VETERANS INFORMATION

All students eligible for VA benefits must complete the form below and return it with their registration forms. It is imperative that this form be filled out accurately and completely. Failure to do so may result in a delay in receipt of benefits. Students applying for VA benefits for the first time must fill out an application in the Office of Veterans Affairs. Bring your original DD214 or your Notice of Basic Eligibility. Returning students have the responsibility of insuring that they are certified to the VA accurately each semester that they are registered for classes. The Office of Veterans Affairs is located in the Admissions Office, Pemberton Hall. Telephone 968-8112. Hours are Monday through Friday, 8:30 a.m. to 4:00 p.m.

New and returning veterans are expected to pay College tuition on the same due dates as non-veteran students. However, tuition deferments are available at the Office of Veterans Affairs. NOTE: You must fill out the separate three-part form to qualify for a deferment. Deferments are typically due about halfway through the semester and payment arrangements are expected to be kept current once you start receiving your VA funds.

VETERANS REGISTRATION VERIFICATION FORM

INSTRUCTIONS: Please fill this form out completely, then print out, sign, and mail
to the address below. This form may NOT be submitted electronically.


STUDENT NUMBERSOCIAL SECURITY NUMBER
· ·
Major Date of Birth
Name
Address
City State Zip
Telephone (Home) (Work)
Have you ever collected VA educational benefits at Bucks?
Yes No		 If yes, when?
FALL SPRING
SUMMER
If no, have you ever collected VA benefits at another institution?
Yes No

SESSION COURSE NO. SECTION COURSE TITLEBILLABLE
CREDITS
TOTAL CREDITS
EDUCATION BENEFIT YOU ARE APPLYING FOR:
MONTGOMERY GI BILL - ACTIVE DUTY EDUCATION ASSISTANCE PROGRAM (CHAPTER 30)
MONTGOMERY GI BILL - SELECTED RESERVE EDUCATION ASSISTANCE PROGRAM (CHAPTER 1606)
VOCATIONAL REHABILITATION PROGRAM (CHAPTER 31)
SURVIVORS AND DEPENDENTS EDUCATION ASSISTANCE (CHAPTER 35)
 VA File Number (Chap. 31 & 35 only. REQUIRED for CHAP. 35) _______________________________

Signature ___________________________________ Date ________________

I hereby understand that I must immediately notify the Office of Veterans Affairs at Bucks County Community College of any change in my course load this semester. Failure to do so may result in reduction or termination of VA Educational Benefits for the entire semester.