VETERAN INFORMATION CARD (VIC)
Sacramento City College, Veterans Affairs Office (916) 558-2591 3835 Freeport Blvd, Sacramento, CA 95822
IMPORTANT:
All requested information must be completed and this form signed in order to process your certification.
CERTIFICATION BEYOND THIS TERM IS NOT AUTOMATIC.
It is your responsibility to ensure that your benefits continue by submitting the VIC each semester.
New Applicants: Always allow the USDVA at least 6-8 weeks to process your application and payment.
If you have used benefits previously, please allow the USDVA at least 30 days to process your payment.
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NAME: _______________________________________________________________________ SCC ID#________________________
LAST FIRST MI
TERM (PLEASE CHECK ONE): SUMMER SPRING FALL 20________
Type of Benefits: Chapter 30 (GI Bill) Chapter 33(Post-9/11) Chapter 35 (Dependents) = Chapter 1606/1607
WAIT! Please indicate only the classes in which you are enrolled. You will only be certified for classes in which
you are enrolled & which satisfy Major/GE requirements. If you are waitlisted, it is your responsibility to notify
the SCC VA Office once enrolled.
COURSE (IE: MATH 400)
UNITS LOCATION: (IE: ARC / CRC / SIERRA ) OFFICE USE:
PLEASE ATTACH A COPY OF YOUR CLASS SCHEDULE
SO A PARENT SCHOOL LETTER CAN BE SENT TO THE
APPROPRIATE SCHOOL FOR CERTIFICATION.
Total semester units_______ Are you repeating any classes? (Circle One) Y N If yes, list class(es), term(s) previously taken and grade(s) received:
____________________________________________________________________________________________________________________________________
I understand that the SCC Veterans Affairs Office will only certify for payment of those courses that are required for my
degree, and the USDVA will be notified of my enrollment status each semester. I agree that I will notify the SCC Veterans Affairs
Office of any and all changes in my program within one week of the change.
Student’s signature: ________________________________________________________ Date: _________________________________________
CONTACT INFORMATION DEGREE OBJECTIVE*
Report address change to VA
Major: _________________________________AA/AS or BA/BS
Mailing Address: __________________________________________________
Transfer School (if BA/BS)___________________________________
City: _______________________________State: __________ZIP:___________
Have you attended any other college since your last semester w/ SCC?
Phone # ( ) __________________-_____________________________ List School(s)_______________________________________________
Email Address:_____________________________________@______________ *If you are changing your major, you MUST complete
a new VACP w/ an SCC counselor and submit Change
of Program request form.
