Form preview

VA 22-5490 2014 free printable template

Get Form
ARE YOU SEEKING SPECIAL RESTORATIVE TRAINING VA FORM OCT 2014 22-5490 SUPERSEDES VA FORM 22-5490 JUN 2014 WHICH WILL NOT BE USED. I CERTIFY THAT I UNDERSTAND THE EFFECTS THAT THIS ELECTION TO RECEIVE DEA OR FRY SCHOLARSHIP BENEFITS WILL HAVE ON MY ELIGIBILITY TO RECEIVE DIC AND I ELECT TO RECEIVE SUCH EDUCATION BENEFITS ON THE FOLLOWING DATE VA FORM 22-5490 OCT 2014 PAGE 2 27. OMB Approved No. 2900-0098 Respondent Burden 45 minutes Expiration Date 8/31/2015 DEPENDENTS APPLICATION FOR VA...
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign VA 22-5490

Edit
Edit your VA 22-5490 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your VA 22-5490 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit VA 22-5490 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit VA 22-5490. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

VA 22-5490 Form Versions

Version
Form Popularity
Fillable & printabley
4.7 Satisfied (25 Votes)
4.8 Satisfied (222 Votes)
4.4 Satisfied (153 Votes)
4.4 Satisfied (455 Votes)
4.9 Satisfied (31 Votes)
4.2 Satisfied (72 Votes)
4.2 Satisfied (25 Votes)

How to fill out VA 22-5490

Illustration

How to fill out VA 22-5490

01
Obtain the VA Form 22-5490, which can be downloaded from the VA website or requested from a VA office.
02
Fill out your personal identification information, including your name, social security number, and contact details.
03
Indicate your relationship to the veteran if you are a dependent or the veteran's information if you're submitting for them.
04
Provide details about the educational program or course you wish to attend.
05
Ensure you have the necessary signatures; if you're a dependent, you may also need the veteran's signature.
06
Review the application for completeness and accuracy before submission.
07
Submit the completed form to the appropriate VA regional office as indicated in the form instructions.

Who needs VA 22-5490?

01
Veterans who are eligible for education benefits under the Survivors' and Dependents' Educational Assistance (DEA) program.
02
Dependents or survivors of veterans who wish to apply for education benefits.

Instructions and Help about VA 22-5490

Thanks for taking a look at question number five before you answer it as either yes or no this is a heartbreaker for us because we get so many people who answer the first four questions is yes they get the question number five they either misinterpret the question or don't understand it they assume that the claimant is not eligible for this benefit they answer it as no everything stops they never submit a claim but the way that the question is asked is prior to submitting this claim will the claimant be able to certify that he or she is paying for their long term care from personal funds it's either yes or no again prior to the time that this claim is actually submitted to the VA and keep in mind it comes to senior veterans Inc first where we sign off on it and make sure it's a legitimate claim, and then we forward it on your behalf to one of the processing centers for the VA so what this is, and you're going to see a care expense statement here and this is the form that will be filled out it's included in all the email attachments that you should get if you answer this question is yes is this is evidence the VA wants to see proof that's it they want to know how much money the claimant is paying out of their own pocket for their care they want to know whom they're paying it to or who they're paying it to a little about what they're paying for and what the amount is, and they want everybody to sign off on it, so that's all they're doing with this care expense statement it's its verification it's their proof, and you'll see up here in section number one you can put in the VA claim number or social security number veteran's name claim a name instead of patient's name but if you just go through here and just follow the directions on the care expense statement and again this is a statement of objective data that they can say all right this person is paying money out of their own pocket for their care reimbursed money out of their own pocket for their care they don't care who is providing the care as long as it's not a dependent family member and about 80% of time it's a son or daughter grandson granddaughter they're providing care all the time to their loved one the only difference is they're not being paid for trust me if there's nothing to be paid for this claim will never go anywhere so but so the claimant must be paying for their care what the caregiver does with that money once they receive it is up to them so just keep that in mind and if you have any questions you can always contact us via email, but you'll see down here they're always asking for this amount of money what's going out of pocket and so forth there are very sections to this is for in-home care information there's another section which doesn't happen very often for nursing home information and then section number four is for other care facilities in terms of assisted living or memory care you just fill out whatever is important but this last piece here this is where everybody...

Fill form : Try Risk Free
Rate the form
4.4
Satisfied
455 Votes

People Also Ask about

Download and complete VA Form 26-1817, "Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses. You can also call 1-877-827-3702 and follow the prompts for "Eligibility" and we will send the form to you. Mail your completed application to the Regional Loan Center that serves your state.
Form SSA-10 | Information You Need to Apply for Widow's, Widower's or Surviving Divorced Spouse's Benefits. You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.
Use VA Form 22-1995 to request changes to your education benefits if one of these is true for you: You're a Veteran or service member, or. You're a dependent of a Veteran or service member using transferred Post-9/11 GI Bill benefits.
If you're the child or spouse of a Veteran or service member who has died, is captured or missing, or has disabilities, you may be able to get help paying for school or job training through the DEA program—also called Chapter 35.
Use VA Form 21P-534 if you prefer to provide evidence at a later time to support your claim. You can use this form if you're a surviving spouse or child of a Veteran who has died and want to begin the process of applying for VA benefits or money that we owe the Veteran but did not pay prior to his or her death.
Use VA Form 22-5490 when a spouse or dependent is applying for educational benefits under Chapter 35 Survivors' and Dependents' Education Assistance (DEA) or Chapter 33 Fry Scholarship.

Our user reviews speak for themselves

Read more or give pdfFiller a try to experience the benefits for yourself
4
Works great but hard to find blank files . have to search off site and upload
Angelo
5
It took me 15 minutes to complete my first billing form, my second form took. Thanks PDFfiller!
Julie Guidry, R

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You may use pdfFiller's Gmail add-on to change, fill out, and eSign your VA 22-5490 as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.
When you're ready to share your VA 22-5490, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.
On Android, use the pdfFiller mobile app to finish your VA 22-5490. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.
VA Form 22-5490 is an application for education benefits for dependents who are eligible for benefits under the Survivors' and Dependents' Educational Assistance (DEA) program.
Individuals who are dependents of a veteran who is permanently and totally disabled or who died as a result of a service-related condition are required to file VA 22-5490.
To fill out VA 22-5490, you must provide personal information about the applicant, including their relationship to the veteran, the veteran's information, education history, and details about the course or program of study.
The purpose of VA 22-5490 is to apply for education benefits provided to the dependents of veterans who have service-related disabilities or who have died due to their military service.
The information that must be reported on VA 22-5490 includes the applicant's personal details, the veteran's service information, the type of benefits being requested, and details regarding the chosen educational institution.
Fill out your VA 22-5490 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.