DD Form 2961, JAN 2024
OMB No. 0704-0501 RCS: DD-P&R(AR)2536
OMB Control Number: 2900-0797 Expiration Date: 12/31/2018

1 Education Benefits & Issue
VA Intake has Moved If you have reached this page to submit feedback, or a compliant, to the Department of Veterans Affairs (VA) about a GI Bill school, please go to https://www.va.gov/education/submit-school-feedback or you will be automatically redirected in 10 seconds. You can now submit your feedback to VA through va.gov.

If you are accessing this page to research old complaints please log into the new feedback system in EForce. If you are having issues please contact your ELR.
Education Benefits Used
Please check all that apply *
VA Education Programs (e.g. GI Bill)
Military Tuition Assistance (Title 10) Other
Describe Your Issue
Which best describes your issue? (Select all that apply) *


* Required
Providing optional data will assist in researching your complaint.
Complaint Information


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Please DO NOT enter Personally Identifiable Information (PII), specifically Social Security numbers, account numbers, financial information, VA claim number, or dates of birth.
School/Employer Information
Name *






* Required
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Filing Information
I am filing on behalf of
Complainant Information



Your Contact Information


Telephone (include area code)





Providing optional data will assist in researching your complaint.
Summary
Please review your complaint before submitting. Use the back button at the bottom of the page to make any necessary corrections.

Education Benefits & Issue

Education Benefits Used
Describe Your Issue

Complaint

Describe what happened so we can understand the issue.
What do you think would be a fair resolution to your issue?

School/Employer

School/Employer

Level of Study
Out-Of-Pocket Tuition
Government Tuition Credit

Complainant & Contact

Filed on Behalf of
Service Affiliation
Service Status
Branch
Age

Name
Address
Telephone
Email

 


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