VA Certification Request Form
Students who have VA Educational Program Benefits must complete this form following online registration. A completed form is required in order for students using Chapter 33 (Post-9/11) and Chapter 31 (Voc Rehab) benefits to receive a tuition/fee payment extension.
The VA will only pay for classes that meet outstanding requirements for your degree and will only
pay for courses in which a letter grade OR ‘CR’ grade are earned. Courses in which you receive a ‘W’ or ‘NC’ grade are considered “non-punitive” and may impact your official certification status. You may be required to repay benefit funds back to the VA.
CSUMB Email Address
Student ID #
GI Bill Program
Chapter 33 (Post-9/11) Veteran
Chapter 33 (Post-9/11) Dependent
Chapter 31 (Voc Rehab)
Chapter 35 (DEA)
Chapter 30 (MGIB)
Chapter 1606 (MGIB-SR)
Enrollment Term to be Certified (eg. Spring 2020)
Are you requesting to be certified for ALL courses required for your degree for this term?
No (requesting partial certification)
If NO, list classes that you are requesting to be certified
I am aware that I am required to notify the Student Veteran Services office IMMEDIATELY if/when I make any changes to my course schedule so that my benefit certification can be reevaluated and adjusted as necessary.
I have read the above statement
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This form was created inside of Cal State Monterey Bay.