CSM VA Notification of Withdrawal Form

VA Withdrawal Notification
When you add, drop, or withdraw from courses, you are required to notify CSM Veterans Affairs Staff immediately. This form is designed for you to notify the CSM VA office that you have withdrawn from a course that our office has submitted to the VA. If an overpayment occurs due to your withdrawal, you will be responsible for making arrangements to pay the VA and/or CSM for any balance resulting from your schedule adjustment for the balance(s) due.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Student ID Number *
Please list the class and section numbers you are withdrawing from*
Reason For Withdrawal *
Should be Empty:

VA Withdrawal Notification