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Veteran Education Form

Fields in bold are required

Personal Information

Do you have a Bellevue University Email?


All future email communications will be sent to your Bellevue University email address once it is assigned.

Have you applied for your Department of Veteran Affairs (DVA) education/GI Bill benefits?


If you haven't applied yet or you are switching your benefit, you will need to complete VA Form 22-1990 (or VA Form 22-5490 if you are a dependent). All of these applications can be filed electronically from the Department of Veteran Affairs (DVA) Education website – www.gibill.va.gov.

Program Selection

Department of Veteran Affairs (DVA) education benefit you plan to utilize?







Military Information

Military Status (Check all that apply)






Are you Reserve/Guard on active duty status?


Military Tuition Assistance

Are you using any of the following tuition assistance options? (Check all that apply)

EXCLUDE TITLE IV FUNDING: PELL GRANTS, FEDERAL SUBSIDIZED/UNSUBSIDIZED STAFFORD LOANS IN THIS SECTION

Degree Information

Are you degree seeking?


If you have questions regarding your DVA education benefits, please contact the DVA directly. You may call the toll-free Education phone number 1-888-442-4551 or use the 'Submit a Question' feature at the GI Bill website www.gibill.va.gov. Questions regarding your Bellevue University DVA benefits may be directed to (402) 557-7329 or 1-800-756-7920 ext. 557-7329 or email va@bellevue.edu.

Veterans Services Policy Statement

General Policies

  • All students receive billing statements from Bellevue University.
  • Bellevue University will submit enrollment information for all eligible enrolled students within 5 business days of the 60 day class/session start date. (Any subsequent student enrollments within the 60 days will be certified within 5 business days of the student enrollment date.)
  • Changes in class enrollment after the last day to drop or add classes may result in the retroactive loss of benefits unless the DVA finds mitigating circumstances involved in the change. Loss of benefits could revert back to the beginning of term.
  • If you withdraw from or stop attending classes the DVA may make a determination that you have a debt and repayment may be required. This may also result a debt with Bellevue University.
    You should be aware that payment of tuition and fees is YOUR responsibility. You will not be allowed to register for or attend any future classes until all your financial obligations to Bellevue University are met.
  • You must be a degree seeking student. Also you must declare a major by the time you accumulate 60 credit hours (this number includes transfer hours).Generally, the DVA will not pay for classes that are not required for your program of study or count toward your graduation requirements. Federal Regulations dictate that Bellevue University cannot certify elective classes in excess of required elective hours. Benefits are not payable for repeating classes that have been successfully completed, or for the sole purpose of raising your cumulative grade point average (GPA). It is your responsibility to ensure that classes taken comply fully with DVA requirements.
  • Academic Advising is an important process for any Bellevue University student. It is very important for all veteran students to realize that there is a distinct difference between academic advising and DVA certification. It is quite possible that a class you may be advised to take will not meet DVA certification requirements. For example, while it may be academically sound to repeat a class or take elective classes, the Veteran Benefits Coordinator may not certify such classes for payment and you would be personally responsible for the resulting cost. It is your responsibility to make certain that your classes meet DVA certification requirements should you desire DVA payment for these classes.
  • You must maintain satisfactory progress in accordance with school policy. If you are having difficulty with a particular class, please inquire about tutorial assistance.
  • It is your responsibility to have official copies of all transcripts sent to Bellevue University; you should initiate this process immediately upon initial registration for an evaluation of the amount of credit that can be allowed toward your current program of study. In addition, you may submit supporting documentation of any military training or experience for evaluation purposes. If, after 60 days, Bellevue University has not reported to the DVA the amount of credit you have been awarded for prior training and education, the DVA may discontinue your educational benefits until report of prior credit has been made. Bellevue University will not submit certification.

Chapter 33 (Post 9/11) Policies

  • DVA tuition and fees are paid directly to the school. You are responsible to the University for any/all tuition not covered by your Post 9/11 benefit. It is your responsibility to keep the DVA informed of your mailing address and direct deposit data. You should keep all correspondence received from DVA to include your eligibility notice and award letter. The award letter will provide payment information, self-verification procedures, remaining entitlement, and time period to use the benefit. DVA payments other than tuition and fees are made in arrears.
  • Tuition and Fees: Chapter 33 (Post 9/11) will pay a percentage of your tuition and fees for classes that meet degree requirements in your educational program on file with the Bellevue University's Veteran Services Office. The percentage is based on the time you spent on active duty after September 10, 2001. The percentage will vary from 40% to 100%. Please go to the GI Bill website www.gibill.va.gov for more information.
    • Bellevue University will submit enrollment information for all eligible enrolled students within 5 business days of the 60 day class/session start date. (Any subsequent student enrollments with in the 60 days will be certified within 5 business days of the student enrollment date.) This initial certification will not include tuition and fees. This will allow you to receive your Monthly Housing Allowance and book stipend, if applicable, in a timely manner.
    • Traditional Programs: Bellevue University will submit your tuition and fees in a second certification during the fourth week of class after session start date. This will prevent the necessity for amended certifications due to but not limited to the following:
      • Posting of grant or scholarship funds specific to tuition and fees to your account.
      • Posting of Department of Defense Tuition Assistance funds to your account.
      • Posting of Tuition Assistance funds from a private corporation (your employer) to your account.
      • Posting of drop/add enrollment activity to your account.
      • Federal Financial Aid (Pell Grant, Federal Subsidized and Unsubsidized student loans) are not included as outside sources of funding.
    • Accelerated/Cohort Program: Bellevue University will submit your tuition and fees in a second certification. Tuition and fees for the first class will be submitted during the fourth week of class after session start date. Additional class(es) in the term will have tuition and fees submitted 7 days after each class start date. This will prevent the necessity for amended certifications due to but not limited to the following:
      • Posting of grant or scholarship funds specific to tuition and fees to your account.
      • Posting of Department of Defense Tuition Assistance funds to your account.
      • Posting of Tuition Assistance funds from a private corporation (your employer) to your account.
      • Posting of drop/add enrollment activity to your account.
      • Federal Financial Aid (Pell Grant, Federal Subsidized and Unsubsidized student loans) are not included as outside sources of funding.
  • Book Stipend: The book stipend will be paid at the beginning of each enrollment period and will be based on your benefit percentage and the number of credit hours you are taking. If you are on Active Duty, effective October 1, 2011 you will be eligible for the book stipend. Please go to the GI Bill website www.gibill.va.gov for more information.
  • Housing Allowance: The Chapter 33 (Post 9/11) housing allowance is not payable if you are registered for half-time or less (Rate of Pursuit of 50% or less), or if you are on Active Duty.

Vocational Rehabilitation Policies

  • It is your responsibility to work with your DVA Vocational Rehabilitation counselor to ensure your 28-1905 authorization is updated as needed. Failure to have a current 28-1905 on file can prevent you from registering for classes or ordering your books and you may need to make payment to the school.

Chapter 30/1606/1607 Policies

  • DVA benefits are paid directly to you. You are responsible to the University for any/all tuition and fees due. It is your responsibility to keep the DVA informed of your mailing address and direct deposit data. You should keep all correspondence received from DVA to include your eligibility notice and award letter. The award letter will provide payment information, self-verification procedures, remaining entitlement, and time period to use the benefit. DVA payments are made in arrears.
  • Students enrolled under Montgomery GI Bill – Chapter 30, Chapter 1606 and Chapter 1607 must self-verify their enrollment monthly by Web Automated Verification of Enrollment (WAVE) or by Interactive Voice Response (IVR). You can access WAVE from the GI Bill website www.gibill.va.gov by clicking on the link under "Verify Attendance". IVR allows students “to phone in” (877-823-2378).

Chapter 35 Policies

  • DVA benefits are paid directly to you. You are responsible to the University for any/all tuition and fees due. It is your responsibility to keep the DVA informed of your mailing address and direct deposit data. You should keep all correspondence received from DVA to include your eligibility notice and award letter. The award letter will provide payment information, self-verification procedures, remaining entitlement, and time period to use the benefit. DVA payments are made in arrears.

I certify that I have read the Veterans Services Policy Statement and that I understand these requirements for receipt of DVA educational benefits through Bellevue University. I further acknowledge the receipt of a copy of this policy statement and understand that I am responsible for the information contained herein.

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