Veterans Affairs (VA) Education Benefits Certification Request Form

To certify your enrollment for classes each semester and receive VA Education Benefits for the program you are eligible for, you will need to complete a Certification Request Form.  Please read and ensure you understand the following statements before completing the form:

I must complete this form each semester that I intend to receive VA educational benefits. Failure to do so will delay payment. The information on this form is true and correct to the best of my knowledge._____

I must immediately report all changes (drops and/or adds) in enrollment to the DCC Veterans Affairs Office. Failure to do so may result in an outstanding debt to the VA. ____

I understand that I must verify my enrollment with the VA each month in order to receive my benefits under Chapters 30 and 1606. I understand that this can be accomplished online at www.gibill.va.gov/wave or over the phone at 1-877-823-2378. ____

I understand that the VA pays the tuition for Chapter 31, Chapter 33, and Post 9/11 eligible students only. I further understand that if I am not a Chapter 31 or 33 recipient, I am responsible for paying my own tuition prior to the deadline to pay tuition or I may be dropped from my classes. Tuition must be paid before my request for VA benefits will be certified. ____

I understand that VA educational benefits may be discontinued if I fail to maintain satisfactory academic progress towards completion of program of study. ____

If you are using Chapter 33 benefits, any scholarships or tuition assistance that specifically apply to tuition and fees only will be deducted from the net total amount of tuition and fees reported to the VA. ____

I cannot receive benefits for a class taken now for which the requirement was previously met at DCC or another institution. If I receive benefits for a class previously completed with a passing grade, I may have to pay back to the VA the benefits I received for taking the class. 

I must have my DD-214/NOBE/transcripts from any previous colleges forwarded to the DCC Admissions and Records Office for evaluation of transfer credit. ____

I will only receive VA educational benefits for courses specifically required in my curriculum, except during the semester of graduation. ____

I will authorize the certifying official to release my grades and or/ transcripts to the VA or DVS as needed. ____

I will keep all contact information current in the Admissions Office so the certifying official will always be able to reach me with questions/information. ____

I understand that if I am using VA benefits at another college and wish to receive benefits at DCC also, I must have the Certifying Official contact DCC for approval. ____

Contacts

Sam Lowery

Sam Lowery

Veterans Support Specialist