Spring 2025 CRF

VA Certification Request (Spring 2025 CRF)

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 Office of Military Student Success at O: 501-916-3387 / email: [email protected]. Please do not submit the form until after you have registered for classes.

Step 1 of 4

25%

Have you registered for classes for this semester?(Required)

You must be registered before you submit your CRF.

Yes

By submitting my UA Little Rock VA Certification Request form, I acknowledge that I have read and understand the following:(Required)

I have read agree to all the statements found below.

I understand the UA Little Rock Office of Military Student Success will certify my registration and ensure my class selections will not be deleted.
I understand the UA Little Rock Office of Military Student Success has to report dropped classes, term withdrawals, incomplete grades, non-developmental NC (No Credit) grades, and non-attendance grades to the Veterans Regional Office which may result in an over payment.
I authorize the UA Little Rock Office of Military Student Success to certify enrollment information to the Veterans Regional Office.
I understand VA will not pay for a course already passed at an acceptable level at UA Little Rock or any other school – (Check with your advisor: a grade of “D” may be an acceptable grade for your degree requirement) UA Little Rock’s official method of correspondence with students, including billings, is via the UA Little Rock assigned email address. I accept my responsibility to access my UA Little Rock assigned email account regularly and to take any required action.
I understand that the VA will not pay for an online remedial class.
I authorize UA Little Rock to apply any veteran educational benefits I receive toward my account balance. If my educational benefit is reduced or canceled, I understand that I will be fully responsible for all charges and should immediately contact the Student Accounts Office.
I understand that if my benefits exhaust before or during the term, I will be fully responsible for all charges and should immediately contact the Student Accounts Office.
I understand that UA Little Rock will assess financial penalties on any past-due accounts. At semester end, I understand that if I have a past-due account, my account will be referred to an outside collection agency and result in additional charges.
I am responsible for reading and understanding the current Drop/Withdrawal refund policy of UA Little Rock as it appears on the Bursar’s website at ualr.edu/bursar.
I understand I must enroll in classes required for my degree/major.
I understand I have made a contractual financial obligation to pay all tuition and fees associated with any classes in which I register, unless I withdraw by the deadlines listed below. “Not Attending” does not remove this obligation.

What semester do you want certified for VA educational benefits?(Required)

Spring 2025

This submission is:

Certification Request – New

Update Previous Request – Add / Drop / Correct

Important Dates

The Bursar’s Office (the Office of Student Accounts) Website has both the payment dates or refund schedule.

For important Academic dates, (days to register, drop dates, graduation, etc.) refer to the Academic Calendar. This includes deadlines and academic events for the current semester(s) and links to previous semester calendars.

Name(Required)

First Last

Student ID (T00123456)(Required)

Phone(Required)

Address(Required)

We have added this field to the CRF, because the VA uses the address that is in the VA’s Enrollment Manager system to mail any information to you. We want to make sure the address they have is correct.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

UA Little Rock’s official method of correspondence, including billings, is via the UA Little Rock-assigned email address.

List your major(Required)

Example: Mathematics

Educational Benefit(s) Used(Required)

CAUTION: Ensure this is correct

Full name of your VR&E Counselor?(Required)

For matching with PO/Authorization number to initiate approval for housing allowance.

Is this a different VA educational benefit from last semester?

Yes

If “Yes,” we will need a new Certificate of Eligibility (COE) or VA form 28-1905 for the new benefit.

Are you on active duty?(Required)

Yes

Will you receive other tuition assistance for this semester? (i.e., TA, employee discounts, scholarships, etc.) – This does not include student loans or pell grants(Required)

Yes

The VA requires us to deduct any tuition-specific aid from your tuition and fees before we post them in VA’s Enrollment Manager.

What other aid are you expecting to receive?(Required)

Will you be attending a school other than UA Little Rock for the semester being certified?(Required)

Yes

What is the name of the school?

Are the classes you are taking working towards your degree plan and graduation?(Required)

The VA will not fund courses that are not required for your degree plan or graduation. If you are not sure if your classes meet this requirement, email [email protected].

Yes

Total hours enrolled(Required)

Total hours to certify(Required)

This is rarely different from the box above. If you’re enrolled in classes outside of your degree plan, and therefore not using your VA educational benefits for those courses, subtract those hours from the number above and enter it here.

I understand how many hours are required to be part time/full time, and I understand my benefits will be affected by the amount of hours I am in.

Yes

If you do not understand the requirements for part-time and full-time, please visit https://ualr.edu/military/benefits-by-chapter/ and va.gov or call the Military Student Success Office at 501-916-3387.

By submitting this form, I agree to notify the UA Little Rock Office of Veterans Affairs should I change my major or adjust my schedule. Schedule changes may result in an overpayment.(Required)

I have provided accurate information and agree to comply with all Veterans Regional Office Guidelines.

New Parking Permit(Required)

Please initial here to acknowledge that vehicles parked on campus must be registered Public Safety. Note: VA educational benefits will not reimburse any fees related to parking.

Degree Plan or Advising Form (Not Required to Submit Form)

The VA requires us to have an advising form (each semester) or a degree plan* on file for you.

*Note: Once we have a degree plan, you will not have to submit anything else, unless you change majors.

You may upload your degree plan or advising form if you have one. If not, we will check and see that you have one on file.

This is not required to submit the CRF.

Max. file size: 15 MB.