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Veterans Request for Information

Please complete this form in order for the VA Certifying Official to certify your veteran benefits. You will additionally need to schedule a time to chat with the VA Certifiying Official, to provide your SSN securely so that your benefits can be certified through VA ONCE. Certificates of Eligibility must be uploaded by October 1 of your incoming year, otherwise you will be ineligible for Yellow Ribbon funding.

Please enter your 9 digit ID# (begins with 9)
Branch of Service
Enrolled Program
Chapter number/title of VA Educational Benefits
Percentage of GI Bill Eligibility
must be submitted for each semester that you will be utilizing the benefits
Will you be considered active duty at the start of your program?
Are you eligible for the Yellow Ribbon Program?
Please upload your Certificate of Eligibility (CoE)once received from the VA
(learn more about how to obtain your CoE on:
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.
type you full name
Please note that you will need to provide your Social Security Number to the VA Certifying Official at Yale SOM, Shannan Foley, to certify your benefits with the VA. The VA Certifying Official will be in touch with you via your secure Yale email account to communicate next steps in order to securely provide your SSN for the certification of benefits.