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 *
Your answer
Student ID # *
Your answer
Name *
Your answer
Major *
Your answer
GI Bill Program *
Enrollment Term to be Certified (eg. Spring 2020) *
Your answer
Are you requesting to be certified for ALL courses required for your degree for this term? *
If NO, list classes that you are requesting to be certified
Your answer
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. *
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