Educational Pay Scale

Updated Pay Scale for all Chapters (excluding Chapter 1607) as of October 1, 2005

Veterans Equivalency Table

Updated Unit Equivalency Table for Non-Standard Semesters (Summer)

Form to Request a California Veteran Fee Waiver