Tuesday, October 07, 2008

Office of the Registrar

 

Online Claim Form

 ATTENTION!!

Beginning the Fall 2008 Semester ALL the prerequisites will be enforced.

First Name:

Middle Initial:

Last Name:

SSN or Student ID #:

VA File #:

Address:

 

City:

State:

Zip Code:

Daytime Phone #1:

  (Example:  702-999-8888)

Daytime Phone #2:

   (Example:  702-999-8888)

Email Address:

Chapter: 

Term: 

 If you are claiming benefits under Chapter 30 or Chapter 32, are you still on active duty?     

 Have you changed your major?                                

Important:  If you answered YES to the above question, you should not submit an online claim.  You must, however, submit a Request for Change of Program or Place of Training form, and a degree sheet signed by your counselor, to the CSN VA Office.  We cannot certify you if we do not have correct information!

 Have you changed your address?                              

Subject
Code
ex: ENG		 Course #
ex:101		 Title of Course # Credits
ex: 3		 Is the class required for your CSN degree? 
ex: yes/no
     
     
     
     
     
     
     
     
TOTAL CREDITS CLAIMED FOR VA BENEFITS:     

  

STATEMENT OF UNDERSTANDING:

  1. I understand that I must contact the CSN Veterans' Affairs Office, each semester, AFTER I register, to continue the receipt of my benefits and that I must report any change in enrollment to CSN Veteran Affairs Office. (It is best to register early, if possible, so your claim can be processed at the earliest possible date)
  2. I understand I must submit a degree plan for my chosen course of education leading to a standard college degree or certificate and have all prior training evaluated by the end of my second full-term semester. This evaluation result must be presented to the CSN Veterans' Affairs Office.  I do not expect to be paid by the VA for courses previously passed or for courses not required for my chosen objective or major, and that I must make satisfactory progress toward graduation to continue receipt of benefits.
  3. I understand that a grade of "W" or "I" may result in reduced payment from the VA and that the VA will not pay for audit classes.   I further understand that a grade of "I" must be completed within one year to prevent its conversion to a failing (F) grade.
  4. I understand that courses of other-than-normal semester term length may be paid at a different rate based on the number of credits and length of the course.
  5. I understand the VA will hold me responsible for any overpayment of my educational benefits.  In accordance with the Privacy Act of 1974 (Public Law 93-579), I authorize official representatives of the College of Southern Nevada to review and discuss my record concerning educational benefits with official representatives of the Department of Veterans' Affairs.
  6. I understand that benefit payments are always paid one month in arrears and initial payment of benefits may sometimes be delayed depending on the CSN VA and Regional Processing Offices' workloads.
  7. I understand that by submitting this form electronically, I certify, to the best of my knowledge, that all the information entered is true and that I have read, understand and agree to all conditions listed above.

 

Please, do not submit more than one claim for the same semester!