INFORMATION AND INSTRUCTIONS
(The items that are considered self-explanatory are not included in these instructions)
ITEM 5. If you (or the veteran or service person) were previously assigned an 8-digit file number, enter this number.
ITEM 6A. If you have not previously applied for VA education benefits, go to www.benefits.va.gov/gibill, the "Education and Training" page will
appear and then click on "Apply for Benefits."
ITEM 7. Write the complete name of the exam that you took. Show exam information for only one exam on any one application.
ITEM 8. Write the complete name of the organization that administered the national exam you took.
ITEM 9. Show the date you took the national exam.
ITEM 10. Enter the cost of the exam you took, including any required fees. (We can only reimburse you for required exam fees.) We have no authority
to reimburse you for any optional costs related to the examination process. Exam fees that VA will reimburse include "registration fees," fees for
specialized exams, and administrative fees such as a proctoring fee. Fees that VA has no authority to reimburse include fees to take pre-exams (such as
Kaplan exams), fees to receive scores quickly, or other costs or fees for optional items that are not required to take an approved exam.
ITEM 11. Use the space in this item to provide information that does not fit elsewhere on this form or that will help VA process your claim. Refer to
other item numbers on this form to help us match your answers to the correct questions. If more space is needed, please attach separate sheets of paper.
Be sure to place your name and VA file number or social security number on each additional page.
ITEM 12 AND 13. Sign and date the form.
MORE HELP: Our education internet site (www.benefits.va.gov/gibill) is available to help you, even after normal business hours. If you need help in
completing this application, call VA TOLL-FREE at 1-888-GI-BILL-1 (1-888-442-4551). If you use the Telecommunications Device for the Deaf
(TDD), the Federal Relay number is 711.
HOW TO FILE YOUR CLAIM. Send the completed application to the Regional Processing Office in the region of your home address. Use the
addresses shown below.
PRIVACY ACT INFORMATION: 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
1.576 for routine uses (e.g., VA sends educational forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1) assist the veteran in the completion of claims forms, or (2) for VA
to obtain further information as may be necessary from the school for VA to properly process the veteran's education claim or to monitor his or her progress during training) as identified in VA's system of records, 58VA21/22/28,
Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. Your obligation to respond is voluntary. While you do not have to respond, VA cannot process
your claim for reimbursement of national test fees unless the information is furnished as required by existing law (38 U.S.C. 3471). The responses you submit are considered confidential (38 U.S.C. 5701). Any information
provided by applicants, recipients, and others may be subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: We need this information to determine your eligibility for reimbursement of national test fees. We cannot reimburse you for any test fees until we receive this information (38 U.S.C. 5101). Title 38,
United States Code, allows us to ask for this information. We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection
of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page
at www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this information collection.
VA FORM 22-0810, JUL 2017
Central Region:
VA Regional Office
P. O. Box 32432
St. Louis, MO 63132-0832
CO ILIA IN
KS MIKY MN
MO NEMT ND
OH WVSD
SERVES THE FOLLOWING STATES
TN
WI WY
VA
Eastern Region:
VA Regional Office
P. O. Box 4616
Buffalo, NY 14240-4616
CT DCDE MA
MD
NH
ME
NJ
NY
RIPA
VT
Foreign
Schools
SERVES THE FOLLOWING STATES
NC
US Virgin
Islands
APO/FPO AA
TX
AL
Western Region:
VA Regional Office
P. O. Box 8888
Muskogee, OK 74402-8888
SERVES THE FOLLOWING STATES
AK AR AZ
Philippines
OK
CA
HI
FL
ID
LA
ORNV
MS
NM
SC
Guam
APO/FPO AP
GA
PR
WAUT
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