NABVETS

Honoring the Past and Inspiring the Future

Request For Change Of Program
Or Place Of Training

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MOBILE (include area code)
HOME (include area code)
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2. EDUCATION BENEFIT YOU WANT TO RECEIVE
3. HOW WILL YOU TAKE TRAINING?
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5A. DIRECT DEPOSIT (To enroll in Direct Deposit, attach a voided personal check or deposit slip to match the information provided below. Direct Deposit is not available for Chapter 32 recipients.)

NOTE: To prevent possible delays in payment, claimants are highly encouraged to use Direct Deposit and set up an Electronic Fund Transfer (EFT.) Direct Deposit is not available f
5B. START
ACCOUNT TYPE
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6. INFORMATION ON DEPENDENTS (COMPLETE THIS ITEM ONLY IF YOU SERVED BEFORE JANUARY 1, 1977 (or had a delayed entry before January 2, 1978) AND YOU CURRENTLY HAVE DEPENDENTS.)
6A. ARE YOU CURRENTLY MARRIED?
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(1) UNDER AGE 18 OR
(2) OVER 18 BUT UNDER AGE 23, NOT MARRIED AND ATTENDING SCHOOL? OR
(3) OF ANY AGE PERMANENTLY HELPLESS FOR MENTAL OR PHYSICAL REASONS?
6C. IS EITHER YOUR FATHER OR MOTHER DEPENDENT UPON YOU FOR FINANCIAL SUPPORT?
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