Va Form 22 1995

A Request for Change of Program or Place or Training is a document employed by the Department of Veterans Affairs, officially known as VA Form 22-1995. This document is completed by a veteran who wishes to change their current program enrollment or the location in which they receive training. This type of form will request information from the veteran such as his or her full name, social security number, and VA file number. In addition, this document will need the veteran to identify the program that they are enrolled in and list the changes they wish to be made. These programs typically pertain to a veteran’s benefits, like a GI Bill or education assistance.

What is a VA Form 22 1995?

This form is known as a Request for Change of Program or Place of Training. The VA Form 22-1995 is used by the United States Department of Veterans Affairs. This form will be completed by a veteran who wishes to change their current program enrollment or their place of training. These programs are typically related to certain veteran’s benefits, such as the GI Bill or education assistance.
This form will require information about the applicant, such as their full name, contact information, social security number, and VA file number. The filer will also need to include the information about the program they are currently enrolled in. The applicant can then list the changes they want to make and why they are requesting these changes. This form will need to be certified with a signature before it is ready for review from the Department of Veterans Affairs.

Most Common Uses

This form is commonly used when a veteran is changing schools; changing an educational, professional, or vocational goal; you left your program due to unsatisfactory attendance, progress, or conduct; and you’re not reentering the same program; or you were receiving VA education benefits as a veteran and now wish to receive benefits while on active military duty.

Components of a VA Form 22 1995

A VA Form 22-1995 contains the following sections:

  • Identification and Personal Information
  • Program Information
  • Direct Deposit Information
  • Miscellaneous Information
  • Certification and Signature

How to Complete a VA Form 22 1995 (Step by Step)

To complete a VA Form 22-1995, you need to provide the following information:

  • Identification and Personal Information
    • Name of applicant
    • Mailing address
    • Telephone number
    • VA file number
    • Email address
    • Social security number
  • Program Information
    • VA benefit you want to receive: Chapter 33 (Post-9/11 GI Bill), Chapter 30 (Montgomery GI Bill-Active Duty), Chapter 32 (Veterans Educational Alliance Program including section 903), Chapter 1606 (Montgomery GI Bill-Selected Reserve), Chapter 1607 (Reserve Educational Assistance Program), Transfer of entitlement program
    • Indicate how you will take training: school attendance, correspondence, apprenticeship or on-the-job training, cooperative training, tuition assistance top-up, flight training, licensing & certification test, national admissions exams or national exams for credit
    • Indicate the educational, professional or vocational goal are you working toward
    • Name of the program you are requesting
    • Name and address of new school or training establishment 
    • When and why you stopped training at your prior school or establishment
  • Direct Deposit Information - direct deposit is not available for Post-Vietnam Era Educational Assistance Program (VEAP - Chapter 32) or Section 903.
    • Start or change EFT
    • Type of accounts
    • Name of financial institution
    • 9 digit routing or transit number
    • Account number

Privacy Act Notice

The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or title 38, Code of Federal Regulations, section 1.526 for routine uses as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register.

Respondent Burden

The VA needs this information to determine your eligibility to VA education benefits (38 U.S.C. 3471). Title 38, United States Code, allows us to ask for this information. You will need an average of 20 minutes to complete this form. The VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed.  OMB Control No. 2900-0074, Expiration Date: 10/31/2021.

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Sample Va Form 22 1995

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Sample Va Form 22 1995

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