VA Certification Request Form

The U.S. Department of Veterans Affairs requires certification each semester for which you wish to receive VA Education Benefits. All returning Penn State Fayette students must fill out the following VA Certification Request Form before the beginning of each semester so that benefits will not be interrupted.

Contact Information
Military Affiliation
Branch of Service
Are you currently on active duty?
Are you receiving Military (Active Duty) Federal Tuition Assistance?
Are you a veteran?
Do you have a service-connected disability?
Are you using Tuition Assistance (Active Duty Military) Top-Up?
Educational Information
Is this your first semester at Fayette?
Program Level
Financial Aid
Have you completed your Free Application for Federal Student Aid?
Indicate any tuition-specific financial aid you are utilizing.
Be advised, we are required to deduct tuition-specific financial aid from the total tuition reported to the VA.
Acknowledgement Statement:
It is my responsibility to request certification with the Fayette Campus Veterans Office for each semester I intend to utilize VA education benefits. It is my responsibility to consult with a Veterans Counselor prior to making any enrollment changes and to report any change in status (i.e., enrollment, program of study, contact information) to the World Campus Veterans Office as soon as it occurs. It is my responsibility to notify the Fayette Campus Veterans Office of any changes in my VA education benefit. I am responsible for any debt owed to Penn State of the VA due to limited/exhausted entitlement or an overpayment of my education benefits. I certify that I have read this document in full and understand my responsibilities as outlined above.