VA Form Dependents’ Request for Change of Program or Place of Training. The Department of Veterans Affairs makes this form available for use of . I CERTIFY THAT all statements in my application are true and correct to the best of my knowledge and belief. PENALTY – Willful false statements as to a material. Complete VBA Form , Request for change of program or place of training survivors’ and dependents’ educational assistance, and submit to Arizona.

Author: Shalkis Sakinos
Country: Bulgaria
Language: English (Spanish)
Genre: Video
Published (Last): 22 July 2010
Pages: 173
PDF File Size: 8.26 Mb
ePub File Size: 12.18 Mb
ISBN: 916-2-83495-696-2
Downloads: 69386
Price: Free* [*Free Regsitration Required]
Uploader: Mikadal

Assistance Programs Mass A copy of the form is mailed to the apprentice along with a monthly benefits check. It is used for all apprentices, except those using Chapter 31 benefits.

If you didn’t find what you’re looking for here, please check our new websiteor contact the organization directly. Skip to main content Resize text A A Translate this page to: When a change va form 22-5495 made, the va form 22-5495, titles and signatures of ALL certifying officials, not just the changed information, must be noted on the form.

Get the va form 22 5495 2016-2018

This form is used by first time Chapter 35 trainees to apply for benefits. The form must also be completed whenever there is a change in any of the certifying official information. View, fill out and print formApplication for Va form 22-5495 Benefits. The form is then mailed back to the 2-5495.


This form is completed by the apprentice the first time an application is made. Dependents frm veterans have a different VA file number than their Social Security number. The apprentice must have the form signed by a Certifying Official that has been pre-designated for his or her company va form 22-5495 union. This form is used by apprentices va form 22-5495 are changing programs, or by those who left their program due to unsatisfactory attendance, progress or conduct and are now reentering the same program.

Amarillo College – Dependent’s Request for Change of Program/Place of Training-VA

It includes the dates of enrollment beginning and ending datesclock hours, prior credit, type of training, and the name of the apprenticeship program. View, fill out and print formApplication for Survivors’ and Dependents’ Educational Assistance. This form is used va form 22-5495 provide the names and signatures of those individuals who are authorized to certify apprentice enrollment information to va form 22-5495 Department of Veterans Affairs.

This form is used to notify the VA of any change in an apprentice’s enrollment. It may appear as a 10 for a spouse, and 41, forj, 43, etc. It is a controlled form that may only be completed by a responsible official with va form 22-5495 authority to designate certifying officials for the school or training establishment.

To view the process for submitting the forms listed below visit our VA Form Procedures page.

Quick Reference and VA Forms | AUM

To certify enrollments and changes in enrollment, apprentices will va form 22-5495 to use a variety of forms. This number is sometimes called the “C” number. It is a controlled form that can be obtained only by Certifying Officials and the Division of Apprentice Training. This form is used by dependents who are va form 22-5495 their program. The apprentice will not receive a benefits check if the VA does not receive this form each month. The current page belongs to the main category of Labor Standards.


The “C” number is followed by a payee number or letter.

Be sure to remember that Chapter 35 apprentices have a claim number that is not their Social Security number, but the claim number of the veteran whose death or disability give them their eligibility. This section will briefly describe the Department of Va form 22-5495 Affairs fkrm.

This is typically the apprentice’s supervisor, or the supervisor’s boss.

This is a controlled form that can only be obtained by Certifying Va form 22-5495 and the Division of Apprentice Training. This form is used to report the hours that an apprentice fa monthly. We haven’t gotten to this page yet. The mailing address for VA forms is: