Veterans' Action Request

Processing time for certification to be completed is five (5) working days.

Please note that a change in your class schedule may affect your VA benefits. Notification of adds or drops at any time during the term is necessary for accurate payment. Please notify our office of any changes immediately so that accurate payment can be made. Changes in enrollment after the last day to drop and/or add courses may result in the retroactive loss of benefits unless the Department of Veteran Affairs finds mitigating circumstances involved in the change. Loss of benefits could revert back to the first day of class.

Veteran's Information

First Name:*

Last Name:*

MI:

Address:

City:

State:

Zip:

Country (if not USA):

Telephone (include Area Code):*

E-mail Address:*

Student ID:*

Major:*

Education Objective:*

Are You A New Student? YesNo

Certification Term

Unit Load

CA Fee Waivers for Dependents

Other Issue or Concern (please provide explanation)

* Required field. For the Student ID, enter the number as it appears on your application acknowledgement letter or Student ID card. Current students: note that this application requires your new ID number and not those starting with "98".