Use this form to apply for educational assistance under the following benefit programs:
Survivors' and Dependents' Educational Assistance Program (DEA) (chapter 35 of title 38, U.S. Code)
Post-9/11 GI Bill Marine Gunnery Sergeant John David Fry Scholarship (Fry Scholarship)
(chapter 33 of title 38, U.S. Code)
(Please detach at perforation and retain this information for future reference)
INFORMATION AND INSTRUCTIONS FOR COMPLETING THE
DEPENDENTS' APPLICATION FOR VA EDUCATION BENEFITS
(VA FORM 22-5490)
SUPERSEDES VA FORM 22-5490, OCT 2011,
WHICH WILL NOT BE USED.
Do not use this form to apply for Veterans' education assistance based on your own service (chapters 30, 32, 33, 1606, or 1607) or
vocational rehabilitation benefits (chapter 31). To apply for veterans' education assistance based on your own service, use VA Form
22-1990. To apply for vocational rehabilitation benefits, use VA Form 28-1900.
INTERNET VERSION AVAILABLE - You may complete and submit this application on-line at www.gibill.va.gov. Click on "GI Bill:
Apply for Benefits."
VA VOCATIONAL AND EDUCATIONAL COUNSELING HELP AVAILABLE - VA offers a wide range of services to assist you in
planning your educational and/or career goals. Services include educational and vocational guidance and testing to develop a greater
understanding of your skills, talents, and interests. For more information on VA counseling, call VA toll-free at 1-888-GIBILL-1
(1-888-442-4551) or if you use the Telecommunications Device for the Deaf (TDD), the Federal Relay number is 711.
NOTE: The number on the instructions match the item numbers on this application. Items not mentioned are self-explanatory.
ITEM 17. You will not be eligible to receive benefits for any period for which you or the qualifying individual on whose account you are
claiming benefits has an outstanding felony warrant. Any benefits paid to you for such period will result in an overpayment and be
subject to collection.
18A. Select the benefit for which you are applying.
To qualify for Survivors' and Dependents' Educational Assistance (DEA) you must be either -
(1) The spouse or child of a veteran who is permanently and totally disabled as a result of a service-connected disability.
(2) The spouse or child of an individual on active duty who has been listed as missing in action, captured in line of duty
by hostile force, forcibly detained or interned in line of duty by hostile force, or forcibly detained or interned in line of
duty by foreign government or power for more than 90 days.
(3) The surviving spouse or child of a veteran who died of a service-connected disability or who dies while a
service- connected disability was rated permanent and total in nature.
(4) The spouse or child of an individual on active duty for which the evidence shows that the individual is hospitalized
for receiving outpatient medical care services or treatment; has a total disability permanent in nature incurred or
aggravated in the line of duty in the active military, naval, or air service; and the serviceperson is likely to be
discharged or released from such service for such disability.
Eligibility for DEA will be terminated in the event that VA determines that the individual on whose account benefits are claimed is no
longer totally disabled or VA is notified that the individual is no longer listed as captured, missing in action, or forcibly detained.
18B. To qualify for the Fry Scholarship, you must be the child of an individual who after September 10, 2001, died in the line of duty
while serving on active duty as a member of the Armed Forces.
18A. & 18B. Types of education or training programs are self-explanatory, except for the following -
"Licensing or Certification Test." A licensing test is a test offered by a state, local, or federal agency that is required by law to practice
an occupation. A certification test is a test designed to provide affirmation of an individual's qualifications in a specific occupation.
"National Admission Exam or National Exam for Credit." Individuals eligible to receive benefits under the Survivors' and Dependents'
Educational Assistance program may be reimbursed for the cost of approved tests for admission to or credit at institutions of higher
"Correspondence." Only spouses and surviving spouses eligible for the Survivors' and Dependents' Educational Assistance program
may receive benefits for correspondence training. Payments for correspondence courses are made quarterly after VA receives a
certification showing the number of lessons completed. For more information on correspondence courses, please visit our website at
"Flight Training." You must already have a private pilot's license. If you are taking an Airline Transport Pilot course, you must have a
valid first-class medical certificate on the date that you enter training. For all other flight courses, you must have a valid second-class
medical certificate on the date that you enter training.