To apply for the Texas Hazlewood Act Exemption, you must submit the following documents to your college or university:
1. The Hazlewood Exemption Application (completed and signed). For a tutorial on completing the application, visit: http://www.tvc.texas.gov/Hazlewood‐Act.aspx.
2. Report of Separation or Discharge, DD Form 214 (and DD Form 215 if the DD Form 214 has been amended) – To verify the Veteran’s place of entry, home of record at the time of entry, character of service, length of service, and dates of service. The copy you provide to your institution must be legible and contain the information listed above.

A DD Form 214 may be obtained from the National Archives:
http://www.archives.gov/veterans/military‐service‐records/.
If the Veteran was discharged prior to January 1, 1950 previously used separation documents may be used. If the Veteran’s DD Form 214 was destroyed in the National Archives fire in 1973 or is otherwise unavailable, then the following documents may be used:
- NA Form 13038, Certification of Military Service
- Documentation from the National Archives that the Veteran’s NA Form 13038 was sent in lieu of the DD Form 214 due to the DD Form 214 not being on file
- Documentation that Veteran met the requirements of Subchapter B, Chapter 54, Texas Education Code for resident tuition on the date of entry into active duty indicated on the DD Form 214
3. Certificate of Eligibility for federal GI Bill benefits – To verify eligibility for the Veteran’s, or dependent’s federal education benefits. Certificates of eligibility may be obtained by completing an application on the Veterans Online Application (VONAPP) website at https://www.va.gov/education/gi-bill/post-9-11/ch-33-benefit.
- If the Veteran’s final discharge is prior to 9/11/2001 the certificate of eligibility is not required.
4. If the Veteran died while in service: Report of Casualty, Form DD Form 1300 – To verify the Veteran’s place of entry or home of record, and that his/her death was service related.

5. If the Veteran is deceased (not service connected) – Death Certificate for deceased Veteran for use in a Legacy transfer.

6. If the Veteran is totally disabled or individually unemployable due to military service‐related illness or injury: You must have a current (within one year) disability ratings decision letter from the VA indicating that rating.

7. If you are not the Veteran, Relationship Documentation – Submit one or more of the following documents to verify your relationship to the eligible Veteran.
- Birth Certificate, or Marriage Certificate, or Adoption Papers, or Recent IRS Tax Transcript: https://www.irs.gov/individuals/get‐transcript.
8. Veterans must reside in the state of Texas during the term that the exemption will be used.
- Children and spouse of eligible Veterans must be classified as a Texas resident by their institution.
9. Hazlewood Online Database Registration – To comply with the Federal Educational Rights and Privacy Act (FERPA) requirements, all applicants (Veteran and dependents) must register into the Hazlewood online database to use the Hazlewood Exemption at https://hazlewood.tvc.texas.gov/students/.

Application

For (Term)*field type drop-down
(ex: Spring)
Year*field type single line
(ex: 2019)
Input blocked. Maximum character limit of 4 characters reached.
at (Institution)*field type single line
(Enter full name of institution)
Input blocked. Maximum character limit of 4000 characters reached.
*Submit this application to your college or university, not to the Texas Veterans Commission*
Each Veteran, child, or spouse applying to receive an exemption through the Hazlewood Act, (Texas Education Code §54.341) must complete and sign this application and provide the institution with the documentation required to verify eligibility as indicated in this packet. Submit this application and all supporting documentation to your institution’s Hazlewood Act Exemption administrator.
I am applying as:*field type radio button
I am applying as:a Veteran intending to use the Hazlewood Exemption (Complete Parts A, C, & D)a child intending to receive a Legacy transfer of benefits (Complete Parts A‐E)a child of a totally disabled, service‐related deceased, KIA, or MIA Veteran (Complete Parts A‐D)a spouse of a totally disabled, service‐related deceased, KIA, or MIA Veteran (Complete Parts A‐D)
I am:*field type radio button
I am:an applicant applying for the first time; ora previous Hazlewood recipient
Was veteran's final discharge prior to 9-11-2001?*field type radio button
Was veteran's final discharge prior to 9-11-2001?YesNo
DD-214 MEMBER - 4 or Service - 2 Copy*field type file upload
You have reached the maximum file limit: .
Veteran's Disability Letter*field type file upload
Veteran must be total and permanently disabled, or individually unemployable due to military service or related injury.
You must have a current (within one year) disability ratings decision letter from the VA indicating that rating.
You have reached the maximum file limit: .
Relationship Documentation*field type file upload
Acceptable documents include:
Birth Certificate, Marriage Certificate, Adoption Papers, Custody Documents, Recent IRS Tax Information/Form
You have reached the maximum file limit: .
Relationship Documentation*field type file upload
Acceptable documents include:
Marriage Certificate
You have reached the maximum file limit: .
Hazlewood Online Database Registration*field type file upload
You have reached the maximum file limit: .
Students MUST upload their Texas Veterans Commission printout.
To provide the requested documentation, retrieve your hours here: https://hazlewood.tvc.texas.gov/students/
Hazlewood Online Database Registration - Dependent's Information*field type file upload
You have reached the maximum file limit: .
Students MUST upload their Texas Veterans Commission printout.
To provide the requested documentation, retrieve your hours here: https://hazlewood.tvc.texas.gov/students/
Hazlewood Online Database Registration - Veteran's Information*field type file upload
You have reached the maximum file limit: .
Students MUST upload their Texas Veterans Commission printout.
To provide the requested documentation, retrieve your hours here: https://hazlewood.tvc.texas.gov/students/
Certificate of Eligibility for Federal GI Bill Benefits*field type file upload
To obtain your Certificate of Eligibility, please visit: https://www.va.gov/education/gi-bill/post-9-11/ch-33-benefit
You have reached the maximum file limit: .
Certificate of Eligibility for Federal GI Bill Benefits*field type file upload
As a Legacy recipient, you must obtain a Certificate of Eligibility stating you are not eligible for Post 9-11 transfer benefits.
To obtain this, please apply here: https://www.va.gov/education/how-to-apply/
You have reached the maximum file limit: .
Certificate of Eligibility for Federal GI Bill Benefits*field type file upload
As a child recipient, you must obtain a Certificate of Eligibility stating you are not eligible for Post 9-11 transfer benefits.
To obtain this, please apply here: https://www.va.gov/education/how-to-apply/
You have reached the maximum file limit: .
Certificate of Eligibility for Federal GI Bill Benefits*field type file upload
As a spouse, you must obtain a Certificate of Eligibility stating you are not eligible for Post 9-11 transfer benefits.
To obtain this, please apply here: https://www.va.gov/education/how-to-apply/
You have reached the maximum file limit: .
Other Documentationfield type file upload
Optional
You have reached the maximum file limit: .
Transfer Hazlewood Hours Utilized at Previous Institution(s)
×
- Hours Used*field type number
- Institution(s)*field type single line
  Input blocked. Maximum character limit of 4000 characters reached.
- Total Prior Hours Used*field type number
- Legacy (Transfered Hours)*field type number
- Spouse*field type number
- Child*field type number
Add

Part A - Veteran's Information

Veteran's Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Veteran's First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Veteran's Middle Initialfield type single line
Input blocked. Maximum character limit of 1 characters reached.
Veteran's SSN*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Veteran's Date of Birth*field type date
Veteran's Student IDfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Permanent Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email Address*field type email

Part B - Other User Information

Relationship to Veteran*field type radio button
Relationship to VeteranBiological ChildStep-ChildAdopted ChildIRS DependentSpouse
Child's/Spouse's Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Child's/Spouse's First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Child's/Spouse's Middle Initialfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Child's/Spouse's SSNfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Child's/Spouse's Date of Birth*field type date
Child's/Spouse's CWID*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Permanent Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email Address*field type email

Part C - Loan Verification

To qualify for the Hazlewood Exemption, the Veteran, child or spouse cannot be in default on a loan that is made or guaranteed by the state of Texas. State loans can be viewed at http://www.hhloans.com/
Does the Veteran, child or spouse have a loan through the Texas Higher Education Coordinating Board?*field type radio button
Does the Veteran, child or spouse have a loan through the Texas Higher Education Coordinating Board?YesNo
If yes, is the loan in default status?*field type radio button
If yes, is the loan in default status?YesNoNot Applicable

Part D - Veteran, Child, and Spouse Certification and Consent

The Texas Hazlewood Act Exemption entitles eligible persons to an exemption of tuition and specified fees of up to 150 semester credit hours at public institutions of higher education in Texas. Except for recipients who are the spouse or children of eligible Veterans killed in action, missing in action, or whose death resulted from a service‐related injury or illness; all other Hazlewood recipients meet the grade point average satisfactory academic progress requirements and other requirements of Texas Education Code §54.2001.
I grant permission to any institution I have enrolled in or intend to enroll in to release credit hour information pertaining to my enrollment to the Texas Veterans Commission and the Texas Higher Education Coordinating Board, and further grant permission to the Commission and Board to share such information with any institution that I might attend. I certify that the information I have provided is true and correct to the best of my knowledge. I further understand that if I have provided inaccurate, incomplete, or untrue information on this application, I may be required to reimburse the institution for tuition, fees, and penalties pertaining to the Hazlewood Exemption.

Table

Veteran's Signature

Upload

Date

Veteran's Signature

Upload

Date

Date will be captured on form submission

(Veteran's signature is not required if eligible Veteran is totally disabled, service-related deceased, MIA, or KIA.)

Table

Child's/Spouse's Signature*

Upload

Date

Child's/Spouse's Signature*

(if applicable)

Upload

Date

Date will be captured on form submission

Part E - Legacy Child Certification and Consent

The Texas Hazlewood Exemption allows eligible Veterans or a designee to transfer all unused hours of the exemption, up to 150 semester credit hours, to a child who is 25 years old or younger on the first day of the term. Legacy recipients will receive an exemption for the number of degree certified hours associated with the specific degree or certificate program he or she is enrolled in consistent with the program length as defined in the school catalog as approved by the regional accreditation commission. Legacy recipients must meet the grade point average satisfactory academic progress requirements and other requirements of Texas Education Code §54.2001. Assigned hours may be revoked by the Veteran or the designee.
field type checkbox
I, (Veteran), waive the right to all of the unused portion of my Hazlewood Exemption and grant permission to transfer those unused Hazlewood hours under Texas Education Code §54.341(k) (Legacy Act) to my eligible child.
Child's Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
*field type checkbox
I agree to release current term and historic credit hour information to the Texas Veterans Commission and the Texas Higher Education Coordinating Board to determine the balance of my unused hours.
*field type checkbox
I grant permission for the Commission and Board to share such data with any institution that my eligible child might attend.
*field type checkbox
I understand that only one eligible person may use my hours for a particular term.
*field type checkbox
I hereby certify the information I have provided is true and correct.
*field type checkbox
I understand that if I fail to provide accurate information, I may be required to reimburse the institution and penalties may be imposed.
Veteran's Signature*field type signature
Datefield type date
Date will be captured on form submission
(If the qualifying Veteran is deceased, the Veteran's Designee may sign above in the Veteran's place.)
Print Name of Designee:field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Veteran's Child's Signature:*field type signature
Datefield type date
Date will be captured on form submission

Texas Veterans Commission

TEXAS VETERANS COMMISSION
Phone: 1‐877‐898‐3833 or 512/463‐3168 | TTY/TDD: Dial 711 | Fax: 512/475‐3932
E‐Mail: Education@tvc.texas.gov | Web: www.tvc.texas.gov
An Equal Opportunity Employer

{/_honeypot}

Texas Hazlewood Act Exemption ApplicationSupporting Documentation Instructions

Application

Transfer Hazlewood Hours Utilized at Previous Institution(s)

Part A - Veteran's Information

Part B - Other User Information

Part C - Loan Verification

Part D - Veteran, Child, and Spouse Certification and Consent

Table

Table

Part E - Legacy Child Certification and Consent

Texas Veterans Commission

Texas Hazlewood Act Exemption Application
Supporting Documentation Instructions