University of Arkansas at Little Rock
Certification Request Form
- This certification request is the responsibility of the student. All sections of this form must be completed.
- Students wishing to receive VA educational benefits will not receive them unless they are certified each semester
- For inquiries, please contact the UALR VA Office at O: (501) 682-8387 / F: (501) 683-7055 / email: firstname.lastname@example.org
Items marked with * are required