Yuba College Veterans Services
2088 North Beale Road 725 Building
Marysville, CA 95901
Phone: (530) 741-6822
Email: VeteranServices@yccd.edu
VETERANS ACCESS, CHOICE, AND ACCOUNTABILITY (VACA)
NONRESIDENT ENROLLMENT FEE EXEMPTION FORM
In compliance with Section 68075.7 of the California Education Code, Yuba College will grant a full exemption from the nonresident
enrollment fee to all students verified to be “covered individuals” that are eligible to use Montgomery GI Bill-Active Duty
or Post-9/11 GI Bill education benefits (Chapters 30 and 33, respectively, of Title 38, U.S. Code) while living in California.
Eligibility for VACA Nonresident Tuition Exemption:
• Must be a “covered individual” as defined in the Veterans Access, Choice, and Accountability Act. See back of this
form for a definition.
• Must start attending classes at Yuba College within three years of discharge from a period of active duty service of
90 days or more (of self or of eligible spouse or parent).
• Must provide evidence of eligibility for VA education benefits by providing a “Certificate of Eligibility” issued by
the Veterans Administration, confirming the approved education benefits for the veteran student or eligible
dependent.
• Eligible spouse or dependent must provide a copy of the Transfer of Entitlement approval form.
• Must provide a copy of form DD-214, Certificate of Release of Discharge from Active Duty.
This completed form must be verified in person by Veteran Services in Room 725 with the appropriate documentation.
STUDENT/VETERAN INFORMATION: VETERAN DEPENDENT INFORMATION:
STUDENT ID #:
Last Name:
First Name: Last Name: First Name:
Address:
City, State, Zip: City, State, Zip:
Phone: Phone:
Email:
Email:
I hereby request a VACA Nonresident
Tuition Exemption on the basis of my eligibility or the transfer of eligibility of my parent. I
certify under penalty of perjury that all information and documentation provided in support of my request is legitimate and
accurate. I also understand that if granted this exemption, it will be limited to my exemption from nonresident
enrollment fees. I further acknowledge that in receiving this exemption, I will not be granted California Residency. It is my
responsibility to request reclassification to California Residency once I meet the eligibility requirements as noted on the Yuba
College Admissions & Records Office website https://yc.yccd.edu/admissions/residenc
Student Signature Date
FOR SCHOOL CERTIFYING OFFICIAL (SCO) USE ONLY
Covered Individual Status:
□ Veteran
□ Dependent of Veteran
Verification:
□ STATE ISSUED ID/DL and
□ DD-214 and
□ Certificate of Eligibility or
□ Transfer of Entitlement
SCO Reviewed by/Date:
FOR ADMISSIONS USE ONLY
VACA Coded in Database:
COMMENTS:
Address:
STUDENT ID #:
YES
NO
A&R Entry by:
Entered on Date:
Date of Discharge:
VACA Expiration:
VACA Eligible:
YES
NO
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