Fillable Form VA 21-674

What is Form VA 21-674?

Form VA 21-674 or the Request for Approval of School Attendance is a document from The U.S Department of Veterans Affairs. This form is used to claim compensation or pension benefits for a Veteran's child who is at least 18 years old but under the age of 23 and is enrolled in school.

This form can only be completed once a child has reached the age of majority, which is usually 18 years old. This form asks for identifying information about both the claimant and the student, such as full name and social security number. It also asks for information, such as the student's current income and expenses, major in school, and current enrollment hours. The given information is needed to evaluate if the student is eligible to continue to receive VA benefits.

Where to get Form VA 21-674?

Here are different ways on how to get a Form VA 21-674:

In-person

You can get a blank copy of Form VA 21-674 at any VA regional office. The locations of the VA regional office are available on the U.S Department of Veterans Affairs website.

Department of Veterans Affairs website

A blank copy of Form VA 21-674 that you can download and manually fill out is available on the U.S Department of Veterans Affairs website.

PDFRun

For your convenience, you may electronically fill out Form VA 21-674 on PDFRun.

How to fill out Form VA 21-674?

Here is a detailed guide on how to fill out Form VA 21-674:

Request for Approval of School Attendance

Item 1

Enter the address of the VA office.

Part I - To be Completed by Claimant

Item 2A

Type or print the name of the veteran in the following format: First Name, Middle Name, Last name.

Item 2B

Enter the email address of the veteran, if applicable.

Item 3

Enter the VA File Number

Item 4A

Type or print the name of the student or the veteran's child who is attending school. Follow the format: First Name, Middle Name, Last name.

Item 4B

Enter the Social Security Number of the student.

Item 5A

Enter the date of birth of the student.

Item 5B

Mark Yes, if the student has ever married; otherwise, mark No. If Yes, complete Item 5C.

Item 5C

Enter the date of marriage of the student.

Item 6

Enter the student's address, including the Number and Street or Rural Route, City or Post Office box, State, and ZIP Code.

Item 7A

Mark Yes, If the tuition or allowance for the student's education or training is being paid by VA Dependents Educational Assistance (DEA), The Federal Employee's Compensation Act, or any other agency or program of the United States Government.

If marked Yes, complete Items 7B and 7C. If No, skip to Item 8A.

Item 7B

Enter the name of the agency that pays the student's tuition or allowance.

Item 7C

Enter the dates the payment began in the following format: Month, Day. Year.

Item 8A

Enter the name and address of the school for which approval is requested.

Item 8B

Enter the name or type of course of education or training.

Item 9A

Enter the student's official beginning date of the regular term or course in the following format: Month, Day, Year.

Item 9B

Enter the date when the student started or expects to start the course in the following format: Month, Day, Year.

Item 9C

Enter the student's expected date of graduation in the following format: Month, Day, Year.

Item 10A

Mark Yes, if the student is enrolled in a full-time high school or college course; otherwise, mark No. If No, complete Items 10B, 10C, and 10D.

Item 10B

Enter the subject for which the student is enrolled.

Item 10C

Enter the student's number of sessions per week.

Item 10D

Enter the number of hours per week the student spends on the course.

Item 11A

Mark Yes, if the student was attending any school at the end of the last school term; otherwise, mark No. If Yes, complete Items 11B to 11F.

Item 11B

Enter the name and address of the school attended last term.

Item 11C

Enter the student's number of sessions per week last term.

Item 11D

Enter the number of hours the student spends per week the last term.

Item 11E

Enter the last term's beginning date.

Item 11F

Enter the last term's ending date.

Part II - Student’s income and Net Worth

Item 12

This section includes the report of the student's income by calendar year. Do not report VA Benefits.

Item 12A

This section includes the student's source of income, such as:

• Earnings from all Employment
• Annual Social Security
• Other Annuities
• All other income such as interests, dividends, and others.

Item 12B

Enter the amount from earnings received by the student for each source of income stated in Item 12A.

Item 12C

Enter the amount from earnings expected by the student for each source of income stated in Item 12A.

Item 13A

Enter the value of the student's savings, including cash.

Item 13B

Enter the value of the student's securities and bonds.

Item 13C

Enter the value of the student's real estate, not your home.

Item 13D

Enter the value of all other assets.

Item 13E

Enter the total value of Items 13A to 13D.

Item 14

Enter remarks or any additional information.

Part III - Certification and Agreement to be signed by the Claimant

Item 15A

Affix the signature of the Claimant.

Item 15B

Enter the daytime phone number of the Claimant.

Item 15C

Enter the evening phone number of the Claimant, including the area code.

Item 16

Enter the Claimant's relationship to the student, including the area code.

Item 17

Enter the date the form was signed.

School Attendance Report

Item 1

Enter the VA File Number.

Item 2

Enter the VA office to which this form should be returned.

Item 3A

Enter the name of the veteran in the following format: First Name, Middle Name, Last name.

Item 3B

Enter the email address of the veteran, if applicable.

Item 4A

Enter the name of the student or the veteran's child who is attending school. Follow the format: First Name, Middle Name, Last name.

Item 4B

Enter the Social Security Number of the student.

Part I - Verification of School Attendance. To be completed by the Claimant.

Item 5

Enter the official beginning date of the regular term of the course in the following format: Month, Day, Year.

Item 6A

Mark Yes, if the student did start the course of training; otherwise, mark No. If Yes, complete Item 6B. If No, enter the reason in Item 15.

Item 6B

Enter the date when the student started the course of training in the following format: Month, Day, Year.

Item 7A

Mark Yes, if the tuition or allowance for student’s education or training is being paid under VA Dependents’ Educational Assistance (DEA), Federal Employees' Compensation Act, or any other Federal Agency Benefit of the United States Government; otherwise, mark No.

If Yes, complete Items 7B and 7C.

Item 7B

Enter the type of benefit received.

Item 7C

Enter the dates the payment began.

Item 8

Affix the signature of the Claimant.

Item 9

Enter the Claimant's relationship to the student.

Item 10

Enter the date the form was signed.

Item 11A

Enter the daytime phone number of the Claimant, including the area code.

Item 11B

Enter the evening phone number of the Claimant, including the area code.

Part II - Verification of Termination of School Attendance. To be completed by the school.

Item 12A

Enter the date when the school attendance was terminated in the following format: Month, Day, Year.

Item 12B

Mark Yes, If the date you provided was the official ending date of the regular term for such course; otherwise, mark No. If Yes, complete Item 13A. If marked No, complete Item 13B.

Item 13A

Enter the beginning date of the next regular term following the date of when the student discontinued school. Use the format: Month, Day, Year.

Item 13B

Enter the official ending date of the regular term in the following format: Month, Day, Year.

Item 14

Enter the reason for the termination of attendance.

Item 15

Enter remarks and any added information you did not show in the earlier parts of the form.

Item 16

Enter the name of the school.

Item 17A

Affix the signature of the school official.

Item 17B

Enter the title of the school official who signed the form.

Item 18

Enter the date the form was signed.

Where to submit Form VA 21-674?

Submit the original copy of the completed form to the VA office shown in Item 1. If no address is shown, mail or take it to the nearest VA regional office. Keep Claimant's Copy 2 for your records and use the reverse School Attendance Report to report to VA any change in the child's status, such as termination of school attendance or marriage.

Reminders in filling out Form VA 21-674

• VA Form 21-674 should be completed by the person receiving or claiming benefits for a veteran's child who is at least 18 but under 23 and attending school.
• The veteran's child should complete the form only if he or she has reached the age of majority and is or will be entitled to receive direct payment of VA benefits.
• The age of majority is determined by State law; it is age 18 in most states.
• Print all answers. For additional space, attach a separate sheet, indicating the item number to which the answers apply.
• Make sure to write the veteran's name and VA claim number on any attachments to this form.
• Take time to read form instructions.
• Review your application. Check for errors in your form.
• Provide accurate and true information. Falsification of application may lead to possible charges.