VA Educational Benefits - Initial Certification Form

Students using VA Educational Benefits should submit this form once their schedule for the upcoming term is completed. Submission of this form indicates that the student does not plan to make any further changes to their schedule and is ready to have their certification submitted to the VA.

Submission Deadlines:

Intersession 2025 - Monday, November 25th
Spring 2025 - Monday, December 9th

Student Name Student Name First Last
Student ID
Email
Academic semester to be certified:

Academic semester to be certified: Fall Intersession Spring Summer
Year
Program:
Please select the VA Educational Benefits you are using.

Please select the VA Educational Benefits you are using. Chapter 30, Montgomery GI Bill - Active Duty Chapter 31, Veteran Readiness and Employment (VR&E) Chapter 33, Post 9/11 GI Bill Chapter 35, Dependents' Educational Assistance Chapter 1606, Montgomery GI Bill - Selected Reserve
Have you reviewed your Degree Audit to confirm that all courses you are registered for apply to your current program?

Have you reviewed your Degree Audit to confirm that all courses you are registered for apply to your current program? Yes
Have your VA educational benefits changed since your last certification?

Have your VA educational benefits changed since your last certification? Yes No This is my first semester being certified

Please note, per VA regulations we cannot certify courses which do not satisfy you current program. We will be unable to certify you if you have courses which fall under "Do Not Satisfy"
Do you plan on being enrolled in University Housing for this semester?

Do you plan on being enrolled in University Housing for this semester? Yes No

Please note, housing costs are not considered reportable to the VA.
Do you have any financial aid awards in pending status? To confirm, please log into the MyFinancialAid portal. This can be found in MyCharger by clicking the bank icon.

Do you have any financial aid awards in pending status? To confirm, please log into the MyFinancialAid portal. This can be found in MyCharger by clicking the bank icon. Yes No I am not using Financial Aid

If you select "No", someone from the Financial Aid Office may contact you.
As an undergraduate student, do you plan to keep the University Sponsored Health Insurance?

As an undergraduate student, do you plan to keep the University Sponsored Health Insurance? Yes No I am a graduate level student

Graduate level students should select "I am a graduate level student".
If you do not plan to use University Sponsored Health Insurance, have you already completed the waiver for this academic year? If you submitted the waiver during fall, you do not need to submit another for spring.

If you do not plan to use University Sponsored Health Insurance, have you already completed the waiver for this academic year? If you submitted the waiver during fall, you do not need to submit another for spring. Yes No I am a graduate level student

Undergraduate students need to complete the health insurance waiver to opt out. Graduate students should select "I am a graduate level student" as this will not apply.
By signing this document, you understand that the School Certifying Official will be submitting your enrollment as it stands to the VA for the corresponding semester indicated. You will be responsible for submitting a Notice of Change form should you make any changes to your schedule after the submission of this form. Please be aware, any schedule changes made after the initial certification may delay payments or monthly housing allowance.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date of Submission: Date of Submission: / MM / DD YYYY