Please Return form to: Office of the Registrar; ATTN: Veterans Affairs
P.O. Box 3011 Commerce, TX 75429-3011 Phone: 903.886.5068 Fax: 903.886.5888 www.tamuc.edu
The Veterans Administration regulations require that the University certify all courses used in
determining the veteran’s full-time equivalency status are applicable to the degree the veteran is pursuing.
Before certifying to the VA that you are enrolled, it will be necessary for you to file with this office the
certification below.
Recipient Information
Name
Address
Apt.
City State Zip
Phone E-mail
Benefit Use Information
Benefit
Are you currently on active duty?
Student Level
Certification Request
I understand that after certification a hold will be placed on my account. Should I have any changes to be
made to my schedule after the certiciation I will submit them to [email protected].
Please certify me to use veteran’s benefits as indicated in the form above.
Signature Date
yesno
____________________________
SSN VA File (if other than SSN)
CWID
Veteran Child Spouse
Summer I Summer II Fall Mini-MesterSpring
Please check appropriate block below for the semester in which you are registered and want your VA benefits applied. Choose only one. If you require additonal semesters to be certified, please fill out additional gold cards.
CertificationYear (ex. 2014)
______
Gold Card