VA FORM 22-5495 PDF

VA Form Dependents’ Request for Change of Program or Place of Training. The Department of Veterans Affairs makes this form available for use of . Fill va form 22 vba instantly, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile. No software. Try Now!. VBA Form – Request for change of program or place of training survivors ‘ and dependents’ educational assistance.

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It may appear as a 10 for a spouse, and 41, 42, 43, etc. Skip to main content Resize text A A Translate this page to: This number is sometimes called the “C” number.

It is used for all apprentices, except those using Chapter 31 benefits. View, fill out and print formApplication for Survivors’ and Dependents’ Educational Assistance. 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.

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

This form is used by Certifying Officials to tell the VA about an apprentice’s enrollment in a program. When a change is made, the names, titles and signatures of ALL certifying officials, not just the changed information, must be noted on the form.

The apprentice must have the form signed by a Certifying Official that has been pre-designated for his or her company or union. This is a controlled form that can only be obtained by Certifying Officials and the Division of Apprentice Training. This section will briefly describe the Department of Veterans Ofrm forms.


View, fill out and print formApplication for Education Benefits.

To certify enrollments and changes in enrollment, apprentices will need to use a variety of forms. The mailing address ofrm VA forms is: The current page belongs to the main category of Labor Standards.

Transfer Veteran Students Applying for Benefits

It includes the dates of enrollment beginning and ending datesclock fomr, prior credit, type of training, and the name of the 2-5495 program. Assistance Programs Mass The form can be mailed to the VA by the apprentice or it may be included with the initial apprentice application package.

The form must also be completed whenever there is a change in any of the certifying official information. Main Menu Unemployment Insurance.

This form is completed by the apprentice the first time an application is made. This is typically the apprentice’s supervisor, or the supervisor’s boss.

Veteran Services FAQs

If you didn’t find what you’re looking for here, please check our new websiteor contact the organization directly. A copy of the form is mailed to the apprentice along with a monthly benefits check. This form is used to notify the VA of any change in an apprentice’s enrollment. The apprentice will not receive a benefits check if the VA does not receive this form each month. We haven’t gotten to this page yet.


It is a controlled form that can be obtained only by Certifying Officials and the Division of Apprentice Training. This form is used to provide the names and signatures of those individuals who are authorized v certify apprentice enrollment information to the Department of Veterans Affairs. This form is used by apprentices who are changing programs, or by those who left their program due to unsatisfactory attendance, progress or conduct and are now reentering the same program.

Dependents’ Educational Assistance Program (DEA), Chapter 35

To view the process for submitting the forms listed below visit our VA Form Procedures page. It is a controlled form that may only be completed by a responsible official with the authority to designate certifying officials for the school foorm training establishment.

The form is then mailed back to the VA. The exceptions are the Chapter 31 students who used theand Chapter 35 students who use the This form is used by dependents who are changing their program. This form is used to report the hours that an apprentice works monthly. The “C” number is followed by a payee number or letter. BoxBuffalo New York This form is used by first time Chapter 35 trainees to apply for benefits. Dependents of veterans have a different VA file number than their Social Security number.