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Veteran's Certification Request Form

This form must be completed each semester.

Completion of this form authorizes SUNY Schenectady to provide required information, and to certify your enrollment at SUNY Schenectady, for the specified semester, to the U.S. Department of Veterans Affairs (VA). This form is required each semester.
Last, First, Middle Initial
It is your responsibility to keep the VA and SUNY Schenectady informed of changes in your contact information.
If yes, VA Form 22-1995 or 22-5495 (CH 35) must be submitted.
The Certifying Official must have a copy of your Certificate of Eligibility letter on file.
Enrollment Agreement*
You are encouraged to apply for Financial Aid, as the VA payments may not begin until after the semester has begun.

Please Note: The VA will certify claims in the order received. Omitted information can result in delays. My signature below indicates that I understand the above guidelines, and that I know I must complete a new Veterans Cetifcation Reuest form each semester for which I wish to receive benefits.