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Veteran Benefits/Units Update Form

Complete this form to update the amount of units certified for your VA Educational Benefits.

Student/EMPL ID Number *

Student's First Name *

Student's Last Name *

Cal Poly Email *

Major *

Choose one or more: *

Undergraduate

Graduate

Other

Phone Number *

Select one: *

Fall 2018

Winter 2019

Spring 2019

Summer 2019

Update my unit certification to: *

Veteran or Dependent *

Veteran

Dependent

I acknowledge it is my responsibility to report changes made to my enrolled units, major, concentration or approved technical electives, etc. , to the School Certifying Official.

Signature *

Date *

Leave this field blank

30/MGIB	1606/MGIB-SR	35/DEA
33/POST 9-11	31/VOC REHAB	1607 REAP

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