When Should You Use This Form?
Use this form when:
you're changing schools,
you're changing your educational, professional, vocational goal,
you left your program due to unsatisfactory attendance, progress, or conduct;
and you're now 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.
INSTRUCTIONS FOR SPECIFIC ITEMS ON THE FORM
Most items on this form are self-explanatory. Here is additional information on certain items.
Item #4A: Here are some examples of what we mean by "goals":
Educational goal: GED certificate, high school diploma, bachelor degree, master degree, Ph.D
Professional goal: lawyer physician, teacher, physical therapist, medical technologist, medical
Vocational goal: stenographer, machinist, electronic technician, X-ray technician, radio and
TV service technician, automobile mechanic, practical nurse.
Items #6: Provide your dependents information only if you have military service before
January 1, 1977 (or delayed entry before January 2, 1978).
Items #11A and 11B: Make sure you sign and date these items. If you are currently on active duty,
have your Education Service Officer sign and date Items 12A and 12B.
TO FILE THIS FORM:
(A) If you have selected a school or training establishment,
Step1: Mail the completed form to the VA Regional Processing Office in the region of that school's or
establishment's physical address: Determine the correct office from the list below.
Step 2: Notify the veterans certifying official at your school or training establishment that you have
applied for VA education benefits. Ask him or her to submit your enrollment information using
VA Form 22-1999, Enrollment Certification, or its electronic version.
Step 3: Wait for VA to process your application and notify you of our decision concerning your
continued eligibility for education assistance.
(B) If you have not selected a school or training establishment,
Step 1: Mail the completed form to the VA Regional Processing Office in the region of your home
address. Determine the correct office from the list on on the next page.
Step 2: Wait for VA to process your application and notify you of our decision concerning your
continued eligibility for educational assistance.
If You Need Help
If you need help in completing this form, you can contact us through our home page on the Internet.
Our website is: www.gibill.va.gov. Click on Ask a Question and Find Answers. Or you may call us toll
free at 1-888-GI-BILL-1 (1-888-442-4551.) If you're hearing impaired, call 1-800-829-4833. Please call
1-800-827-1000 if you want a VA counselor to help you in planning your program.
INSTRUCTIONS & INFORMATION
VA FORM 22-1995, OCT 2010