WDVA Tool-Kit

​The WDVA Tool-Kit contains fact sheets and useful links related to Wisconsin veterans issues. 

Form Number Description (Word) PDF
DOA 6448Substitute W-9 Taxpayer Identification Number Verification (09/04)​​ 
WDVA 1081 Waiver of Escrow Agreement (04/07)​​ 
WDVA 1141
Authorization Agreement for Restricted (ACH or DTC) Debits (04/07)​ 
​WDVA 1300
Transfer of Servicing Agreement (04/07)
WDVA 1301   Loan Servicing Transfer (04/07)​ 
​WDVA 1327 ​Multipurpose Loan Service Report (04/07)​ 
​WDVA 1405 Cover Letter to Accompany Authorization Agreement (04/07)
​​W​DVA 1409 ​Custodial Account Analysis (04/07)​ 
​WDVA 1412 ​Loan Payoff & Removal Report (04/07)​​​
​WDVA 1469Notification of Property Address Change (04/07)
​WDVA 1471Notification of Servicer Loan ID Change (04/07)
​WDVA 1701Servicer Remittance Record (04/07)
​​WDVA 2108WDVA Property Status Report (11/02)
​WDVA 2109Exceptions to Warranties and Representations (10/02)
​WDVA 2305Certificate of Non-Occupancy (04/07)
​WDVA 2328Veterans Housing Loan Processing and Closing Contract (01/07)
​WDVA 2329 ​Servicing Agreement (01/07)
​WDVA 2366Notice of Default and Customer's Right to Cure Default (04/07)
​WDVA 2374Notice of Assumption – RA Bond Issue (01/02)
​WDVA 2411 ​Loan Service Report (04/07)
​WDVA 2413 ​Foreclosure Expense Claim (04/07)
​WDVA 2414 ​Reinstatement of Loan in Foreclosure (04/07)
​WDVA 2420 ​Property Inspection Report (04/07)​
​WDVA 2662Certificate of Lender Fees (12/99)
​WDVA M2003
(Appendix B revised 10/08/09)​

Grants Forms:

Form Number Description (Word)​ PDF
​WDVA 0055CVSO Grant Packet
WDVA 0055​​
​WDVA 0055G ​CVSO Reimbursement Grant Worksheet ​WDVA 0055G
​WDVA 0056 TVSO Grant Packet​​
WDVA 0056
​WDVA 0056F ​TVSO Reimbursement Grant Worksheet​​WDVA 0056F
​WDVA 0057
VSO Grant Packet
​​WDVA 0057
​WDVA 2001 ​Nonprofit Grant Application
WDVA 2001
​WDVA 2018
Nonprofit Grant Program Agreement
WDVA 2018
​WDVA 2211
Nonprofit Grant Application Checklist
WDVA 2211
​WDVA 2212
Nonprofit Grant Service Delivery Report Requirements
WDVA 2212
WDVA 2213​
Nonprofit Grant Frequently Asked Questions (FAQs)
WDVA 2213
​WDVA 2214
​Nonprofit Grant Program Packet
​​WDVA 2214
​WDVA 2016Authorized Signatures - Veterans Education Grant Programs 
WDVA 2016​
​WDVA 2019 Retraining Grant Application (RTG)
​WDVA 2019
​WDVA 2039​ Retraining Grant Application (RTG) – OJT
​WDVA 2039
​WDVA 2045 ​Assistance to Needy (ANV) Veterans Verification of Illness or Disability
​WDVA 2045​​​

​WDVA 2085 Retraining Grant (RTG) Request for Second Payment
WDVA 2085
​WDVA 2110County Transportation Grant Application
WDVA 2110​
​WDVA 2110ACounty Transportation Grant Aplication-Supplement
WDVA 2110A
​WDVA 2200(VetEd) Veterans Education Grant Application
​​WDVA 2200
​WDVA 2202Entrepreneurship Grant Program Application
​WDVA 2202
​WDVA 2203Entrepreneurship Grant Program AgreementWDVA 2203
​WDVA 2207
Entrepreneurship Grant Program Checklist
WDVA 2207
​WDVA 2208
Entrepreneurship Grant Program Frequently Asked Questions (FAQs)
WDVA 2208
​WDVA 2209
​​Entrepreneurship Grant Service Delivery Report Requirements
WDVA 2209
​WDVA 2210
Entrepreneurship Grant Program Packet
WDVA 2210
​WDVA 2415CVSO Veterans Transportation Mileage and Reimbursement Request
WDVA 2415​
​WDVA 2416CVSO Bus Pass Reimbursement Request
WDVA 2416
​WDVA 2417TVSO Veterans Transportation Mileage and Reimbursement Request
WDVA 2417
​WDVA 2418TVSO Bus Pass Reimbursement Request
WDVA 2418​
​WDVA 2450(ANV) Assistance to Needy Veterans Grant Application - Health Care
WDVA 2450
​WDVA 2451 ​(ANV) Assistance to Needy Veterans Grant Declaration of Aid
WDVA 2451
​WDVA 2453
(ANV) Assistance to Needy Veterans Grant Application - Subsistence Aid
WDVA 2453​​​

Benefits Forms:

Form Number Description (Word)​ PDF
WDVA 1037​
Veteran-Owned Business - Request for Certification
WDVA 1037
​WDVA 1805
Veterans Residency Affidavit
​WDVA 1805
​WDVA 2029
​School Application for Wisconsin GI Bill
WDVA 2029
​WDVA 2030​
Request for Certification for Wisconsin GI Bill
WDVA 2030
​WDVA 2096
CVSO/TVSO Tax Abatement Verification Form
WDVA 2096
​WDVA 2097
Request for Certification for WI Veterans & Surviving Spouses Property Tax Credit
WDVA 2097​​​​​​​

​WDVA 2230
​Eligibility Application - Professional/Occupational License Fee Waiver
WDVA 2230
​WDVA 2240
Eligibility Application - WisDNR Returning Service Members Voucher
WDVA 2240
​WDVA 2241
Eligibility Application - WisDOT Veteran Identifier
​WDVA 2241
Memorials Forms:
Form Number Description (Word)​ PDF
​WDVA 2111
​Pre-Registration for Cemetery Interment
​WDVA 2111
​WDVA 2800
​Military Funeral Honors Request
WDVA 2800
​WDVA 2801
Military Funeral Honors Stipend Reimbursement Request
WDVA 2801
Homes Forms:
Form Number Description (Word)​ PDF
​WDVA 4000
​Application for Admission to the Wisconsin Veterans Home
WDVA 4000
​WDVA 4002
​Authorization for Disclosure of Health Information
​WDVA 4002
​WDVA 4003
​Veterans Residency Affidavit for Applications to a Veterans Home
WDVA 4003
​WDVA 4006
Applicant Admissions Checklist - Wisconsin Veterans Homes
​WDVA 4020F
Admission Agreement - Attachment F - Privacy Practices
WDVA 4020F
Form Number Description (Word)​ PDF
​​WDVA 1035
​Income Tax Release Authorization
WDVA 1035
​WDVA 1042
Request for Release of Military Seperation Records and Personal Information to the County/Tribal Veterans Service Office
WDVA 1042​​

​WDVA 1045
​Request for Release and/or Discussion of Veterans Records
WDVA 1045
​WDVA 2304
Request for Verification of Employment
WDVA 2304
​​WDVA 2419
WDVA 2419 VBATS Account Authorization County / Tribal Veteran Service Offices
​WDVA 2419​​​

​​​Veterans Homes
​​Poster/Brochure Number 
​WDVA P2500 ​Wisconsin Veteran Employment Resources (02/15)
​WDVA P2600Veterans Benefits Resource Center Poster (03/14)

WDVA P3014

King Walking Tour Map (06/14)​

WDVA P3015

Wisconsin Veterans Home at King – Call, Don't Fall – Preventing Falls (03/15)

WDVA P3025

Veterans of King – Letter by Erling Landsverk (10/13)

WDVA P3027

Wisconsin Veterans Home at King – Medal of Honor Monument Brick Contribution (10/13)

WDVA P3032

Wisconsin Veterans Home at King – Welcome: What to Expect (02/14)

WDVA P3033

Wisconsin Veterans Home at King – Long Term Care Nursing Resources (02/14)

WDVA P3034

Wisconsin Veterans Home at King – FAQ: Finance (05/14)


Wisconsin Veterans Home at King – Information (02/14)​


Wisconsin Veterans Home at King – Map (02/14)

WDVA P4015

Wiscons​in Veterans Homes – Wonderful Places to Live! (10/10)

WDVA P4020

Did You K​now: 70% Rule/Residency (10/13)​

​WDVA B0104Wisconsin GI Bill Tuition Remission Program Guide ​​

WDVA B0105​Wisconsin Tuition Programs Wisconsin GI Bill Application Guide​
WDVA B0106​Wisconsin Veterans and Surviving Spouses Property Credit
WDVA B0135​
Benefits and Services for Wisconsin Veterans and Their Families
​WDVA B0202
​Veteran Housing and Recovery Program
​WDVA B0204 WDVA Claims Assistance​
​WDVA B0206Veteran Employment Grant ​
WDVA B0215 Wisconsin Veterans Home at Union Grove Brochure
WDVA B0220​ ​WDVA Women Veterans Program
WDVA B3401 Wisconsin Veterans Home at King Brochure
​WDVA B6000
Wisconsin Veterans Home at Chippewa Falls
​WDVA B7000
Veteran Outreach and Recovery Program
​​​​ ​