Homepage Blank Michigan 4363 PDF Form
Article Guide

The Michigan 4363 form is an important document for families of veterans seeking educational benefits through the Children of Veterans Tuition Grant Program. Issued by the Michigan Department of Treasury, this application allows eligible applicants to apply for tuition assistance, as established under Public Act 248 of 2005. To complete the form, applicants must provide personal details such as their name, Social Security number, and contact information, along with information about their deceased or disabled veteran parent. The form also requires confirmation of the veteran's military service, including service dates and disability status. Additionally, applicants must disclose any benefits received from other states and answer questions regarding criminal history. Required documentation includes the applicant's birth certificate and the veteran's discharge or death certificate. The application must be submitted along with these documents to the Student Scholarships and Grants office in Lansing, Michigan. By signing the form, applicants affirm the accuracy of the information provided and authorize the release of academic data for processing purposes.

Document Preview

Michigan Department of Treasury 4363 (5-12)

Application to Determine Eligibility for Educational Benefits

Children of Veterans Tuition Grant Program

Issued under authority of Public Act 248 of 2005.

Type or print all information. This application must be completed to apply for educational opportunities provided for children of certain members of the armed forces of the United States.

Name of Applicant

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (No., Street, P.O. Box or Rural Route)

 

 

 

 

 

City

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

Date of Birth

 

 

 

 

 

Michigan Resident Since (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Surviving Parent or Guardian

 

 

 

 

 

 

 

 

 

 

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

City

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

Are you receiving benefits from another state?

Yes

No

If Yes, what state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been convicted of a felony involving an assault, physical injury or death?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of College you plan to attend

 

 

 

 

 

 

 

 

 

 

College Enrollment Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

By my signature, I confirm that the information provided on this form is true and accurate, and I give the above institution permission to release/verify my academic data for the purposes of this program to the Student Scholarships and Grants. [Required for processing.]

Signature of Applicant

Date

 

 

Deceased or Disabled Veteran’s Service Record (Parent of the Applicant named above)

Name of Veteran

 

 

 

 

Military Service Number

 

 

 

 

 

Date of Entry into Service

Date of Separation

U.S. Dept. of Veterans Affairs Claim No.

 

 

 

 

 

Veteran Affairs Regional Office where claim folder is located

 

 

 

 

 

Is the veteran totally and permanently disabled due to service-incurred causes?

 

Yes (see #4 below)

No

 

 

Is the veteran’s death due to service-incurred causes?

 

Yes (see #4 below)

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

Required Documentation

Send photocopies only as documents must remain a permanent part of the application.

1.Applicant’s (child’s) birth certificate (must list parents’ names).

2.Veteran’s discharge certificate or separation document (DD Form 214 or Casualty Report)

3.Veteran’s death certificate or casualty report.

4.Proof of total and permanent disability or death due to service-incurred causes.

Submit application and required documentation to: Student Scholarships and Grants, P.O. Box 30462, Lansing,

MI 48909-7962. Telephone: 1-888-4-GRANTS (1-888-447-2687), extension 3-7120. Fax: 517-241-5835.

Form Specifications

Fact Name Details
Purpose of the Form The Michigan 4363 form is used to determine eligibility for the Children of Veterans Tuition Grant Program, which provides educational benefits to children of certain armed forces members.
Governing Law This form is issued under the authority of Public Act 248 of 2005, which outlines the provisions for educational benefits for eligible applicants.
Required Information Applicants must provide personal details such as their name, Social Security number, address, and the name of the veteran parent or guardian.
Documentation Needed Applicants must submit photocopies of essential documents, including the child's birth certificate and the veteran's discharge or death certificate.
Submission Details Completed applications and required documentation should be sent to the Student Scholarships and Grants office in Lansing, MI.

Michigan 4363: Usage Guidelines

Filling out the Michigan 4363 form is a crucial step in applying for educational benefits under the Children of Veterans Tuition Grant Program. This process requires careful attention to detail to ensure that all necessary information is accurately provided. Below are the steps to successfully complete the form.

  1. Obtain the form: Download the Michigan 4363 form from the Michigan Department of Treasury website or request a physical copy.
  2. Fill in personal details: Enter your name, Social Security number, and address, including city, state, and ZIP code.
  3. Provide contact information: Include your telephone number and date of birth.
  4. Indicate residency: Specify how long you have been a Michigan resident by entering the date in mm/dd/yyyy format.
  5. List parent or guardian information: Provide the name and relationship of the surviving parent or guardian, along with their address, city, state, and ZIP code.
  6. State benefits status: Answer whether you are receiving benefits from another state by checking 'Yes' or 'No.' If 'Yes,' indicate the state.
  7. Criminal history disclosure: Answer whether you have ever been convicted of a felony involving assault, physical injury, or death by checking 'Yes' or 'No.'
  8. College details: Write the name of the college you plan to attend and the enrollment date in mm/dd/yyyy format.
  9. Signature: Sign and date the form to confirm that the information provided is accurate and that you give permission for the institution to release your academic data.
  10. Complete veteran information: Fill in the name of the deceased or disabled veteran, their military service number, dates of entry and separation from service, and the U.S. Department of Veterans Affairs claim number.
  11. Document veteran status: Indicate whether the veteran is totally and permanently disabled due to service-incurred causes or if their death was due to such causes by checking 'Yes' or 'No.'
  12. Prepare required documentation: Gather photocopies of the applicant’s birth certificate, the veteran’s discharge certificate or separation document, the veteran’s death certificate or casualty report, and proof of total and permanent disability or death due to service-incurred causes.
  13. Submit the application: Send the completed form along with all required documentation to the Student Scholarships and Grants at the specified address.

After submitting the form, you will await a response regarding your eligibility for the educational benefits. Ensure that all information is accurate and that you have included all necessary documentation to avoid delays in processing.

Your Questions, Answered

What is the Michigan 4363 form?

The Michigan 4363 form is an application used to determine eligibility for the Educational Benefits Children of Veterans Tuition Grant Program. This program is designed to provide educational opportunities for children of certain members of the U.S. armed forces.

Who can apply using the Michigan 4363 form?

Eligible applicants include children of veterans who are totally and permanently disabled due to service-related causes or who have died as a result of service-incurred conditions. The applicant must be a Michigan resident and meet other specific criteria outlined in the application.

What information do I need to provide on the form?

You will need to provide personal information such as your name, Social Security number, address, and date of birth. Additionally, details about the veteran, including their military service number and whether they are deceased or disabled, are required. Information about the college you plan to attend is also necessary.

What documentation must accompany the Michigan 4363 form?

When submitting the form, you must include photocopies of several important documents. These include your birth certificate, the veteran's discharge certificate (DD Form 214), and, if applicable, the veteran's death certificate or proof of their total and permanent disability due to service-related causes.

Where do I submit the completed Michigan 4363 form?

Once you have completed the form and gathered the required documentation, submit everything to the Student Scholarships and Grants at P.O. Box 30462, Lansing, MI 48909-7962. Ensure that you keep a copy of your application for your records.

Can I submit the form electronically?

Currently, the Michigan 4363 form must be submitted by mail. Electronic submissions are not accepted, so be sure to send your application and documents through the postal service.

How long does it take to process the application?

The processing time can vary, but it generally takes several weeks. It’s a good idea to apply well in advance of your intended college enrollment date to ensure you receive your benefits on time.

What should I do if I have questions about the application?

If you have questions or need assistance with the application, you can contact the Student Scholarships and Grants office at 1-888-4-GRANTS (1-888-447-2687), extension 3-7120. They are available to help guide you through the process.

What happens if I provide false information on the form?

Providing false information can lead to serious consequences, including the denial of your application or revocation of any awarded benefits. It’s crucial to ensure that all information is accurate and truthful before submitting your application.

Is there a deadline for submitting the Michigan 4363 form?

While there is no specific statewide deadline mentioned, it is advisable to submit your application as early as possible. Check with your college's financial aid office for any specific deadlines that may apply to your situation.

Common mistakes

  1. Failing to type or print all information clearly. Handwritten forms can be difficult to read, leading to potential processing delays.

  2. Not providing a complete Social Security Number. Ensure that all digits are included to avoid complications.

  3. Omitting the date of birth. This information is essential for verifying eligibility and must be filled out accurately.

  4. Neglecting to indicate Michigan residency since the required date. This detail is crucial for determining eligibility for state benefits.

  5. Forgetting to answer whether you are receiving benefits from another state. This question is vital for assessing your eligibility.

  6. Not disclosing any felony convictions related to assault, physical injury, or death. This information can impact eligibility.

  7. Failing to provide the name of the college you plan to attend. This is necessary for processing your application.

  8. Missing the signature of the applicant. The application cannot be processed without this confirmation of accuracy.

  9. Not including required documentation, such as the applicant's birth certificate or the veteran's discharge certificate. These documents are essential for verifying eligibility.

  10. Submitting the application without ensuring all information is true and accurate. Providing false information can lead to disqualification.

Documents used along the form

The Michigan 4363 form is essential for applying to the Children of Veterans Tuition Grant Program. To ensure a smooth application process, several other forms and documents are often required. Below is a list of these documents, along with a brief description of each.

  • Birth Certificate: This document must show the names of the applicant's parents. It verifies the applicant's identity and eligibility as a child of a veteran.
  • DD Form 214: The veteran's discharge certificate or separation document. It provides proof of military service and is crucial for confirming the veteran's status.
  • Death Certificate: This document is necessary if the veteran is deceased. It serves to confirm the veteran's death and its connection to military service.
  • Proof of Disability: Documentation showing that the veteran is totally and permanently disabled due to service-related causes. This is required if the applicant is claiming benefits based on the veteran's disability.
  • VA Claim Number: The unique number assigned by the U.S. Department of Veterans Affairs to the veteran's claim. This helps track the veteran's benefits and service record.
  • Application for Federal Student Aid (FAFSA): This form assesses the applicant's financial need and eligibility for federal financial aid, which may supplement state benefits.
  • College Acceptance Letter: Proof of acceptance from the college the applicant plans to attend. This document is necessary to confirm enrollment in an educational program.
  • Residency Verification: Documentation proving the applicant's Michigan residency. This may include utility bills, lease agreements, or other official documents with the applicant's name and address.

Gathering these documents in advance can help expedite the application process for the Children of Veterans Tuition Grant Program. Ensure all documents are accurate and complete to avoid delays.

Similar forms

The Michigan Department of Treasury 4363 form is a crucial document for those seeking educational benefits under the Children of Veterans Tuition Grant Program. Several other documents share similarities with this form, particularly in their purpose and the information they require. Here’s a look at ten such documents:

  • FAFSA (Free Application for Federal Student Aid): Like the Michigan 4363 form, FAFSA is used to determine eligibility for financial aid. Both require personal information, including Social Security numbers and details about the applicant's family background.
  • VA Form 22-5490 (Application for Survivors' and Dependents' Educational Assistance): This form is designed for dependents of veterans. Similar to the Michigan 4363, it assesses eligibility for educational benefits and requires information about the veteran's service.
  • Michigan 4364 (Application for the Michigan Tuition Grant): This application is for students attending private colleges in Michigan. It shares the requirement of personal and family information, as well as verification of residency.
  • GI Bill Application (VA Form 22-1990): Used by veterans to apply for education benefits, this form also requires details about military service and personal information, akin to the Michigan 4363.
  • College Scholarship Application: Many colleges have their own scholarship applications that ask for similar information, including academic history and family background, much like the Michigan 4363.
  • State Grant Application: State-specific grant applications often require proof of residency and financial need, paralleling the requirements of the Michigan 4363 form.
  • Income Verification Form: This form is often needed for various educational benefits, requiring financial information to establish eligibility, similar to the financial aspects of the Michigan 4363.
  • Dependent Verification Form: This document is used to verify the relationship between the applicant and the veteran, much like the relationship details requested in the Michigan 4363.
  • Scholarship Renewal Application: For those who have previously received scholarships, this application often requires updated personal information and proof of continued eligibility, similar to the Michigan 4363's requirements.
  • Educational Benefits Application for Military Families: This form is designed for military families seeking educational benefits, requiring similar personal and service-related information as the Michigan 4363.

Understanding these documents can help streamline the application process for educational benefits, ensuring that applicants are well-prepared and informed.

Dos and Don'ts

When filling out the Michigan 4363 form, it's important to approach the task with care. Here’s a helpful list of things you should and shouldn’t do:

  • Do type or print all information clearly.
  • Do provide accurate personal details, including your Social Security number and date of birth.
  • Do check that you have included the name and address of the college you plan to attend.
  • Do confirm your Michigan residency since the specified date.
  • Do ensure that all required documentation is included with your application.
  • Don’t leave any required fields blank; incomplete applications may be delayed.
  • Don’t submit original documents; only photocopies are acceptable.
  • Don’t forget to sign and date the application to confirm the accuracy of the information.
  • Don’t provide misleading information about your eligibility or past convictions.
  • Don’t hesitate to reach out for assistance if you have questions about the form.

Following these guidelines can help ensure a smoother application process. Good luck with your educational pursuits!

Misconceptions

Understanding the Michigan 4363 form is crucial for those seeking educational benefits through the Children of Veterans Tuition Grant Program. However, several misconceptions often arise regarding this application process. Here are five common misunderstandings:

  • Misconception 1: The Michigan 4363 form is only for children of deceased veterans.
  • This is not accurate. The form is designed for children of both deceased and disabled veterans. It applies to any child whose parent served in the armed forces, provided they meet the eligibility criteria.

  • Misconception 2: You can submit the application without required documentation.
  • In reality, submitting the application without the necessary documents can lead to delays or denials. Photocopies of the applicant's birth certificate and the veteran's discharge or death certificate are essential for processing the application.

  • Misconception 3: Only full-time students can apply for benefits.
  • This is misleading. The program does not restrict benefits solely to full-time students. Part-time students may also be eligible, depending on their enrollment status and the specific requirements of the educational institution.

  • Misconception 4: The application must be submitted by mail only.
  • While mailing is one option, applicants can also inquire about other submission methods. It's advisable to check with the Student Scholarships and Grants office for any updates on submission processes.

  • Misconception 5: The Michigan 4363 form guarantees funding for education.
  • Completing the form does not guarantee that funding will be awarded. Eligibility is determined based on the information provided and the availability of funds. Applicants should be prepared for the possibility that funding may not be granted.

Key takeaways

The Michigan 4363 form is essential for children of veterans seeking educational benefits. Here are some key takeaways regarding its completion and use:

  • Eligibility: This form is specifically for children of certain members of the armed forces of the United States.
  • Personal Information: Applicants must provide their name, Social Security number, address, and date of birth.
  • Residency: Indicate how long the applicant has been a Michigan resident.
  • Criminal History: The form requires disclosure of any felony convictions involving assault, physical injury, or death.
  • Veteran Information: Details about the veteran, including service record and disability status, must be included.
  • Documentation: Photocopies of required documents, such as the applicant's birth certificate and the veteran's discharge certificate, must be submitted.
  • Application Submission: Completed forms and documentation should be sent to the Student Scholarships and Grants office in Lansing, Michigan.
  • Signature Requirement: The applicant must sign the form, confirming the accuracy of the information provided.

Completing the Michigan 4363 form accurately and thoroughly is crucial for securing educational benefits. Ensure all required documents are included to avoid delays in processing.