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Veterans Affairs Educational Benefits Forms

21-674b - School Attendance Report
21-686c Declaration Of Status Of Dependents:
22-1990 Application For Education Benefits
22-1990t Application And Enrollment Certification For Individualized Tutorial Assistance
22-1995 Request For Change Of Program Or Place Of Training
22-5490 Application For Survivor's And Dependent's Educational Assistance
22-8691Application For Work-Study Allowance
22-8873 Supplemental Information For Change Of Program Or Reenrollment After unsatisfactory Attendence, Conduct Or Progress
5281 Application For Refund Of Educational Contributions
28-1900 Disabled Veterans Application For Vocational Rehabilitation

(You can print these forms from this website and complete as much as you can before meeting with your campus VA advisor.Your campus VA advisor will assist in completing forms before being mailed to Veterans Administration Office. All First time applicants will need form 22-1990 Application For Education Benefits.)

Form # and Title

Explanation of Form Use

File Format
21-674b - School Attendance Report Verify school attendance of children of veterans and survivors receiving disability and death benefits.
21674b  PDF GIF
21-686c Declaration Of Status Of Dependents: Declare the status of dependents.
21686cp1  PDF GIF
21686cp2 PDF GIF
 22-1990 Application For Education Benefits Servicepersons, veterans, and reservists to apply for VA education benefits.
221990p1  PDF GIF
221990p2 PDF GIF
221990p3 PDF GIF
Instructionp4 PDF GIF
 22-1990t Application And Enrollment Certification For Individualized Tutorial Assistance Application and enrollment certification.
221990tp1  PDF
221990tp2 PDF
 22-1995 Request For Change Of Program Or Place Of Training Servicepersons and selected reservits receiving education benefits to reaqest a change of program or place of training.
221995p1  PDF
221995p2 PDF
 22-5490 Application For Survivor's And Dependent's Educational Assistance Survivor's and dependent's request of education benefits.
225490p1  PDF
225490p2 PDF
225490p3 PDF
225490p4 PDF
22-8691Application For Work-Study Allowance Apply for work-study allowance program.
228691 PDF
22-8873 Supplemental Information For Change Of Program Or Reenrollment After unsatisfactory Attendence, Conduct Or Progress Supplement information changes in school enrollments.
228873p1  PDF GIF
228873p2 PDF GIF
5281 Application For Refund Of Educational Contributions Requesting refunds of education contributions. (Three copies required)
5281 PDF
Vocational Rehabilitation
Form # and Title

Explanation of Form Use

File Format
28-1900 Disabled Veterans Application For Vocational Rehabilitation Apply for VAs vocational rehabilitation program for service-connected disabled veterans.
281900p1 PDF GIF
Instruction-p2 PDF GIF
Veterans Affairs Benefit Forms
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