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VETERANS CERTIFICATION FILLABLE ONLINE FORM



  • Section A: Student Information










  • Check here if change in major/place of training AND THEN COMPLETE THE FOLLOWING INSTRUCTIONS:


  • For changes in major/place of training. Fill out the VA form 22-1995 online. Email confirmation of form to veterans@wvncc.edu.

     

     



  • Your Plans for College

    • Select only semesters that pertain to you and give credit hours for those semesters
    • Full time is 12 full-term hours of classes.
    • Classes that meet for 6 or 8 weeks are computed differently by the VA.




  • STATEMENT OF RESPONSIBILITY

    “I understand that any changes in my educational status, i.e., adding or dropping courses will be reported to the VA by WVNCC. I also understand that it is also my responsibility to report these changes. Changes in my dependency status must also be reported.  All entries on this form are true to the best of my knowledge.”

    CAUTION: A student who willfully submits a false report to obtain benefits under this law may be prosecuted, resulting in fine or imprisonment or both. 

    It is the student’s responsibility to use the Degree Evaluation/Northern Navigator to see if their courses are covered under their program.  I have provided an email address for certification notification. 


  • By entering my name below, I acknowledge receipt of WVNCC Fact Form, that I have had all my questions and concerns answered, and have agreed to the above information.


  • IMPORTANT NOTES FOR ALL STUDENTS

    VA benefits will not pay for courses not counted toward the graduation requirements of your appropriate catalog, audits or unnecessary repeats, and non-punitive grades (such as CEU classes; AW grades; and basic skills, remedial, or refresher courses not authorized by the college through the office of Veterans Affairs prior to registration). Chapter 1606 benefits do not pay for remedial coursework. Substitute classes must be submitted in writing to the Veterans Certifying Official prior to registration or they will not be eligible for VA funding. It is the responsibility of the student to follow up with the Records Office for graduation requirements for substitute classes.  

    INSTRUCTIONS AND INFORMATION ON FORMS NEEDED:

    SECTION A: RETURNING STUDENTS

    You must complete WVNCC Veterans Certification Form one time for each school year.  These forms are good for all three semesters during the academic year listed.

    In addition to the WVNCC form, returning Veteran students who have used VA Benefits at WVNCC continuously do not need to complete any additional forms unless

    • changing their address (form VA 572 Request for address/direct deposit change)
    • changing their major (form VA 22-1995 Change of program/place of training)
    • canceling direct deposit (form VA 572 Request for address/direct deposit change)          
       

    Returning Veteran students who have attended another institution and used VA Benefits and are now returning to WVNCC must complete form VA 22-1995 (Change of program/Place of training)

     
    SECTION B: NEW WVNCC STUDENTS

    New Veterans at WVNCC applying for benefits must complete the following:

    Chapter 30 (Montgomery GI BILL)

    • Complete form VA 22-1990 (If on active duty, your base Education Service Officer must certify your application)
    • Complete WVNCC Veterans Certification Form

    Chapter 31 (Veteran Readiness and Employment)

    • Complete WVNCC Veterans Certification Form
    • Contact VR&E counselor to send form VA 28-1905 authorization form

    Chapter 33 (Post 9/11)

    • Complete WVNCC Veterans Certification Form
    • Complete form VA 22-1990 (Submit Certificate of Eligibility (COE) once you receive from DVA)

    Chapter 35 (Dependent Benefits – both spouse or children)

    • Complete form VA 22-5490
    • Complete WVNCC Veterans Certification Form

    Chapter 1606/1607 (National Guard or Reserves)

    • Complete WVNCC Veterans Certification Form
    • Complete form VA 22-1990

    Need help or have questions about enrollment hours certified by WVNCC, call your certifying official, Jenna Derrico, 304-214-8962 or email her veterans@wvncc.edu.

    Questions about your Veterans benefits or payment: call 1-888-GIBILL1 or by website www.gibill.va.gov and click on Ask VA.



  • Section B: Veteran Information


  • Which benefits chapter are you applying for: *









* = Required

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