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Military Benefits Authorization Form
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Before you begin, have a copy of your schedule to refer to & look up how many months and days of entitlement you have remaining. See below for methods of finding this out.
First Name
Last Name
CSU ID #
Date of Birth
CSU Email Address
internal: bucmail device
BucMail Address
Email Address
Evening Phone
Mobile Phone
Primary Phone
Current Phone Number
internal: phone device
BucMail Address
Email Address
Evening Phone
Mobile Phone
Primary Phone
Student Type
Student Type
Traditional Student (on-campus)
Online Student (100% online)
Online Student (with In-Person classes)
Semester
You must submit a separate CRF for each semester. If you are registered for classes in multiple semesters, you must submit a separate CRF for each individual semester.
Fall 2024
Spring 2025
Summer 2025
Benefits Status
I have used my benefits before.
I have not previously used my benefits but have my Certificate of Eligibility (COE) and emailed it to Military@csuniv.edu.
I have applied for my benefits at Va.gov and know it takes approximately 30 days for my COE to arrive.
I have not yet applied for my benefits and will either pay or use the school’s payment plan while I wait for approval from the VA.
Other
Benefit Type
If unsure, contact our office!
Chapter 31 Veteran Readiness and Employment (VR&E) for Disabled Veterans
Chapter 33T Post 9/11 GI Bill – Transfer, Dependent or Spouse
Chapter 33 Post 9/11 GI Bill® for Military Members and Dependents
Chapter 35 Survivors’ and Dependents’ Educational Assistance (DEA) for Dependents
Chapter 30 Montgomery GI Bill Active Duty
Chapter 1606 Montgomery GI Bill Selected Reserve
Tuition Assistance
The initial application process for Chapter 31 benefit can take 3-4 months. If my VR&E counselor has not submitted a Purchase Order for my Tuition and Fees prior to the semester beginning, I will pay or enroll in a payment plan and then be reimbursed if/when the VR&E program pays my Tuition and Fees.
The initial application process for Chapter 31 benefit can take 3-4 months. If my VR&E counselor has not submitted a Purchase Order for my Tuition and Fees prior to the semester beginning, I will pay or enroll in a payment plan and then be reimbursed if/when the VR&E program pays my Tuition and Fees.
I understand
It is the student's responsibility to email
Military@csuniv.edu
their TA Authorization Voucher.
It is the student's responsibility to email
Military@csuniv.edu
their TA Authorization Voucher.
I understand
The Chapter 35 benefit provides a stipend to the student, but does not cover tuition and fees.
The Chapter 35 benefit provides a stipend to the student, but does not cover tuition and fees.
I understand
Using for the first time?
Using for the first time?
Yes
No
Payee Number:
located on the upper right corner of the VA Certificate of Eligibility
10 or W
41 or A
42 or B
43 or C
44 or D
Veteran's Social Security Number
Amount of Remaining Entitlement
Ways to find: Log in at
va.gov
or call 1-888-442-4551
Months Remaining
Days Remaining
Use this as an example for the table below - please refer to your
schedule:
Course
Cr. Hours
Course Name
Start Date
End Date
Mode
MATH 111
3
College Algebra
1/13/25
5/4/25
On Campus
ENGL 112
3
English Comp & Rhet II
1/13/25
5/4/25
On Campus
HIST 211
3
American History I
1/13/25
3/3/25
Web Only
Courses Registered - Use example above and refer to your class schedule:
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
On Campus
Web Only
Hybrid
Degree Type
Degree Type
Undergraduate
Graduate
Doctoral
My Degree Program
Concentration
Minor(s)
All of these classes are required for my graduation
VA benefits pay only for classes required for your degree program (including electives)
All of these classes are required for my graduation
VA benefits pay only for classes required for your degree program (including electives)
Yes
No
I will be graduating at the end of this semester
I will be graduating at the end of this semester
Yes
No
I know that I must notify Veteran Services of ALL schedule changes
I know that I must notify Veteran Services of ALL schedule changes
Yes
I am aware that changes to my shedule after the add/drop period may result in personal debt
I am aware that changes to my shedule after the add/drop period may result in personal debt
Yes
Typing your name in this blank is
equivalent to signing your legal signature, giving Charleston Southern University permission to submit this enrollment information to Veterans Affairs
Date
Submit