Va Form 28 1902w

A Rehabilitation Needs Inventory (RNI) is a document used by the Department of Veterans Affairs to determine what a disabled veteran needs in order to meet their education, vocational rehabilitation, and employment goals. Formally known as a VA Form 28-1902W, a veteran would use this form to help determine what the best use of their VA benefits would be. The veteran would have to provide personal information such as their full name, social security number, and contact information, along with details regarding the various rehabilitation programs that they are participating in or considering.

What is a VA Form 28 1902w?

A VA Form 28-1902W is used by the Department of Veterans Affairs in the United States. This form is known as a Rehabilitation Needs Inventory, or RNI. This form is used by a disabled veteran in order to determine what they need for their education, vocational rehabilitation and employment goals. The VA will use this form to help the veteran decide what the best use of their VA benefits will be.
Personal information about the veteran is required, including full name, social security number, address, and contact information. The next areas will detail the various rehabilitation programs the veteran may be participating in or considering. The form will ask how these programs can help the veteran. Make sure that you fill out the form completely so that the VA can get an idea of what will help you with your vocational planning goals.

Most Common Uses

This form is commonly used by veterans to help the VA understand what they need for their educational and vocational rehabilitation.

Components of a VA Form 28 1902w

A VA Form 28-1902w contains the following sections:

  • Personal Information
  • Employment
  • Education and Training
  • Disabilities
  • Medical Treatment
  • Miscellaneous
  • Protection of Privacy Information Statement

How to complete a VA Form 28 1902w (Step by Step)

To complete a VA Form 28-1902w, you need to provide the following information:

  • Personal Information
    • Name
    • Telephone numbers
    • Current address
    • Email address
    • Gender
    • Marital status
    • Claim number
    • Social security number
    • Number of dependents
    • Nickname/AKA
    • Emergency contact information
    • How you expect program to help you
    • Jobs or careers you are most interested in 
    • Whether you have ever participated in a VA education benefit program
    • Whether you have ever participated in a program of vocational rehabilitation before
    • Whether you have every participated in: worker’s compensation, state vocational rehabilitation, VA vocational rehabilitation, private, other 
  • Employment
    • Civilian employment history
      • Job title
      • Dates
      • Average gross monthly salary
      • Company name
      • Status: temporary assignment or contract, permanent position
      • Part time or full time
      • Description of job duties
      • Reason for leaving
    • Military work history
      • Highest rank achieved
      • Armed service: Army, Navy, Air Force, Marines, Coast Guard
      • Job title
      • Dates
      • Average gross monthly salary
      • List any honors and commendations
      • Rank
      • Describe job duties in detail
    • Whether it would be possible for you to return to work in a former occupation or for a former employer
    • What skills you used in previous positions that may be able to be used in a new job
    • Explain what you did during periods of unemployment of 3 months or longer

Privacy Act Notice

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 1.576 for routine uses (i.e., to determine entitlement to vocational rehabilitation benefits and to plan a program of rehabilitation services) 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

It should take 45 minutes to complete this form.

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Sample Va Form 28 1902w

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Sample Va Form 28 1902w

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