GI Bill Benefits Request for Certification at MSU Moorhead

If you are receiving GI Bill benefits for education assistance, you must request certification. Please fill out the form below.

*indicates a required field

Student Number:*

Name:*

Address:*

City:*

State:*

Zip:*

Phone:*

Email:*

Please select the appropriate chapter:*

VA File Number:*

Degree Sought:*

Major:*

Name of Certificate:*

Please certify me for (Choose one.):* Fall Spring Summer

I will be attending:* Full time Part time

Remember: 12 Credits is full-time status

Will you be taking any other courses at another institution?* Yes No

Name of other institution:*

I am responsible for informing the School Certifying Official (SCO) of any changes to my schedule. (It is wise to speak with SCO before dropping or adding classes to see how it might affect your payments.)*

I am responsible for informing the School Certifying Official (SCO) of any major/minor/certificate changes.*

I am financially responsible for any balance due that the VA does not pay the school directly OR for any changes made to my schedule that may directly or indirectly cause money to be returned to the VA.*

Additional Comments and Informatoin: