GI Bill Benefits Request for Certification at MSU Moorhead

If you are receiving GI Bill benefits for education assistance, you must request certification. Please fill out the form below.

*indicates a required field

If you are receiving GI Bill benefits for education assistance, you must request certification. Please fill out the form below.

*indicates a required field

Student Number:

Name:

Address:

City:

State:

Zip:

Phone:

Email:

Please select the appropriate chapter:

Name of Veteran for Chapter 35:

Do you need a verification form sent to Champ VA?

Yes

No

VA File Number:

Degree Sought:

Major:

Name of Certificate:

Please certify me for (Choose one.):

Fall

Spring

Summer

I will be attending:

Full time (12 Credits is full-time status)

Part time (11 Credits or less is part-time status)

Will you be taking any other courses at another institution?

Yes

No

Name of other institution:*

I am responsible for informing the School Certifying Official (SCO) of any changes to my schedule. (It is wise to speak with SCO before dropping or adding classes to see how it might affect your payments.)(*)

I am responsible for informing the School Certifying Official (SCO) of any major/minor/certificate changes.(*)

I am financially responsible for any balance due that the VA does not pay the school directly OR for any changes made to my schedule that may directly or indirectly cause money to be returned to the VA.(*)

Additional Comments and Informatoin: