UMPI Veteran Certification Request Form

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This form MUST be completed before any credits will be certified to the VA by the School Certifying Official (SCO). Please complete this form in its entirety to ensure more timely certification of credits. Sessions or Semesters not requested using this form will not be certified. Late submissions and/or inaccurate information may cause a delay in the distribution of VA benefit payments. Students must prepare and sent a separate request form for every 8-week Your Pace session or 16-week traditional semester.

For any inquiries as it relates to this form or certification processes, please reach out to the SCO Team at: umpi-vets@maine.edu.

Email *

What is your first and last name? *

What is your Student ID? *

What is your date of birth? *

YYYY

What is your school email address? *PLEASE NOTE: Official academic-related information will be sent to your @maine.edu emall address." *

What is your phone number? *

Please indicate which chapter of benefit you wish to use for this semester or session: *

Post 9/11 GI Bill - Chapter 33

Chapter 33D - Dependents: Post-9/11 GI Bill Transfer of Entitlement (TOE)

Survivor and Dependents - DEA (Chapter 35)

Vocational Rehabilitation and Employment (Chapter 31)

Montgomery GI Bill -Active Duty (Chapter 30)

Montgomery GI Bill-Reserves/Guard (Chapter 1606)

What is your degree program at UMPI! * Please note: it is your responsibility as the benefited student to inform the School Certifying Official if your program of study has changed.* *

Please indicate which semester/session you wish to be certified for: *

Are you concurrently enrolled in classes at another institution including schools within the University of Maine System? If YES, provide the FULL name of the school. *

Please provide any addtional information that would be important for us to know as it relates to certification of VA benefits.

By checking "AGREE" the box below, I acknowledge my obligation to notify the School Certifying Official of any change in my course schedule. I understand that failure to do so will result in my being personally liable to the Department of Veterans Affairs for could result in a delay of benefits for future classes. I understand that courses with "W" and "L" grades are terminated at the date of last attendance. I will be responsible to repay to the VA any overpayment created as a result of changes to my enrollment. *

I AGREE

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A copy of your responses will be emailed to the address you provided.

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