Student must notify the School Certifying Official when they want to use their GI Bill benefits. Students can use this form, or complete the paper version in our office.
All fields are required unless noted otherwise.
Social Security Number
IUP E-mail Address
Alternate E-mail Address
Address Line 1
Address Line 2 (Optional)
Note: Change in enrollment will affect your benefits. Contact the MRC before making any change.
VA File number (Chapter 35 only) (For all others, please enter "N/A")
How many credits do you plan to use FTA for?
If you answered yes, provide the Class, Address of Training (including Zip Code), and Academic Advisor for each class or training. If you answered no, enter N/A.
By my signature below, I hereby affirm the following statement and agree to the following condition:
Your Name (as a signature)