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Instructions for Filling Out Applications

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Instructions for Filling Out Applications

The information below lists things you’ll need to prepare for filling out your application and evidence you’ll need to mail separately as supporting documentation.

Filling out a VA Form 21-526 , Veteran’s Application for Compensation and/or Pension

Filling out a VA Form 28-1900 , Disabled Veteran’s Application for Vocational Rehabilitation

Filling out a VA Form 22-1990 , Application for Education Benefits

VA Form 21-526

Information to Prepare Answers

Evidence to Send VA

1. Active Duty, Reserve Duty or National Guard Duty information

  • dates and places you entered and left duty
  • mailing addresses of units you served in
2. List of military benefits you receive and amounts
Your DD214 or other separation papers for all periods of service

3.  List of disabilities you are claiming, including

  • treatment dates in service
  • name and address of the medical facility
4.  Information about any exposures that caused the disabilities you are claiming, including dates that you were exposed

Copies of medical records you have

Medical evidence showing you currently have this disability

Medical evidence indicating that the disability was caused by or arose during your active service


5.  Information about your current spouse, including his/her Social Security number (and VA file number if he/she is a veteran)

6.  Information about you and your spouse’s previous marriages including dates and places of those marriages and the dates and places those marriages ended

7.  Information about the children who live with you, including their names, Social Security numbers, dates and places of birth

8.  Information about children not living with you, including their names, dates and places of birth, Social Security numbers, and amounts that you contribute in child support for them


Copies of your marriage certificate and all divorce decrees (May be required in some cases)

Copies of the public birth records for each child you claim as a dependent (May be required in some cases)

Copies of the court records for adoption for each adopted child


9.  Information about your training and employment history for the past year, including

  • name and address of employers
  • beginning and ending dates of employment

10.  Information about your nursing home, if you live in one

11.  Information about your net worth and your dependents’ net worth

12.  Information about your recurring income and your dependents’ recurring income

13.  Information about income you and your dependents expect to receive in the next 12 months


Current medical evidence telling us about your disabilities

If you are in a nursing home, attach a statement signed by an official of the nursing home that includes

  • date you were admitted to a nursing home
  • your level of care in the nursing home

Your nursing home payment status, which is Medicaid coverage or private pay

VA Form 28-1900

VOCATIONAL REHABILITATION FOR SERVICE-DISABLED VETERANS

EVALUATION: If you have a VA combined service-connected disability rating of 10 percent or more and you apply for vocational rehabilitation, we will schedule you for a comprehensive evaluation. As a first step during this evaluation interview, a counselor will work with you to answer three questions. For you to receive rehabilitation services and assistance under this program, the answers to all three questions must be "yes."

1. Do you meet the basic entitlement requirements in the next paragraph?

2. If you meet these requirements, is it reasonable to expect you to be able to reach an employment or independent living goal?

3. Are you within the time limit for receiving this benefit? (This is generally 12 years from the date VA notified you that you had at least 10% service-connected disability.)

BASIC ENTITLEMENT REQUIREMENTS:

If:

and VA rates your service-connected conditions at least:

and a VA counselor finds that you need rehabilitation to overcome:

then you may receive a program of needed:

You are a veteran or a service member awaiting a disability discharge

20 percent disabling

An employment handicap*

Vocational rehabilitation services and assistance.

You are a veteran

10 percent disabling

A serious employment handicap*

Vocational rehabilitation services and assistance.

 

20 percent disabling

A serious employment handicap*

Independent living services and assistance.

* An employment handicap means that you have difficulty in getting or holding a job that is suitable for your aptitudes, interests, and abilities, and is compatible with your disabilities. Your difficulty in getting and keeping a job must result in substantial part from your service-connected disability. A serious employment handicap means that this difficulty greatly limits your ability to get or hold a suitable job.

PLANNING AND COUNSELING: Your counselor must first determine that you meet the entitlement requirements and an employment or independent living goal is reasonably feasible. Then your counselor will help you develop a plan of services and assistance to assist you to reach your employment or independent living goal. Counseling will be available throughout your program to help you with problems that may arise. We will set up evaluation and counseling meetings at times convenient for you. We will pay your travel expenses to and from these meetings.

REHABILITATION SERVICES: Not all vocational rehabilitation programs involve training. You may only need employment services to help you get a suitable job. If a VA counselor determines that you need training to reach your vocational goal, your VA counselor will also determine the number of months of training you need. You may train in a vocational school, a special rehabilitation facility, an apprenticeship program, other on-job training position, a college, or a university. While you train, VA will provide the medical and dental care and treatment, employment assistance to get and keep a job, and other services you need. If a vocational goal is not currently feasible for you, VA may provide services and assistance to improve your capacity for independent living.

SUPPORT: VA may pay for tuition, fees, books, equipment, tools, or other supplies you need to  succeed in your program. While training and for two months after you complete training and are looking for employment, you will receive a subsistence allowance to help you meet your living expenses. The allowance you receive depends on your type of training, rate of attendance, and number of dependents. You will receive this allowance in addition to any VA compensation or military retired pay you may receive.

VA Form 22-1990:

If You:

Evidence to send VA

 

 

1. Are Active Duty, Reserve Duty or National Guard Duty

Your DD Form 214 or other separation papers for all periods of service

2. Entered active duty under a delayed enlistment contract between January 1, 1977 and January 2, 1978

A copy of your delayed enlistment contract

3. Are eligible for benefits based upon service before January 2, 1978

A copy of your marriage certificate and birth certificates for each child

 

4. Are a member of the Selected Reserve

Your Notice of Basic Eligibility, DD Form 2384

 

 

 

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