VA 28-1904 2021-2025 free printable template
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OMB Control No. 29000678
Respondent Burden: 15 Minutes
Expiration Date: 08/31/2024VA DATE STAMP
(For VA Use Only)ONTHEJOB TRAINING AGREEMENT
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How to fill out VA 28-1904
How to fill out VA 28-1904
01
Start by downloading the VA Form 28-1904 from the official VA website.
02
Fill in your personal information including your name, Social Security number, and contact details.
03
Indicate your service history, including branch of service and dates of service.
04
Provide details of your disability or related issues that affect your ability to work.
05
Include information about your education and training, if applicable.
06
State the job or vocational goals you are aiming to achieve.
07
Review the form for accuracy and completeness.
08
Sign and date the form before submitting it.
Who needs VA 28-1904?
01
Veterans who have service-connected disabilities that impact their ability to find or maintain suitable employment.
02
Individuals seeking vocational rehabilitation and employment services from the VA.
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What is VA 28-1904?
VA Form 28-1904 is a form used by veterans to apply for Vocational Rehabilitation and Employment (VR&E) benefits under the Department of Veterans Affairs.
Who is required to file VA 28-1904?
Veterans who are seeking vocational rehabilitation and employment services and who have a service-connected disability are required to file VA Form 28-1904.
How to fill out VA 28-1904?
To fill out VA Form 28-1904, applicants need to provide personal information, details about their service-connected disabilities, education background, work history, and specific needs for vocational rehabilitation services.
What is the purpose of VA 28-1904?
The purpose of VA Form 28-1904 is to assess a veteran's eligibility for VR&E services and to gather necessary information to facilitate their rehabilitation and employment planning.
What information must be reported on VA 28-1904?
The information that must be reported on VA Form 28-1904 includes personal identification details, service-connected disability information, educational experiences, work history, and the veteran's goals for rehabilitation and employment.
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