Homepage Blank Michigan 4363 Form
Outline

The Michigan 4363 form serves as a crucial application for individuals seeking educational benefits through the Children of Veterans Tuition Grant Program. This program, established under Public Act 248 of 2005, aims to provide financial assistance to children of certain members of the U.S. armed forces. Applicants must fill out the form completely, including personal details such as their name, Social Security number, and contact information. Additionally, the form requires information about the applicant's surviving parent or guardian, as well as the veteran's service record. Key questions assess eligibility, including whether the applicant receives benefits from another state and if the veteran is totally and permanently disabled or has died due to service-related causes. To ensure a smooth application process, individuals must submit required documentation, including the applicant's birth certificate and the veteran's discharge or death certificate. By signing the form, applicants confirm the accuracy of the information provided and grant permission for the release of academic data necessary for processing their application. This form not only represents a pathway to educational opportunities but also acknowledges the sacrifices made by veterans and their families.

Sample - Michigan 4363 Form

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 Information

Fact Name Details
Form Title Michigan Department of Treasury 4363 Application to Determine Eligibility for Educational Benefits
Governing Law Issued under authority of Public Act 248 of 2005
Purpose This form is used to apply for educational opportunities for children of certain armed forces members.
Required Information Applicants must provide personal details, including name, Social Security number, and address.
Eligibility Criteria Eligibility is based on the veteran's service record and whether they are deceased or disabled due to service-incurred causes.
Documentation Needed Photocopies of the applicant's birth certificate, veteran's discharge certificate, and proof of disability or death are required.
Submission Details Applications should be sent to Student Scholarships and Grants, P.O. Box 30462, Lansing, MI 48909-7962.

Detailed Guide for Filling Out Michigan 4363

Filling out the Michigan 4363 form is an important step in applying for educational benefits under the Children of Veterans Tuition Grant Program. It’s essential to provide accurate information to ensure your application is processed smoothly. Follow these steps carefully to complete the form correctly.

  1. Begin by entering your Name in the designated field.
  2. Provide your Social Security Number.
  3. Fill in your Address, including street number, street name, P.O. Box, or rural route.
  4. Indicate your City, State, and ZIP Code.
  5. Enter your Telephone Number.
  6. Fill in your Date of Birth.
  7. Indicate how long you have been a Michigan Resident by entering the date (mm/dd/yyyy).
  8. Provide the Name of Surviving Parent or Guardian.
  9. State your Relationship to the surviving parent or guardian.
  10. Fill in the Address of the surviving parent or guardian.
  11. Provide the City, State, and ZIP Code of the surviving parent or guardian.
  12. Answer whether you are receiving benefits from another state by checking Yes or No. If yes, specify the state.
  13. Indicate whether you have ever been convicted of a felony involving an assault, physical injury, or death by checking Yes or No.
  14. Provide the Name of College you plan to attend.
  15. Enter the College Enrollment Date (mm/dd/yyyy).
  16. Sign the form to confirm that the information provided is true and accurate, and include the Date of your signature.
  17. Complete the section regarding the Deceased or Disabled Veteran’s Service Record by providing the veteran's Name, Military Service Number, Date of Entry into Service, and Date of Separation.
  18. Provide the U.S. Dept. of Veterans Affairs Claim No. and the Veteran Affairs Regional Office where the claim folder is located.
  19. Indicate whether the veteran is totally and permanently disabled due to service-incurred causes by checking Yes or No.
  20. Indicate whether the veteran’s death is due to service-incurred causes by checking Yes or No.
  21. Gather the required documentation, including photocopies of the applicant’s birth certificate, the veteran’s discharge certificate, the veteran’s death certificate, and proof of total and permanent disability or death due to service-incurred causes.
  22. Submit your completed application and required documentation to: Student Scholarships and Grants, P.O. Box 30462, Lansing, MI 48909-7962.

After submitting your application, you can expect to receive further communication regarding the status of your eligibility. Keep an eye on your mailbox and be prepared to provide any additional information if requested.

Obtain Answers on Michigan 4363

  1. What is the Michigan 4363 form?

    The Michigan 4363 form is an application used to determine eligibility for the Children of Veterans Tuition Grant Program. This program offers educational benefits to children of certain members of the armed forces. It is important for applicants to fill out the form accurately to ensure they receive the benefits for which they may qualify.

  2. Who is eligible to apply using the Michigan 4363 form?

    Eligibility is primarily for children of veterans who are deceased or disabled due to service-related causes. The applicant must be a Michigan resident and meet specific criteria related to the veteran's service. If you are unsure about your eligibility, it is advisable to contact the Student Scholarships and Grants office for clarification.

  3. What documentation is required when submitting the Michigan 4363 form?

    Applicants must include several important documents with their application:

    • A photocopy of the applicant’s birth certificate, which must list the parents’ names.
    • The veteran’s discharge certificate or separation document, often referred to as DD Form 214 or a casualty report.
    • If applicable, the veteran’s death certificate or casualty report.
    • Proof of the veteran’s total and permanent disability or death due to service-incurred causes.

    Remember to send photocopies only, as the original documents must remain part of the application.

  4. How do I submit the Michigan 4363 form and supporting documents?

    Once you have completed the form and gathered the necessary documents, send everything to the following address:

    Student Scholarships and Grants
    P.O. Box 30462
    Lansing, MI 48909-7962

    If you have questions, you can call 1-888-4-GRANTS (1-888-447-2687), extension 3-7120. Fax submissions can be sent to 517-241-5835.

  5. What should I do if I am receiving benefits from another state?

    If you are currently receiving educational benefits from another state, you must indicate this on the form. It is important to disclose this information, as it may affect your eligibility for the Michigan Children of Veterans Tuition Grant Program. If you have questions regarding how this may impact your application, reach out to the Student Scholarships and Grants office for guidance.

Common mistakes

Completing the Michigan 4363 form can be a straightforward process, but several common mistakes can hinder the application. One frequent error is failing to provide complete and accurate personal information. Applicants must ensure that their name, Social Security number, and address are entered correctly. Any discrepancies can lead to delays in processing or even denial of benefits.

Another mistake involves neglecting to confirm residency status. The form requires applicants to indicate how long they have been Michigan residents. Omitting this information or providing inaccurate dates can raise questions about eligibility. Applicants should double-check this section to avoid complications.

Many applicants overlook the section regarding felony convictions. The form asks whether the applicant has ever been convicted of a felony involving assault, physical injury, or death. Failing to answer this question truthfully can result in severe consequences, including disqualification from the program.

In addition, individuals often forget to indicate if they are receiving benefits from another state. This information is crucial for assessing eligibility. If the applicant is receiving out-of-state benefits, they must specify the state. Not doing so can lead to confusion and potential rejection of the application.

Documentation is another critical area where mistakes occur. The form requires several supporting documents, such as the applicant's birth certificate and the veteran’s discharge certificate. Submitting incomplete documentation or failing to provide photocopies can delay processing. Applicants should ensure that all required documents are included before submission.

Moreover, some applicants fail to sign and date the form. The signature is a confirmation of the accuracy of the information provided. Without a signature, the application may be considered invalid. It is essential to review the form carefully to ensure all required fields are completed.

Misunderstanding the eligibility criteria can also lead to errors. Applicants should be aware of the specific requirements related to the veteran’s service record. If the veteran is deceased or disabled, proper documentation must be provided. Applicants should verify that they meet all eligibility requirements before applying.

Another common oversight involves the submission method. Some individuals may choose to fax the application instead of mailing it, which is not recommended. The Michigan Department of Treasury specifies that the application should be sent by mail, and failing to follow this instruction can result in processing delays.

Finally, applicants sometimes forget to keep a copy of the submitted form and supporting documents for their records. Retaining a copy can be helpful in case any issues arise during processing or if additional information is requested. It is prudent to maintain a personal record of all submitted materials.

Documents used along the form

The Michigan 4363 form is essential for children of veterans seeking educational benefits through the Tuition Grant Program. Along with this application, several other documents are typically required to ensure that eligibility is properly assessed. Below is a list of these forms and documents, each playing a crucial role in the application process.

  • Applicant’s Birth Certificate: This document must list the names of the parents. It verifies the identity and relationship between the applicant and the veteran.
  • Veteran’s Discharge Certificate (DD Form 214): This form provides proof of the veteran’s service in the military. It includes details about the veteran’s discharge status, which is important for eligibility.
  • Veteran’s Death Certificate: If applicable, this document confirms the death of the veteran. It is necessary for determining benefits related to the veteran's service.
  • Proof of Total and Permanent Disability: Documentation that verifies the veteran’s total and permanent disability due to service-related causes is required. This may include medical records or official statements from the Department of Veterans Affairs.
  • Application for Educational Benefits: Some applicants may need to submit additional forms specific to the educational institution they plan to attend. These forms often include enrollment verification or financial aid applications.
  • Financial Aid Information: Applicants may be required to provide documentation related to their financial status, such as tax returns or income statements, to assess their need for financial assistance.
  • State Benefits Verification: If the applicant is receiving benefits from another state, they may need to provide documentation to confirm this. This ensures that there is no duplication of benefits.

Gathering these documents can seem overwhelming, but each one serves a specific purpose in the application process. Ensuring all required paperwork is complete and accurate will help facilitate a smoother review and approval of the application for educational benefits.

Similar forms

The Michigan 4363 form is an important document for children of veterans seeking educational benefits. Several other forms serve similar purposes in different contexts, often focusing on eligibility for benefits or assistance. Here’s a list of documents that share similarities with the Michigan 4363 form:

  • VA Form 22-5490 - This form is used by dependents of veterans to apply for educational assistance under the Survivors' and Dependents' Educational Assistance (DEA) program. Like the Michigan 4363, it requires personal information and verification of the veteran's service.
  • FAFSA (Free Application for Federal Student Aid) - This form determines eligibility for federal financial aid. Both forms require detailed personal information and verification of residency and family circumstances to assess eligibility for educational benefits.
  • VA Form 21-534 - This application is for Dependency and Indemnity Compensation (DIC) and other benefits for survivors of veterans. Similar to the Michigan 4363, it focuses on the relationship to the veteran and requires documentation of the veteran’s service.
  • State Tuition Waiver Application - Many states have their own forms for waiving tuition for veterans' dependents. These applications, like the Michigan 4363, require proof of the veteran's service and the applicant's relationship to the veteran.
  • Post-9/11 GI Bill Application (VA Form 22-1990) - This form is used by veterans to apply for education benefits. Dependents may also use it to transfer benefits, making it similar in purpose to the Michigan 4363 form.
  • Scholarship Application Forms - Many scholarships require applicants to prove their status as dependents of veterans. These forms typically ask for similar information regarding the veteran's service and the applicant's relationship.
  • Veterans' Benefits Application (VA Form 21-526EZ) - This application is for veterans seeking benefits, but it often requires information about dependents. Like the Michigan 4363, it focuses on eligibility based on service.
  • State or Local Veteran Assistance Forms - Many states offer their own assistance programs for veterans and their families, requiring similar documentation to confirm eligibility based on military service.
  • College Financial Aid Applications - Some colleges have their own forms for determining eligibility for institutional aid. These often require similar personal and family information, aligning closely with the Michigan 4363.

Dos and Don'ts

When filling out the Michigan 4363 form, it's important to ensure that the application is completed accurately and thoroughly. Here are five key dos and don'ts to keep in mind:

  • Do type or print all information clearly to avoid any misunderstandings.
  • Do provide accurate details regarding your Social Security number and contact information.
  • Do ensure you have all required documentation, such as the applicant's birth certificate and the veteran's discharge certificate.
  • Do sign and date the application to confirm that the information is true and accurate.
  • Do submit photocopies of documents only, as originals must remain part of the application.
  • Don't leave any sections blank; all fields must be completed for the application to be processed.
  • Don't forget to check if you are receiving benefits from another state, as this information is crucial.
  • Don't submit the application without reviewing it for errors or omissions.
  • Don't include original documents; photocopies are required for submission.
  • Don't delay in sending your application and documents to the specified address to avoid missing deadlines.

Misconceptions

There are several misconceptions surrounding the Michigan 4363 form, which is essential for applying to the Children of Veterans Tuition Grant Program. Understanding these misconceptions can help applicants navigate the process more effectively.

  • Misconception 1: The Michigan 4363 form is only for children of veterans who are deceased.
  • This form is not limited to children of deceased veterans. It is also applicable to children of veterans who are disabled due to service-related causes. Both scenarios qualify for educational benefits.

  • Misconception 2: You must be a resident of Michigan for many years to apply.
  • While residency is a requirement, there is no strict duration that applicants must meet. As long as you are a Michigan resident at the time of application, you can apply for the benefits.

  • Misconception 3: Submitting the application without required documents is acceptable.
  • It is crucial to include all required documentation when submitting the application. Missing documents can delay processing or result in denial of benefits.

  • Misconception 4: The application can be submitted online.
  • The Michigan 4363 form must be submitted by mail. Applicants need to print the completed form and send it along with the necessary documents to the specified address.

  • Misconception 5: You can apply for benefits even if you are receiving assistance from another state.
  • While you can apply, receiving benefits from another state may affect your eligibility. It is important to disclose this information on the form.

  • Misconception 6: The form does not require a signature.
  • A signature is mandatory on the application. By signing, the applicant confirms that all information provided is accurate and grants permission for the institution to verify academic data.

Key takeaways

Key Takeaways for Using the Michigan 4363 Form:

  • Ensure all information is typed or printed clearly. This includes personal details such as your name, address, and Social Security number.
  • Provide accurate documentation. Required documents include the applicant’s birth certificate, the veteran’s discharge certificate, and proof of disability or death.
  • Be mindful of eligibility questions. Answer questions regarding felony convictions and benefits from other states honestly.
  • Submit your application and documents to the correct address. Send everything to Student Scholarships and Grants in Lansing, MI, and keep copies for your records.