CHAMPVA Letter Request Form

See the School Enrollment Certification Requirements for CHAMPVA Benefits Fact Sheet (PDF)

This is request for a letter to be sent to CHAMPVA, or Tricare, regarding your enrollment status to continue receiving benefits through your parent.

Full name * Required
Boise State email address * Required

Your Boise State email address is your username@u.boisestate.edu
Boise State Student ID# * Required

Please be sure to provide the correct Boise State student number so we can look up your information.
Which GI Bill® benefit are you using? * Required
Please let me know what benefit you may qualify for. If you do not qualify for any GI Bill® benefit you will need to call our office and supply the SSN of your sponsor. 208/426-3744.
Which Term are you requesting this letter to cover? * Required

Identify the term i.e. Fall 2018. Please be aware, if you are not a fulltime student because you are waitlisted on a class, the letter CANNOT reflect you are a fulltime student.
What is your anticipated graduation date from Boise State University? * Required
I request the letter to be sent: * Required
- Directly to me so I can send to Tricare myself
- Directly to CHAMPVA
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GI Bill®

GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). The absence of the registration symbol ® does not constitute a waiver of VA’s trademark rights in that phrase. More information about education benefits offered by VA is available at the official U.S. government website at US Department of Veterans Affairs.

CHAMPVA Letter Request Form

Veteran Services