Posted on January 4, 2019

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 exceptions are the Chapter 31 students who used theand Chapter 35 students who use the The apprentice must have the form signed by a Certifying Official that has been pre-designated for his or her company or union.

The apprentice will not receive a benefits check if the VA does not receive 22-5459 form each month. It may appear as a 10 for a spouse, and 41, 42, 43, etc. This number is sometimes called the “C” number.

dependents request for change of

Dependents of veterans have a different VA file number than their Social Security number. This form is used for, dependents who are changing their program. This form is used to notify the VA of any change in an apprentice’s enrollment. When a change is made, the names, 22-5459 and signatures of ALL certifying officials, not just the changed information, must be noted on the form. This form is used by Certifying Officials to tell the VA about an apprentice’s enrollment in a program.


Skip to main content Resize text A A Translate this page to: View, fill out and print formApplication for Survivors’ and Dependents’ Educational Assistance.

If you didn’t find what you’re looking for here, please check our new websiteor contact the organization directly. It includes the dates of enrollment beginning and ending datesclock hours, prior credit, type of training, and the name of the apprenticeship program.

To certify enrollments and changes in enrollment, apprentices will need to use a variety of forms. A copy of the form is mailed to the apprentice along with a monthly benefits check.

Fresno State

The form is then mailed back to the VA. This form is used by first time Chapter 35 trainees to apply for benefits.

This section will briefly describe the Department of Veterans Affairs forms. We haven’t gotten to this page yet. It is used for all apprentices, except those using Chapter 31 benefits.

This form is completed by the apprentice the first time an application is made. Assistance Programs Mass 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. This is a controlled form that can only be obtained 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 to certify apprentice enrollment information to the Department of Veterans Affairs. It is a controlled form that can be obtained only by Certifying Officials and the Division of Apprentice Training. The “C” number is followed formm a payee number or letter.


This form is used to report the hours that an apprentice works monthly. The form can be mailed to the VA by the apprentice or it may be included with the initial apprentice application package. 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 is typically the apprentice’s supervisor, or the supervisor’s boss.

Chapter 33 – Marine Gunnery Sergeant John David Fry Scholarship

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

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. View, fill out and print formApplication for Education Benefits. The mailing address for 22-549 forms is: BoxBuffalo New York