Statement of Veteran’s and Dependent’s Responsibilities for Veteran Educational Benefits
It is important to understand that the University of Hawai‘i at Hilo School Certifying Official (SCO) is not a representative of the
military or the Department of Veterans Affairs. Similarly, Academic Advisors are not VA Certifying officials.
(Initial: _____) In order to obtain/retain Department of Veteran Affairs (DVA) Educational Benefits I agree to:
1. Submit the Veteran Enrollment Certification Request form every semester to the UH Hilo Office of the Registrar.
2. Inform UH Hilo Office of Registrar of any changes in academic status such as: add/drop of classes, completely
withdrawing from classes, change of program/major, academic dismissal, or concurrent enrollment at another
institution.
3. Register for classes that are required for completion of a degree or graduate certificate.
4. Make satisfactory progress towards the completion of my declared degree or graduate certificate.
5. Authorize the University of Hawaii at Hilo Registrar’s Office to release information from my student record to the
Veterans Administration.
(Initial: _____) I understand the following:
1. Benefits can be received for more than one program/ major or graduate certificate at a time.
2. The VA does not pay for repeated courses if I have already received a passing grade for that course, unless my degree
plan requires a higher grade than I received.
3. I must have a declared degree or graduate certificate.
4. Receipt of a non-punitive grade will be reported to the VA and it could affect my benefits, which I may have to repay to
the VA. (Example grade: “W”).
5. Academic dismissal or probation will be reported to the VA if benefits were received for the course, and I may have to
repay benefits received.
6. The VA will not pay for classes that do not pertain to my declared degree or graduate certificate.
7. Any changes made to my schedule after I have been certified could result in having to reimburse the VA for benefits
already received.
8. The VA will only pay the in-state tuition rate for UH-Hilo, up to the percentage rate I am entitled to as stated on my
COE.
9. It is my responsibility to keep current and accurate information with the Registrar's Office
It is important to understand that each chapter has its own requirements that must be fulfilled to continue receiving
benefits through the VA. (Initial the one that applies)
• (Initial: _____) Chapter 33 students: I understand the GI Bill payments for tuition and fees do not take effect until after
the semester begins. Although a hold is placed on my account while waiting for the VA to pay my tuition and fees, I
understand I am ultimately responsible for all outstanding balances that are placed on my account. I also understand it
is my responsibility to be aware of all payment deadlines and that the Office of the Registrar will not be contacting me
if my classes get purged for non-payment.
• (Initial: _____) Chapters 30, 35, 1606, and 1607: I understand that I must make a payment for my tuition and fees or
enroll in a payment plan prior to payment deadlines or my courses may be purged for non-payment. I understand that
I must verify enrollment on the last day of every month of the semester by calling 1(877) 823-2378 or through the Web
Automated Verification of Enrollment (WAVE) online at https:www.gibill.va.gov/wave. Non-compliance may result in
termination of my benefits.
I CERTIFY THAT I HAVE COMPLETED THE FRONT SECTION OF THIS FORM TO THE BEST OF MY KNOWLEDGE, AND THAT I HAVE
READ AND UNDERSTAND THE ABOVE CONDITIONS WHICH NEED TO BE MET IN ORDER TO RECEIVE DVA EDUCATIONAL
BENEFITS.
Student Signature:
Date:
