Please complete this form in its entirety.

On-line Educational Benefit Certification Request Form

Once you have finish registering for classes, complete each question and submit to our office. Please keep in mind that the VA may take approximately 28 days to process your certification once they have received it.

Please provide all of the following (required):

First Name
Last Name
Street Address
Address (cont., if necessary)
City
State/Province
Zip/Postal Code  
Home Phone ###.###.####   
NAU Email   
NAU ID
SSN
VA Chapter

If you are eligible for CH. 35, you must fill out the VA File Number below

VA File#
Full-time monthly VA benefit
Degree
Major
Minor

How many credits would you like to be certified for?

Will you be graduating at the end of this term?

Are you currently Active Duty?

Will you be enrolled concurrently at any other institutions?

If Yes, then YOU are required to provide our office with a copy of your secondary school schedule if you want to use those classes towards your GI Bill.

Will this be your first time using GI Bill benefits at NAU?

If Yes, please indicate which supplemental form you filled out.

“Student Actions” that may result in an overpayment of VA benefits:

1. Withdrawal from class(s) for which you have been certified.
2. Receipt of grade(s) that don’t count toward graduation requirements.
3. Failure to have “I” grade(s) changed to grade(s) that count toward graduation.
4. Drop/Add activity that results in taking classes not required for the program of study.

I authorize the NAU Office of Veterans Services to certify my enrollment to the VA and provide a copy of my course schedule. I will immediately advise the Veterans Services office if I add or drop any classes. I must maintain satisfactory academic progress as defined in the NAU Catalog. I understand I am responsible to the VA for overpayment of benefits when I cause the above identified “Student Actions”. I understand I must make this request each semester that I want my benefit.

By clicking the Submit Form box below, I verify that the above information is correct and my submission is equivalent to a written signature.