Main Page Content

Veterans T13 - Winter 2023

Statement of Understanding for Receipt of Veterans Educational Benefits

  • Name Name *
  • Address Address *
  • Phone Phone * - -
  • Check One: I am a *
    Check One: I am a
  • Are you a: *
    Are you a:
  • NOTE:

    SUNY Brockport's Veterans Affairs Office will confirm your registered credit hours before submitting your enrollment information to the VA. The hours you are registered for at the time of certification will be submitted to the VA.

  • Select VA Chapter: *
    Select VA Chapter:
  • STATEMENT OF UNDERSTANDING FOR RECEIPT OF VETERANS EDUCATIONAL BENEFITS

  • As a Veteran, a Veteran's spouse or dependent receiving educational assistance from the Veterans Administration, I understand: *
    As a Veteran, a Veteran's spouse or dependent receiving educational assistance from the Veterans Administration, I understand: Agree
    This form must be completed and submitted no later than the start of each semester of attendance that you wish to receive benefits for. Failure to comply may adversely affect processing payment of your benefits.
    This form must be completed and submitted no later than the start of each semester of attendance that you wish to receive benefits for. Failure to comply may adversely affect processing payment of your benefits.
    I am required to notify SUNY Brockport's Veterans Affairs Office within 10 business days if I change any of the following: contact information, credit hours (adding or dropping classes), class attendance (stop attending), major, and if I am repeating a course for which I earned a letter grade.
    I am required to notify SUNY Brockport's Veterans Affairs Office within 10 business days if I change any of the following: contact information, credit hours (adding or dropping classes), class attendance (stop attending), major, and if I am repeating a course for which I earned a letter grade.
    I am responsible for notifying SUNY Brockport's Veterans Affairs Office if I change my VA Benefits Chapter.
    I am responsible for notifying SUNY Brockport's Veterans Affairs Office if I change my VA Benefits Chapter.
    I understand that it is my responsibility to remain aware of the regulations impacting my GI Bill Benefits chapter, including how it may impact my ability to receive other educational benefits.
    I understand that it is my responsibility to remain aware of the regulations impacting my GI Bill Benefits chapter, including how it may impact my ability to receive other educational benefits.
    I understand that I am unable to receive multiple tuition only awards, which exceed the total amount of tuition.
    I understand that I am unable to receive multiple tuition only awards, which exceed the total amount of tuition.
    I UNDERSTAND THAT IF I FAIL TO COMPLY WITH THE ABOVE REQUIREMENTS, IT CAN RESULT IN AN OVERPAYMENT OR UNDERPAYMENT OF BENEFITS. Any overpayment becomes a debt incurred by me and must be repaid to SUNY Brockport or the Department of Veterans Affairs in full before any future benefits are paid.
    I UNDERSTAND THAT IF I FAIL TO COMPLY WITH THE ABOVE REQUIREMENTS, IT CAN RESULT IN AN OVERPAYMENT OR UNDERPAYMENT OF BENEFITS. Any overpayment becomes a debt incurred by me and must be repaid to SUNY Brockport or the Department of Veterans Affairs in full before any future benefits are paid.
    I, the above named student, herby give my consent for SUNY Brockport to release requested educational student record information to the U.S. Department of Veteran Affairs.
    I, the above named student, herby give my consent for SUNY Brockport to release requested educational student record information to the U.S. Department of Veteran Affairs.
    I, the above named student, herby give my consent for SUNY Brockport to release requested educational student record information to the U.S. Department of Veteran Affairs.
  • Draw or Type
    I understand this is a legal representation of my signature. Clear
Close mobile navigation