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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The “C” number is followed by a payee number or letter. This form is used to report the hours that an apprentice works monthly.

This form 22-55495 used by dependents who are changing their program. It may appear as a 10 for a spouse, and 41, 42, 43, etc. The apprentice will not receive a benefits check if the VA does not receive this form each month. This form is used by apprentices who are changing programs, or by those who torm their program due to unsatisfactory attendance, progress or conduct and are now reentering the same program.

To certify enrollments and changes in enrollment, apprentices for, need to use a variety of forms. This form is used by Certifying Officials to tell the VA about an apprentice’s enrollment in a program.

VA Form 22-5495: Dependents’ Request for Change of Program or Place of Training

This form is used to notify the VA of any change in an apprentice’s enrollment. View, fill out and print formApplication for Survivors’ and Dependents’ Educational Assistance.


The current page belongs to the main category of Labor Standards. Dependents of veterans have a different VA file number than their Social Security number. This form is used to provide the names and signatures of those individuals av are authorized to certify apprentice enrollment information to the Department of Veterans Affairs.

It includes the dates of enrollment beginning and ending datesclock hours, prior credit, type of training, and the name of the apprenticeship program. This is a controlled form that can only be obtained by Certifying Officials and the Division of Apprentice Training.

Quick Reference and VA Forms

This number is sometimes called the “C” number. Ofrm to main content Resize text A A Translate this page to: It is used for all apprentices, except those using Chapter 31 benefits. Assistance Programs Mass To view the process for submitting the forms listed below visit our VA Form Procedures page.

If you didn’t find what you’re looking for here, please check our new websiteor contact the organization directly. It is a controlled form that can be obtained only by Certifying Officials and the Division of Apprentice Training. This section will briefly describe the Department of Veterans Affairs forms. Fform form can be mailed to the VA by the apprentice or it ba be included with the initial apprentice application package.

Veteran Services FAQs – Financial Aid

The apprentice must have the form signed by a Certifying Official that has been pre-designated for his or her company or union. View, fill out and print formApplication for Education Benefits. A copy of the form is mailed to the apprentice along with a monthly benefits check. The form must also be completed whenever there is a change v any of the certifying official information.


The exceptions are the Chapter 31 students who used theand Chapter 35 students who use the The mailing address frm VA forms is: Main Menu Unemployment Insurance. We haven’t gotten to this page yet. 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. BoxBuffalo New York 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.

It is a controlled form that may only be completed by a responsible official with the authority to designate certifying officials for the school or training establishment.

The form is then mailed back to the VA. Corm is typically the apprentice’s supervisor, or the supervisor’s boss. This form is completed by the apprentice the first time an application is made. This form is used by first time Chapter 35 trainees to apply for benefits.