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Unformatted text preview: REQUIRED by your program of study) Do you want advance pay for fall term? Yes No Our office must receive your request for advance pay no later than 30 business days before the term begins. ***Chapter 33 does not qualify for Advance Pay! I am receiving additional monetary benefits from the following sources: (failure to report such benefits may result in an overpayment of VA benefits) Tuition Assistance Top UP Tuition Only Scholarships Tuition Only Grants Other Explain: Your signature is required on this form. Unsigned requests will not be processed. Signature: Date: * Your ECU email address will be submitted to the VA with your claim so that you can be notified of any activity concerning your certification. Our office also corresponds with you through your ECU email account. Please check your email account frequently . OFFICIAL OFFICE USE ONLY: DE Hours:_____ Tuition:__________________ Fees:____________________...
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- Spring '12