Va Clearance Form – Fill Out and Use This PDF

The VA will hold you responsible for any education benefit overpayment resulting from reduction or termination of your enrollment even if the payment was submitted to the school on your behalf.

Chapter 33 Recipients – Though you may be approved for 100% tuition benefits under the Post 9/11 GI Bill (Chapter 33), the VA only pays the full graduate or undergraduate in-state tuition rate established for the Fall semester. Subsequent tuition increases during the academic year may not be fully paid by VA. Check your account balance on LEO Online and contact the Office of Finance if you have any questions.

Deferment Information

Tuition Deferment Due Dates

Fall Semester – November 25

Spring Semester – April 10

Summer Semester – October 3

Deferments are not offered to Chapter 31 recipients and MEM Ashore students. The deferment covers tuition, fees, housing and meal plan charges. Payments not received by the deadline are subject to all applicable late fees and penalties.

You will not receive a deferment if you have an outstanding balance from a previous semester.

Terms and Conditions

1.Students who change major, duty status (Active Duty/Veteran), or Chapter, or have a break in enrollment, or request not to be certified for a term, must submit a new form to restart certification of benefits.

2.I understand that I must be enrolled in a program of study leading to a standard college degree or certificate by the end of my second term of enrollment in order to receive VA benefits.

3.I understand that I can only receive benefits for courses required for my degree and that I must make satisfactory progress towards graduation. I understand that withdrawal from courses and subsequent grades of “W” may reduce VA payment eligibility. I understand that the VA will not pay for courses that I audit, take without credit, or do not attend, and that the VA will hold me responsible for any education benefit overpayment.

4.I understand that I must report non-standard courses because they may be at a different rate as determined by the VA based on the number of credit hours and the length of the course. Failure to report can result in overpayment.

5.In accordance with the Privacy Act of 1974 (Public Law 93-579), I authorize the Department of Veterans Affairs to review and discuss my academic records with an official representative of Old Dominion University.

6.Chapter 31 only – I understand that my Vocational Rehab counselor must submit a VA Form - 1905 before my certification will be submitted to the VA.

7.ODU follows the dual-stage certification process as required by the Department of Veterans Affairs. For information on this process, see http://www.odu.edu/military/students/veterans- services/va-certifying-official.

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Personal Information

Semester

Number of credits to be certified for the semester

Name

*SSN (required)

UIN

Major

Address

City, State, Zip

Phone

ODU Email

Before submitting this form, you must:

•Apply online at www.va.gov (https://www.va.gov/education/how-to-apply/) if this is your first time using GI Bill benefits.

•Be registered for classes.

•Review your Degree Works on LEO Online to ensure all coursework applies to your degree. Contact your advisor if you have any questions about course applicability. Only applicable coursework will be certified for VA Benefits.

•Notify the VA online if you change program of study or place of training, at www.va.gov (https://www.va.gov/education/change-gi-bill-benefits/).

Benefit Information (select)
Change of status/Chapter? (e.g. did you go from Active Duty to Veteran?) Yes			No
Chapter 30 (Active Duty) – Montgomery GI Bill – Are you also using Tuition Assistance? Yes				No
Chapter 30	(Veteran) – Montgomery GI Bill
Chapter 33	(Active Duty) – Post 9/11 GI Bill – Are you also using Tuition Assistance? Yes			No
Chapter 33	(Veteran/Dependent) – Post 9/11 GI Bill
Edith Nourse Rogers STEM Scholarship (please attach award letter)
Chapter 35	– Dep./Survivor (Federal Benefit Only) – Enter Sponsor’s SSN
(Please contact Financial Aid if you are utilizing VMSDEP.)
Chapter 1606 – Reserve

Please allow 3-5 business days for processing. During peak periods please allow 10-14 business days. Be sure to check your ODU student e-mail for communications from the Military Educational Benefits Team.

I have read the information contained in this form, including Page 1, and accept responsibility for repayment to ODU and/or VA, if required. I understand the Terms and Conditions, and acknowledge that the information I have provided here is correct.

Signature

Date

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