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VA 22-5495 2012 free printable template

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OMB Approved No. 2900-0099 Respondent Burden: 15 Minutes DEPENDENTS' REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING (Under Provisions of Chapters 33 and 35, Title 38, U.S.C.) INTERNET VERSION
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How to fill out VA 22-5495

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How to fill out VA 22-5495

01
Obtain the VA Form 22-5495 from the VA website or local VA office.
02
Begin by entering your personal information at the top of the form, including your name, address, and Social Security number.
03
Indicate your relationship to the veteran and provide their personal details if you're applying for benefits on their behalf.
04
Fill out the educational and training program information, specifying the institutions involved.
05
Include details on the type of benefits you are seeking.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the bottom.
08
Submit the form by mail or electronically, as specified by the VA.

Who needs VA 22-5495?

01
Veterans seeking to transfer their educational benefits.
02
Dependents of veterans who wish to apply for educational benefits.
03
Individuals who are participating in programs that allow for the transfer of education benefits.

Who needs a VA 22-5495 form?

This form is used in the Department of Veteran Affairs. It is completed by the veteran’s dependent or survivor who wants to change a program or place of training under a specific benefit program, either educational or vocational.

What is the purpose of the VA 22-5495 form?

This request provides information about the veteran’s dependent or survivor and the details of benefits and education or training which should be changed. The Department of Veteran Affairs uses this information to make certain changes to the benefit program.

What other documents must accompany the VA 22-5495 form?

As a rule, there is no need to attach other documents to this request. The applicant may include the voided personal check if needed.

When is the VA 22-5495 form due?

The request must be completed when the applicant decides to change the benefit program or place of training. The estimated time for completing the form is 15 minutes.

What information should be provided in the VA 22-5495 form?

The form consists of V parts which the applicant is to complete:

  • Part I — Information about the applicant (name, Social Security Number, VA file number, sex, date of birth, phone number, email address, direct deposit, account type, information about the contact person)
  • Part II — Qualifying individual information (information about the person on whose account benefits are being claimed)
  • Part III — Information about the applicant’s military service (date of entering and separating; branch of service; character of discharge)
  • Part IV — Benefit and type of education or training (basic information about the program)
  • Part V — Remarks and certification

The applicant also must sign and date the request.

What do I do with the VA 22-5495 form after its completion?

The completed form is forwarded to the local office of the Department of Veteran Affairs for further consideration.

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People Also Ask about

The amount of the benefit per child depends on the veterans disability rating. As of December 1, 2022, a veteran with a 30% disability rating receives an extra $30 per month for each additional child under the age of 18. This payment increases by $10 per child for each additional 10% the veteran is rated.
Submitting an electronic dependency claim through eBenefits allows VA to make a decision on your claim in as little as 48 hours. Simply log into eBenefits and click “Add or Remove Dependent” under the Apply section.
Use VA Form 21-686c to submit a claim for additional benefits for a dependent, or to request to remove a dependent from your benefits.
If you did not include any dependents on your disability claim, make sure you file your dependency claim as soon as you get your 30% or higher rating from VA. VA will pay you within two weeks if we're able to finalize your claim. Make sure you fill out all the required information fields.
Sign in to your account. Click “Add or Remove Dependents” (you'll find it under the “Apply” section on the homepage). Then select “Update Dependents.”More VA benefits for you and your dependents Pension benefits. Life insurance. Transfer your Post-9/11 GI Bill benefits to your spouse and dependents.

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VA Form 22-5495 is the Application for a Certificate of Eligibility for VA Education Benefits, which veterans and eligible dependents use to apply for educational assistance.
Veterans, service members, and their eligible dependents who wish to access education benefits under the GI Bill or other VA education programs are required to file VA Form 22-5495.
To fill out VA Form 22-5495, provide personal information such as your name, social security number, and contact information, details about your military service, and specify the education program you are applying for.
The purpose of VA Form 22-5495 is to help determine a veteran's or dependent's eligibility for VA education benefits and to facilitate the processing of their application.
Information required on VA Form 22-5495 includes personal identification details, military service history, the type of education program being pursued, and any prior VA education benefits received.
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