Retroactive Military Funding Request Form (MFRF)

Retroactive

Military Funding Request Form

(MFRF)

If you are requesting retroactive certification of any VA or DoD Educational benefit, you MUST complete this form in its entirety. Processing time could take up to 30 business days per submission. Students can track their form progress in WEBSIS under Service Requests in the Veterans Engagement SmartSheet Dynamic View Dashboard

General Student Information

You (the student) have indicated that you would like to be considered for retroactive payments under one of the recently approved Department of Veterans Affairs or Department of Defenses Educational Assistance Act Programs.

As such each student MUST complete a separate RETROACTIVE MFRF for EACH term that benefit processing is being requested.

Please use all applicable drop-down options. DO NOT type into drop-down fields.

Using a Laptop or Desktop Computer when completing the form will offer the BEST Results for submission.

Last Name*

First Name*

MSU Student ID Number*

Note: This is an 8-digit number. Incorrect entries can delay processing your request.

Social Security Number*

Date of Birth*

Identify your Date of birth as the student requesting certification

Morgan State University Email Address*

Alternative Email Address

Optional Email Address for General Contact

Telephone*

Phone

Street Address*

City*

State*

Select

Zip Code*

Legal Sex*

Male

Female

Military Status*

Select

Student Status*

New Student

Current Continuing Student (benefit eligible)

Previous MSU Graduate (benefit eligible)

Readmitted Student (benefit eligible)

Student Registration Information

Term*

Select the term in which you are requesting consideration for retroactive benefit processing.

Select

Classification*

Identify the classification that you had during the timeframe certfication is being requested.

Select

Degree Level*

Academic Program*

Not all programs are funded by the Department of Veterans Affairs. To research whether your course will be funded you can review the WEAMs listing.

Select

Minor Program

Select

Student Residency Information

WEBSIS Residency Status*

MD Resident

Non-MD Resident

Online Program

Student Funding Information

VA/DoD Funding Type*

Select

Sponsors Social Security

Chapter 35 beneficiaries, MUST provide the sponsor's Social Security number in order to be processed.

Notes to VES Team*

Identify below any additional information that you would like to share with the Veterans Engagement Services team to help with processing your request. If there are none, place an N/A in the below field to move forward.

File Upload (PDF ONLY)*

Upload your Certificate of Eligibility (COE), NOBE, DD214, Military Orders, or any other supplemental documents that substantiate your enrollment status to complete your request. This form IS NOT COMPATIBLE with HEIC, TXT, JPG, and PNG documents. ONLY upload PDF formatted documents.

Drag and drop files here or

Students Electronic Signature*

By signing below, I attest that I am the student and I am authorizing the Veterans Engagement Service team to process my request for Retroactive consideration for military benefits.

I agree and understand that the Veterans Engagement Team will validate all enrollment periods indicated on this form. If it is found that an enrollment period is missing, withdrawn from or unable to be found, those terms will NOT be included in the benefit certification process.

I also agree and understand that the information provided on this form is true and accurate and will be used for internal processing purposes but may be requested in a review by the Department of Veterans Affairs, the Maryland Higher Education Commission, or any other authorized auditors and reviewers at any time by request. I understand by signing I will be added to the MSU Student Veteran database for the applicable terms only for auditing and compliance purposes.

Lastly, by signing below, I understand that any funds due to me after the fact MUST be handled directly with the Department of Veterans Affairs or the Department of Defense. The VA and the DoD are the officiating agencies and payees of any funds certified after entitlement is awarded and the terms have concluded. In this understanding, I will not hold Morgan State University, its auditors, and/or affiliates responsible for any missed, reduced, or altered payments. This retroactive process is solely approved under the authorization of the Department of Veterans Affairs and its constituents for a total of one calendar year from the date of entitlement approval and I understand that if in this process my benefit entitlement will be depleted, I agree to ensure that Morgan State University receives any funds that are due to them at that time of decision.

Date Signed*

Send me a copy of my responses

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