Veterans Benefit Notification Spring 2015

As a GI Bill Recipient, you are responsible for submitting enrolled hours to Veterans Services in order to
be certified for the upcoming semester. Please complete this form and return it to our office. Without a
completed form, an enrollment certification cannot be transmitted to the St. Louis Regional Processing
Office. Upon completion, please click the SUBMIT button to send your information directly to EIU Veterans Services.

Name: Name: First Last
E#
EIU Email address:
GI Bill Chapter:

GI Bill Chapter: Montgomery GI Bill Chapter 30 Selected Reserves Nat’l Guard 1606 Reap (Activated Nat’l Guard) 1607 Dependent Chapter 35 Post 9/11- Chapter 33 Post 9/11 – 33 Dependent
Spring 2015 Hours
Do you have a kicker?

Do you have a kicker? Yes No
Amount:
Actively Drilling?

Actively Drilling? Yes No
Please Note: Non-standard length classes may alter your payment from the VA.
Major:
REMINDER: ONLY THE CLASSES REQUIRED FOR COMPLETION OF YOUR MAJOR WILL BE
CERTIFIED.
Have you changed your major since the last certification?

Have you changed your major since the last certification? Yes No
Have you changed your degree program?

Have you changed your degree program? Yes No
Have you changed your place of training? (If yes, please come to our office and fill out additional forms.)

Have you changed your place of training? (If yes, please come to our office and fill out additional forms.) Yes No
Has your address changed since the last certification? (If yes, please contact the VA at 1-888-442-4551 and give them the new address)

Has your address changed since the last certification? (If yes, please contact the VA at 1-888-442-4551 and give them the new address) Yes No
Are any of your enrolled courses repeat courses?

Are any of your enrolled courses repeat courses? Yes No
If yes, please list them:
You are responsible for ALL debt resulting from reductions or terminations of your enrollment
even if the payment was submitted directly to the school on your behalf.
If you are eligible for a Scholarship (IVG, ING OR TA) it is your responsibility to notify this office.
This form is for monthly GI Bill Benefits only
Today's Date: Today's Date: / MM / DD YYYY

Veterans Benefit Notification Spring 2015

Veterans Benefit Notification Spring 2015

Please Note: Non-standard length classes may alter your payment from the VA.

REMINDER: ONLY THE CLASSES REQUIRED FOR COMPLETION OF YOUR MAJOR WILL BE CERTIFIED.

REMINDER: ONLY THE CLASSES REQUIRED FOR COMPLETION OF YOUR MAJOR WILL BE
CERTIFIED.