Forms

HSU VETS and VA Forms

Email the pdf, scanned copy,  or a full frame photo of both sides of your form to VETS@humboldt.edu for submission

-DD214 must be a MEMBER-4 form.

Intake Form
This form is required for all student collecting Veterans Benefits.

Veterans Benefit Form (VBF)
This form is required for all students collecting veterans benefits.

Request For Enrollment Certification
Use this form to request enrollment certification for veterans benefits each term. 

Veteran Change of Program or Place of Training Form -1995
Use this form when: changing schools, you're changing your educational, professional, vocational goal, left your program due to unsatisfactory attendance, progress, or conduct; and you're now reentering the same program, or you were VA education benefits as a veteran and now wish to receive benefits while on active military duty.

Veteran's Dependent Change of Program Form -5495
Use this form to request a change of program or place of training under the following benefit programs:

  • Survivors' and Dependents' Educational Assistance Program (chapter 35 of title 38, U.S. Code)
  • Post-9/11 GI Bill Marine Gunnery Sergeant John David Fry Scholarship (chapter 33 of title 38, U.S. Code)

Application for Tutoring
If you collecting GI Bill and want to the VA to reimburse Tutoring charges, complete this form.

Tutoring Supplement
This form is required to certify Supplement courses such as Chem 198 & Bot 198.

Concurrent/Supplement Enrollment
You can take classes at another college and request certification of enrollment toward your program here.

Reimbursement for Licensing or Certification fees
Tests that may be reimbursable by VA include licensing and/or certification for a job as a mechanic, medical technician, therapist, computer network engineer, website developer, and other professional. There is no limit to the number of tests you may take, or number of times you may take the same test. And, VA will pay for tests even if you fail them.

Check out: https://www.benefits.va.gov/gibill/licensing_certification.asp

If you have any questions please contact the VETS office.