VA Benefits Self-Report Form

Name

Albany ID

Email Address

Aid Year and Term(s)

Chapters

Monthly Amount (including "Kickers" if applicable)

Months of Remaining Eligibility

Chapter 33 Post 9/11 GI Bill Payment Percentage
Percentage - Active Duty Completed after September 10, 2001

100% Option Definition - *At least 36 months
100% Option Definition - **At least 30 continuous days on active duty and discharged due to service-connected disability

(Select One)

Comments:

The Registrar certifies enrollment for all federal veterans education benefits. Eligible veterans must complete an information form for the Registrar’s Office each semester.

Email registrar@uamail.albany.edu or call (518) 442-5540 to contact the veterans’ services representative.