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DATE ENTERED ACTIVE DUTY VA FORM FEB 2007 22-5495 B. DATE SEPARATED OR GUARD COMPONENT EXISTING STOCKS OF VA FORM 22-5495 JAN 2004 WILL BE USED. Gibill.va.gov and click on Education Benefits then Education Forms and scroll down to VA Form 22-5495 and click on Adobe PDF. You must then print the completed PDF form. After completing and printing see HOW TO FILE YOUR CLAIM at the end of these instructions. OMB Approved No* 2900-0099 Respondent Burden 20 Minutes REQUEST FOR CHANGE OF PROGRAM OR...
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VA Form 22-5495 is the Dependents' Application for VA Education Benefits form.
Dependents or survivors of veterans who are eligible for education benefits under certain VA programs are required to file VA Form 22-5495.
To fill out VA Form 22-5495, provide the requested personal and educational information about the dependent or survivor, including their relationship to the veteran, the desired education program, and any previous VA benefits received. Additionally, attach any necessary supporting documentation.
The purpose of VA Form 22-5495 is to apply for education benefits through certain VA programs for dependents or survivors of veterans.
VA Form 22-5495 requires information such as the dependent or survivor's personal details (name, address, SSN, etc.), their relationship to the veteran, desired education or training program, and any previous VA benefits received.
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