Fillable VMSDEP RE-CALCULATION REQUEST FORM (Virginia Department of Motor Vehicles)

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VMSDEP RE-CALCULATION REQUEST FORM (Virginia Department of Motor Vehicles)

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Revised 12/2020
Virginia Military Survivors & Dependents Education Program (VMSDEP)
VMSDEP RE-CALCULATION REQUEST FORM
First Name
MI
Last Name
Date of Birth
Address
City
State
Zip
Telephone
Veteran’s Full Name
Current Attending Virginia Public College or University
I am requesting a re-calculation of my VMSDEP benefits for the following reason:
I was not enrolled for one or more semester(s).
I paid for a semester out-of-pocket. If so, which semester(s): _____________________________
Other:
To the best of my knowledge, I have used VMSDEP benefits at the following colleges/universities:
Name of School
Semester(s) Attended
Please allow 10 business days for processing.
We will contact you via email with your remaining benefits balance.
Signature: _____________________________________________________ Date:________________________
Please email the completed form to vmsdep@dvs.virginia.gov.
Department of Veterans Services
Virginia Military Survivors & Dependents Education Program (VMSDEP)
James Monroe Building, 101 N. 14
th
Street
Richmond, VA 23219
(804) 225-2083
vmsdep@dvs.virginia.gov
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VMSDEP RE-CALCULATION REQUEST FORM (Virginia Department of Motor Vehicles)

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Completed 31 March 2022

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