Request for Certification

Instructions:

Please complete this form to certify your enrollment for VA education benefits.

Any questions, please contact our office at (323) 343-5080 or email us at: vets@calstatela.edu.

Required fields are marked with a red asterisk (*).


 

Units
I will complete this form each semester that I want my enrollment to be certified for the VA. My enrollment certification will not be processed without this request. I will notify the Veterans Resource Center of any enrollment changes by submitting an updated Request for Certification Form.