Military Benefits Authorization Form

The VA requires the school to obtain an authorization form each semester before benefits can be certified.

First Name

Last Name

CSU ID #

Date of Birth

CSU Email Address

Current Phone Number

Student Type

Semester

Benefits Status

Benefit Type If unsure, contact our office!

It is the student's responsibility to email Military@csuniv.edu their TA Authorization Voucher.

I understand

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

VR&E Counselor's Name

The Chapter 35 benefit provides a stipend to the student, but does not cover tuition and fees.

I understand

Using for the first time?

Yes

No

Payee Number*

Veteran's Name

Veteran's Social Security Number

*The Payee Number is located on the upper right corner of the VA Certificate of Eligibility

Amount of Remaining Entitlement
Ways to find: Log in at va.gov or call 1-888-442-4551

Months Remaining

Days Remaining

Degree Type

My Major

Concentration

Minor(s)

All of my 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

Yes

No

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

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