Semester*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*

Student Information

CWID*field type single line
Input blocked. Maximum character limit of 8 characters reached.
First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
SSN*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Date of Birth*field type date
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
Are you using a Peace Officer Exemption?*field type radio button
Are you using a Peace Officer Exemption?YesNo
I am applying as*field type radio button
I am applying asa Veterana Legacy Childa Childa Spouse

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
I am applying for a continuation of the exemption from payment of tuition and fees under Texas Education Code §54.341, (The Hazlewood Act). I understand that I may be entitled, under the law, to this exemption for up to 150 semester credit hours at Texas public institutions of higher education. For the purpose of accounting for the total number of hours for which I receive this exemption, I grant permission to any institution in which I have enrolled or will enroll to release credit hour information 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 I still meet the requirements in Part D or, if a Legacy Child, Parts D and E of my initial Texas Hazlewood Act Exemption Application (Form TVC‐ED‐1).
How many hours you previously used under the Texas Hazlewood Act Exemption?*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/
Signature*field type signature
Date*field type date
*Submit this application to your college or university,not to the Texas Veterans Commission*
* This form will not be used for the initial application for the Hazlewood Exemption but may be used for enrollment of students subsequent to initial enrollment at the school in which the student is currently and consistently enrolled. If a break in enrollment or change of school occurs then the complete Hazlewood Exemption application must be completed.
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

Texas Hazlewood Act Exemption ApplicationFor Continued Enrollment*

Student Information

Texas Hazlewood Act Exemption Application
For Continued Enrollment*