Dependent/Survivor of Veteran
If you are a dependent or survivor of a qualifying veteran, please complete the two
forms below to receive veterans' education benefits while attending Marylhurst University:
1. Rights and responsibilities form
Complete the Marylhurst VA education benefits rights and responsibilities form.
Send the complete and signed original to:
VA Certifying Official
Advising Center
Marylhurst University
P.O. Box 261
Marylhurst, OR 97036-0261
Please keep a copy of the form for your records
2. New application – or – Change in place of training
If you have never received veterans' education benefits before, please complete Form 22-5490: Application for VA Dependent Education Benefits.
If you have received veterans' education benefits while attending another higher education institution,
please complete Form 22-5495: Request for Change of Program or Place of Training.
Send the completed and signed original to:
VA Regional Office
P.O. Box 8888
Muskogee, OK 74402-8888
Send a copy to:
VA Certifying Official
Advising Center
Marylhurst University
P.O. Box 261
Marylhurst, OR 97036-0261
Electronic filing option
If you prefer to file electronically, you may complete Form 22-5490 or Form 22-5495
online at the VA online application website.
If you file online, please send a copy of your online application to the certifying
officials in the Office of Financial Aid at Marylhurst University.
Certifying your enrollment
When we have received your completed forms and verified your registration for the
appropriate term, our certifying official will certify your enrollment with the Department
of Veterans Affairs. We usually certify enrollment two weeks prior to the start of
each term.