CSULB Veterans Affairs Services Student Responsibility Form
Name (Last, First, & M): _______________________________________________ CSULB ID # ________________
.
Address: _____________________________________________________________________________________
City: _______________________________________________ State: ________________ Zip: _________________
Phone: ________________________ Email address: __________________________________________________
____Chapter 30 Montgomery G.I. Bill – Current or prior active duty.
____Chapter 31 Vocational Rehabilitation
____Chapter 32 VEAP
____Chapter 35 Dependents Educational Assistance VA Claim#__________________ (Required for Ch. 35)
____Chapter 1606 Montgomery G.I. Bill – Selected Reserve
____Chapter 1607 Reserve Educational Assistance Program (REAP) – Reservists deployed after 9/11/2000
Degree Objective (BA, BS, MA, MS): _______________ Major: _____________________________________________
Second Major:________________________________________ Expected Date of Graduation: __________________
Veteran’s Responsibilities:
- You must register in courses that are required for the educational objective you have selected. The Department of Veterans Affairs only pays benefits for those courses which
are part of an approved degree program, and have not been previously and successfully completed. Please refer to your degree progress report and/or contact the CSULB Academic Advising
Center or your major advisor to be certain the classes you are taking will apply towards your degree. You must submit a copy of your General Education Worksheet and degree program
plan to the CSULB Veterans Affairs Services Office in order to be certified for education benefits.
- You have 10 days to report adds or drops to the CSULB Veterans Affairs Services Office. Changes in enrollment after the last day to drop and add courses may result in the retroactive
loss of benefits unless the VA finds mitigating circumstances involved in the change. Loss of benefits could revert back to the first day of class.
- In the future, if you wish to change your major, you must notify the CSULB Veterans Affairs Services Office in writing within 10 days of submitting a Change of Major form to
Enrollment Services.
- You must report grades of “W” (Withdrawal) and/or “W/U” (Unauthorized Withdrawal) to the CSULB Veterans Affairs Services Office within 10 days. Your VA payment is based on
“pursuit” of your program so you must be enrolled and successfully completing your courses to be eligible for VA benefits. All grades of W and W/U will be retroactively reported
to the VA and may result in the retroactive loss of benefits unless the VA finds mitigating circumstances involved in the change. Loss of benefits could revert back to the first
day of class.
- Federal law requires you to report any change in your enrollment status that might affect your VA education benefits. Once you are enrolled at CSULB and you have been certified
through the CSULB Veterans Affairs Services Office, it is your responsibility to notify the office of any changes in status. This includes alterations to class schedule, change
of major and change of address. Changes should be reported to avoid delay in payments or possible overpayments.
- If you have been discharged from active duty, please submit a copy of your DD 214 to the CSULB Veterans Affairs Services Office.
I have logged on to my account on MyCSULB to access my personalized degree progress report. (If not possible, please contact the CSULB Veterans Affairs Services Office.)
I am aware that changes in my registration may alter the payment the Department of Veterans Affairs will award me. I understand that I will be liable for any overpayment which
I might receive from the Department of Veterans Affairs.
Signature of Veteran/Dependent : ____________________________________________________ Date:_______________
Return this form to the CSULB Veterans Affairs Services Office in Brotman Hall 250 (inside the Career Development Center).
