VA Benefit Certification Request Fall 2019
Please complete the following form in full to ensure that your Department of Veteran Affairs Educational Benefits are submitted for certification. Expect to receive an email within 2 weeks confirming that your courses and tuition were submitted to VA for certification.

**THIS FORM MUST BE COMPLETED EACH SEMESTER YOU WISH TO RECEIVE VA BENEFITS**
**PLEASE WAIT TO SUBMIT UNTIL YOUR SCHEDULE IS FINAL**
Student ID Number
Your answer
Name
Your answer
Number of Enrolled Credit Hours
Your answer
Are you receiving any tuition-only awards? (ex. Graduate Assistant positions, Tuition-only Scholarships, UD Promise, and Tuition Remission)
Are you a member of the Ohio National Guard who will be utilizing the Ohio National Guard Scholarship?
Are you on active duty and will be utilizing Tuition Assistance?
Benefit Chapter (Check only one)
Please agree to these terms:
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Dayton. Report Abuse