Forms

Penn State Forms

All forms require Adobe to access and print.  You can download Adobe here.

All Penn State forms should be submitted to Jean Lasinski, School Certifying Official, C122 Smith Building.


Certification Request: VA Educational Benefits (Altoona Campus)
Students complete this form if they are attending Penn State Altoona in the upcoming semester. Students complete this request EVERY semester for the following semester’s certification.

Certification Request Form (University Park Campus)
Students complete this form if they are attending Penn State University Park in the upcoming semester.

Make your selection from the list based upon the semester for which you are applying for benefits.

Request for Credit Acquisition through Extrainstitutional Training (All Campuses)
Students complete this form to get credit for basic training and other training taken in the military. Please include a SMART transcript and a court-certified copy of your discharge papers (DD 214).

VA Forms

Print, complete and sign the necessary forms and submit them to your school certifying official, C122 Smith Building.
Application for Educational Benefits VA Form 22-1990
Request for Change in Program or Place of Training VA Form 22-1995
Application for Survivors and Dependents Educational Assistance VA Form 22-5490
Request for Change in Program or Place of Training, Survivors and Dependents Educational Assistance VA Form 22-5495