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Apply for VA Education Benefits: Veteran's Dependent/Survivor

If you are the dependent/survivor of the qualifying veteran, there are two forms you need to complete to receive veterans education benefits while attending classes at Marylhurst University.

Two Forms to Complete

1. Rights and Responsibilities Form

Complete the
>Marylhurst VA Education Benefits Rights & Responsibilities Form.

  • Send the completed and signed original to:
    VA Certifying Official
    Financial Aid Office
    Marylhurst University
    PO Box 261
    Marylhurst, OR 97036-0261
  • Keep a copy for your records.

2. New Application - or - Change in Place of Training

If you have NEVER received these benefits before, complete
Form 22-5490: Application for VA Dependent Education Benefits

If you have received these benefits while at another institution in the past, complete
Form 22-5495: Request for Change of Program or Place of Training

  • Send the completed and signed original to:
    VA Regional Office
    PO Box 8888
    Muskogee, OK  74402-8888
  • Send a copy to: 
    VA Certifying Official
    Financial Aid Office
    Marylhurst University
    PO Box 261
    Marylhurst, OR 97036-0261

Electronic Filing Option

If you prefer to file electronically, you may complete the VA Form (22-5490 or 22-5495) at the VA Online Application (VONAPP) Web site

If you file online, please send copies of your signature page/confirmation form to the Certifying Official in the Financial Aid Office at Marylhurst University.

Certifying Your Enrollment

When the Marylhurst University Financial Aid Office has received your completed forms and has verified your registration for the appropriate term, Marylhurst's VA Certifying Official will certify your enrollment with the Department of Veterans Affairs.




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Marylhurst University
17600 Pacific Highway (Hwy 43) / PO Box 261 / Marylhurst, OR 97036-0261
Phone: 503.636.8141 / Toll-free: 800.634.9982 / Fax: 503.636.9526