VA Benefits Registration
Veterans Certification Request
September 19, 2019
VA Benefits Terms Agreement
I am aware I must fill out this form each semester after registering for classes to receive benefits. Only degree applicable courses will be certified. I understand that courses that deviate from the standard term are certified separately and may affect VA rate of pay. Due to processing time, adjustments in enrollment status may result in overpayment of benefits. The completion of this form authorizes the School Certifying Official to certify enrollment and provide academic record information to the Department of Veteran Affairs to ensure the receipt of Educational Training Benefits. A declared major must be reported to the VA by the end of the second semester. It is my responsibility to notify the School Certifying Official immediately upon adding, dropping, or withdrawing from a course. I certify to the best of my knowledge the information below is accurate and complete. In consideration of my admission and enrollment, I, the undersigned, do hereby agree to assume and pay any and all costs associated with said admission and enrollment not paid by the VA directly to the University.
    I have read and agree to the above statement
If you wish to complete this application for a future term you MUST register for classes before submitting this application
Applicant Information
MU ID (901 Number): First Name: MI: Last Name:
Marshall E-Mail Address: Contact Number:  
 
Street: City:
State: Zip:
Current Major: Expected Graduation Date:
Check here if you have changed your major since last certification:    
Select the term: Number of hours to be certified for the selected term (1 - 30 hours):
Select your main campus:    
VA Application Information
Check here if you need to transfer your benefits from another institution:    
Please select benefit:    
Please select your duty status:    
Do you receive (check all that apply):
                 Active Duty Tuition Assistance      National Guard Tuition Assistance      Reserve Tuition Assistance
                 Financial Aid      Scholarship      Other
                             
For assistance with the VA Certification Request, please contact the Office of the Registrar at: Email - vareg@marshall.edu / Phone - 304-696-6410 / Fax - 304-696-6476