Sample Request For Top-Up: Army Tuition Assistance Program (Page 2 of 2) in pdf

Top-Up Counseling Information Sheet for GoArmyEd Students

*Course Enrollment Verification in Section 5 of the Top-Up form must be verified by the Education Services Officer (ESO) at your Installation Army Education

Center prior to return to the Regional Veterans Affairs (VA) Office.

I understand that in order to receive Top-Up benefits, I must be deemed eligible for benefits under the Montgomery GI Bill (MGIB). Part of this eligibility

requirement is to have served at least two years on active duty prior to my application for benefits. Additionally, if I have not previously applied to the

Department of Veterans Affairs (DVA) for a certificate of MGIB eligibility, I must do so now in conjunction with my request for Top-Up benefits. To apply for

this eligibility certificate, I must fully complete and send in VA Form 22-1990 to the appropriate DVA office. Both the VA Form 22-1990 (Certification of

MGIB Eligibility Form) and the address of the DVA Office to which this Top-Up form (and, if necessary, accompanying 22-1990) should be sent are available

online under the Education Forms section of the following site:

I understand that my “Top-Up entitlement” is limited to 36 months. I understand that “Top-Up” entitlement is calculated strictly on a calendar basis (not course

load), and that one month of Top-Up entitlement is used for each month that I am enrolled in a course(s) for which I receive Top-Up reimbursement.

I understand that my Top-Up payment will be limited to the actual portion of the cost of Tuition for the course that is not paid for by the Army, and that it is also

further limited by the monthly DVA rate cap that I would receive if I were taking this course as a veteran and were not having any portion of the course paid for

by the Army. I also understand that I cannot receive any Top-Up payment for any course that is not covered by Tuition Assistance or paid by the Army and that

once I have reached my annual tuition assistance ceiling for the year (currently $4500), I will not be able to receive Top-Up payment for any additional

coursework.

If I exceed the annual Tuition Assistance cap, I will, however, have the option to apply to DVA to utilize any remaining basic MGIB entitlement that I might

have. I understand that the in-service rate for use of the MGIB alone while on active duty is limited to the LESSER of either the VETERAN’S RATE or

TUITION & FEES. If I choose to use the MGIB alone while on active duty, I further understand that my MGIB entitlement account will be charged based upon

my course load (level of school attendance), not actual amount of money paid.

I understand that once the total amount of Top-Up payment(s) I receive equals the “Veteran’s Rate” I would receive as a full-time student pursuing coursework

approved by DVA in one month, my MGIB entitlement account balance will be reduced by one full month. If the total payments I receive do not exceed my

monthly veteran’s rate, my remaining MGIB entitlement account balance will be reduced by the appropriate fraction of a month.

Name: ________________________________________ Signature: ___________________________ Date: _______________

1 Apr 2006