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Va Form 1999B PDF Details

The Department of Veterans Affairs (VA) Form 1999B is a document used to apply for benefits under the Servicemembers Civil Relief Act (SCRA). This form can be used by service members who have been called to active duty, as well as their dependents. The SCRA provides certain protections and benefits to military members and their families, such as interest rate relief on mortgages and credit cards, and protection from eviction. Applying for benefits under the SCRA can be a complicated process, so it is important to understand what is involved. This blog post will provide an overview of the VA Form 1999B application process.

The listing includes information about the va form 1999b. Our suggestion is that you read through this info before you decide to begin filling out the file.

Question	Answer
Form Name	Va Form 1999B
Form Length	4 pages
Fillable?	Yes
Fillable fields	99
Avg. time to fill out	20 min 52 sec
Other names	INSTRUCTIONS FOR NOTICE OF CHANGE IN STUDENT STATUS

12

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INSTRUCTIONS FOR NOTICE OF CHANGE IN STUDENT STATUS

NOTE: All items not mentioned are considered self-explanatory.

Item 2 - Enter the VA FILE NUMBER: This is usually the veteran's claim number or social security number.

Item 2 - If the claimant is receiving CHAPTER 35 benefits, enter his or her suffix. (This is a letter (A, B, etc.) designation.) For transferability cases, enter the veteran's social security number.

Item 4 - If the claimant is receiving benefits transferred to him or her, enter the claimant's SOCIAL SECURITY NUMBER.

Item 5 - DATES OF TERM AFFECTED: Enter the begin and end dates for the term in which the change in student status occurred.

Item 6A - LAST DATE OF ATTENDANCE: Enter the actual last date of attendance. For college level courses, you may use one of the following methods to determine the last date of attendance: (1) attendance records; (2) grading reports; (3) last date on which examination or other papers filed; (4) last day of activity in the instructor's records; or (5) a statement from the student as to the last day of his or her attendance

Item 6B - REASON FOR TERMINATION: (Check the appropriate box.)

WITHDRAWAL DURING DROP PERIOD: Check this box for withdrawals during an officially designated drop period of not more than 30 days. Do not use this box for withdrawals after the drop period of more than 30 days after the start of the term, whichever is earlier.

WITHDRAWAL AFTER DROP PERIOD - NONPUNITIVE GRADE ASSIGNED: A nonpunitive grade is any grade not used to compute graduation requirements. A nonpunitive grade is the equivalent of an audited course for purposes of advancement toward graduation. Typical examples are "W" (withdrawal) and "NC" (no credit). Complete Item 9 & 11.

WITHDRAWAL AFTER DROP PERIOD - PUNITIVE GRADE ASSIGNED: A punitive grade is one assigned a value when computing graduation requirements. A common example is an "F" (failing) grade which has a quality point value of "zero."

UNSATISFACTORY ATTENDANCE, CONDUCT, OR PROGRESS: Check this box for failure to meet the school's standards of attendance, conduct, or progress. In Item 6A, show the last date attendance, conduct, or progress was satisfactory.

OTHER (Explain in Item 12, Remarks): Check this box for any termination reason not shown.

WITHDRAWAL OR INTERRUPTION (Noncollege Degree Programs (NCD)): "Noncollege Degree Programs" refers to programs such as diploma or certificate programs that do not lead to a standard college degree. Check this box if a student terminates or interrupts a noncollege degree program that is not offered on a term, quarter, or semester basis. (The program may be offered on a block, unit, or clock basis.) For such programs, report in Item 12, Remarks, the first date from which no credit accrued toward graduation.

If the nondegree program is offered on a term, quarter, or semester basis, check the most appropriate of the remaining boxes.

Item 6C - LAST DATE CREDIT ACCRUED (For NCD Only): For NCD programs operating on a block, unit, or clock basis, enter the last date the student accrued credit toward graduation.

Item 7B - TYPE OF ADJUSTMENT:

INCREASE: Check this box to show an increase in credit hours, clock hours, or high school units.

REDUCTION DURING DROP PERIOD: Check this box for reductions during an officially designated drop-add period of not more than 30 days.

REDUCTION AFTER DROP PERIOD - NONPUNITIVE GRADE ASSIGNED: See Instruction Item 6B for a definition of "nonpunitive." Complete Items 9 & 11.

REDUCTION AFTER DROP-ADD PERIOD - PUNITIVE GRADE ASSIGNED: See Instructions Item 6B for a definition of "punitive."

STUDENT COMPLETED TERM BUT NONPUNITIVE GRADES ASSIGNED FOR ONE OR MORE COURSES: Check this box if a student completed a term but received nonpunitive grades for one or more courses. EXAMPLE: A student completes 12 credits and receives "W" grades for 6 credits. Enter the last day of the term in Item 7A. Enter 12 in Item 7C and 6 in Item 7D.

REDUCTION (Noncollege Degree Programs) "Noncollege Degree Programs": refers to programs such as diploma or certificate programs that do not lead to a standard college degree. Check this box if a student reduces his or her course load in a noncollege degree program that is not offered on a term, quarter, or semester basis. (The program may be offered on a block, unit, or clock basis.) For such programs, report in Item 12, Remarks, the first date from which no credit accrued toward graduation.

If the nondegree program is offered on a term, quarter, or semester basis, do not check this box. Check the most appropriate of the remaining boxes.

OTHER (Explain in Item 12 Remarks): Check this box for any

adjustment type not shown. EXAMPLES: (a) Incomplete "I" grade(s) not converted to credit grade(s) within one calendar year, or (b) Incomplete "I" grade converted to credit grade(s) or to punitive, failing grade(s).

Items 7C and 7D - CREDIT HOURS: Show a breakdown of credit hours as shown on VA Form 22-1999, Enrollment Certification, if necessary. If the student is taking noncredit, remedial, deficiency, or independent study courses, show these hours in addition to the credit hours.

EXAMPLE:
Before Adjustment	After Adjustment
6 credit hours	3 credit hours
+	+
3 deficiency hours	3 deficiency hours

Item 8 - CHARGES FOR PERIOD OF ENROLLMENT: When required report the customer charges for the ADJUSTED load only. EXAMPLE: A student starts a term at full time, but reduces to less than half-time in the third week.

Item 9 - PREVIOUS CERTIFICATIONS FOR SUBSEQUENT TERMS: Check "yes" if there are terms, previously certified, which follow the term of the termination or adjustment and are not affected by the termination or adjustment. Check "no" if there are terms, previously certified, which follow the term of the termination or adjustment and are no longer valid.

Item 10 - CALLUP TO ACTIVE DUTY: If the termination or adjustment occurs because the student has been called to active duty, please indicate whether credit has been granted for interrupted coursework by checking the appropriate box.

Item 11 - MITIGATING CIRCUMSTANCES: These are unavoid- able or unexpected events that directly interfere with a student's pursuit of a course and are beyond the student's control. Students must submit corroborative evidence to substantiate their reasons for being unable to complete a course or courses, or receiving a nonpunitive grade.

Item 12 - REMARKS: Use this space to provide any needed clarification. It is important to clarify the student's status for terms after the one in which a change occurred. EXAMPLE: A student certified for the entire school year withdraws during the fall term. If the student is still enrolled for the spring term, enter that information in Item 12, "Remarks."

Item 13C - NAME AND ADDRESS OF SCHOOL OR TRAINING ESTABLISHMENT (Include facility code): Enter the complete name and address of the school or training establishment and the facility code. Facility codes contain 8 numbers which identify a particular school or training establishment. If you do not know your facility code, contact the VA Education Liaison Representative. Entering the facility code will help VA to be sure that your school is properly shown in the student's record.

VA FORM 22-1999b, JUL 2012

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 CFR 1.576 for routine uses (i.e., award of benefits) as identified in the VA system of records, 58VA21/22, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. Your obligation to respond is required to obtain benefits. We cannot pay the student any further education benefits until we receive this information (38 U.S.C 3684). Information submitted is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine whether educational benefits should be increased, decreased, or terminated, and if so, the effective date of such change (38 U.S.C. 3034(a), 3241, 3474, 3524, 3680(a), and 10 U.S.C. 510, 1636(b), and chapter 1607). Title 38, U.S.C., allows us to ask for this information. We estimate that you will need an average of 10 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 Intenet Page at http://www.whitehouse.gov/omb/library/OMBINV.VA.EPA.htm#VA. If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551), (Telecommunications Device for the Deaf (TDD), Federal Relay number is 711), to get information on where to send your comments or suggestions about this form.

VA FORM 22-1999b, JUL 2012

		OMB Approved No. 2900-0156
		Respondent Burden: 10 Minutes


	NOTICE OF CHANGE IN STUDENT STATUS

1. NAME OF STUDENT (First, Middle, Last)		2. VA FILE NO. (For chapter 35, include suffix. For transferability cases,
		enter the veteran's Social Security Number)

3. CURRENT ADDRESS OF STUDENT		4. SOCIAL SECURITY NO. OF APPLICANT (If not entered om
		Item 2 above)

	5. DATES OF TERM AFFECTED

A. BEGIN DATE

B. END DATE

5.TERMINATION (Complete Items A and B, and C if applicable)

A. LAST DATE OF	B. REASON FOR TERMINATION					END OF TERM OR COURSE
A. LAST DATE OF	B. REASON FOR TERMINATION
ATTENDANCE			WITHDRAWAL BEFORE BEGINNING OF TERM

						UNSATISFACTORY ATTENDANCE, CONDUCT, OR PROGRESS

			WITHDRAWAL DURING DROP PERIOD
						GRADUATION


			WITHDRAWAL AFTER DROP PERIOD - NONPUNITIVE
						WITHDRAWAL OR INTERRUPTION (Noncollege Degree Programs

			GRADES ASSIGNED	(If checked, complete Item 9 & 11)
			GRADES ASSIGNED	(If checked, complete Item 9 & 11)		not on term basis- see Instructions)
			WITHDRAWAL AFTER DROP PERIOD - PUNITIVE

						OTHER (Explain in Item 12, Remarks)


			GRADES ASSIGNED

C. LAST DATE CREDIT ACCRUED (For non-college degree courses only)

7.ADJUSTMENT OF CREDIT OR CLOCK HOURS (Complete Items A, B, and C thru H as applicable)

A. DATE ADJUSTMENT IS EFFECTIVE

B. TYPE OF ADJUSTMENT

INCREASE

INCREASE ON FIRST DAY OF TERM

REDUCTION ON FIRST DAY OF TERM

REDUCTION DURING DROP PERIOD

REDUCTION AFTER DROP PERIOD - NONPUNITIVE GRADES ASSIGNED (If checked, complete Item 9 & 11)

REDUCTION AFTER DROP PERIOD - PUNITIVE GRADES ASSIGNED

STUDENT COMPLETED TERM, BUT NONPUNITIVE GRADES ASSIGNED FOR ONE OR MORE COURSES (If checked, complete Item 8)

REDUCTION (Noncollege Degree Programs not on term basis- see Instructions) OTHER (Explain in Item 9, Remarks)

C. CREDIT HOURS BEFORE ADJUSTMENT

D. CREDIT HOURS AFTER ADJUSTMENT

E. TRAINING TIME AFTER ADJUSTMENT (For graduate and advanced professional)

	FULL TIME		3/4 TIME		1/2 TIME
	LESS THAN 1/2 TIME		1/4 TIME OR LESS
	LESS THAN 1/2 TIME		1/4 TIME OR LESS

F. CLOCK HOURS OR HIGH SCHOOL UNITS BEFORE ADJUSTMENT

G. CLOCK HOURS OR HIGH SCHOOL UNITS AFTER ADJUSTMENT

H. REVISED ENDING DATE

8.CHARGES FOR PERIOD OF ENROLLMENT (Complete this item for in-service students, student's whose training load after adjustment is less than 1/2 time and all chapter 33 students that have a change in status. List the charges for the adjusted load by school year, term, or other period. This item does not apply to students receiving chapter 32 or 1606 benefits).

A. TUITION

$

B. FEES

$

C. YELLOW RIBBON (Chapter 33 only)

$

9.DO PREVIOUS CERTIFICATIONS FOR SUBSEQUENT TERMS REMAIN UNCHANGED?

YES NO

10.CALLUP TO ACTIVE DUTY (Complete if student called to active duty- see Instructions)

STUDENT CALLED UP - No Credit Granted

STUDENT CALLED UP - Credit Granted

MITIGATING CIRCUMSTANCES (Complete only if indicated by Item 6 or 7)

11. DOES THE STUDENT CLAIM THAT TERMINATION OR ADJUSTMENT ACTIONS INVOLVED MITIGATING CIRCUMSTANCES?

YES

NO

UNKNOWN (If "Yes," attach student's statement together with the student's supporting evidence)

12. REMARKS

IT IS HEREBY CERTIFIED THAT the student's status changed on the date indicated and in accordance with the facts shown above.

13A. DATE

13B. SIGNATURE AND TITLE OF CERTIFYING OFFICIAL

13C. NAME AND ADDRESS OF SCHOOL OR TRAINING ESTABLISHMENT

(Include Facility Code)

	VA FORM	22-1999b	SUPERSEDES VA FORM 22-1999b, NOV 2008,
	JUL 2012		WHICH WILL NOT BE USED.

VA Copy 1

		OMB Approved No. 2900-0156
		Respondent Burden: 10 Minutes

	NOTICE OF CHANGE IN STUDENT STATUS

1. NAME OF STUDENT (First, Middle, Last)		2. VA FILE NO. (For chapter 35, include suffix. For transferability cases,
		enter the veteran's Social Security Number)

3. CURRENT ADDRESS OF STUDENT		4. SOCIAL SECURITY NO. OF APPLICANT (If not entered om
		Item 2 above)

	5. DATES OF TERM AFFECTED

A. BEGIN DATE

B. END DATE

5.TERMINATION (Complete Items A and B, and C if applicable)

A. LAST DATE OF	B. REASON FOR TERMINATION					END OF TERM OR COURSE
A. LAST DATE OF	B. REASON FOR TERMINATION
ATTENDANCE			WITHDRAWAL BEFORE BEGINNING OF TERM

						UNSATISFACTORY ATTENDANCE, CONDUCT, OR PROGRESS

			WITHDRAWAL DURING DROP PERIOD
						GRADUATION


			WITHDRAWAL AFTER DROP PERIOD - NONPUNITIVE
						WITHDRAWAL OR INTERRUPTION (Noncollege Degree Programs

			GRADES ASSIGNED	(If checked, complete Item 9 & 11)
			GRADES ASSIGNED	(If checked, complete Item 9 & 11)		not on term basis- see Instructions)
			WITHDRAWAL AFTER DROP PERIOD - PUNITIVE			not on term basis- see Instructions)
						OTHER (Explain in Item 12, Remarks)


			GRADES ASSIGNED

C. LAST DATE CREDIT ACCRUED (For non-college degree courses only)

7.ADJUSTMENT OF CREDIT OR CLOCK HOURS (Complete Items A, B, and C thru H as applicable)

A. DATE ADJUSTMENT IS EFFECTIVE

B. TYPE OF ADJUSTMENT

INCREASE

INCREASE ON FIRST DAY OF TERM

REDUCTION ON FIRST DAY OF TERM

REDUCTION DURING DROP PERIOD

REDUCTION AFTER DROP PERIOD - NONPUNITIVE GRADES ASSIGNED (If checked, complete Item 9 & 11)

REDUCTION AFTER DROP PERIOD - PUNITIVE GRADES ASSIGNED

STUDENT COMPLETED TERM, BUT NONPUNITIVE GRADES ASSIGNED FOR ONE OR MORE COURSES (If checked, complete Item 8)

REDUCTION (Noncollege Degree Programs not on term basis- see Instructions) OTHER (Explain in Item 9, Remarks)

C. CREDIT HOURS BEFORE ADJUSTMENT

D. CREDIT HOURS AFTER ADJUSTMENT

E. TRAINING TIME AFTER ADJUSTMENT (For graduate and advanced professional)

	FULL TIME		3/4 TIME		1/2 TIME
	LESS THAN 1/2 TIME		1/4 TIME OR LESS
	LESS THAN 1/2 TIME		1/4 TIME OR LESS

F. CLOCK HOURS OR HIGH SCHOOL UNITS BEFORE ADJUSTMENT

G. CLOCK HOURS OR HIGH SCHOOL UNITS AFTER ADJUSTMENT

H. REVISED ENDING DATE

8.CHARGES FOR PERIOD OF ENROLLMENT (Complete this item for in-service students, student's whose training load after adjustment is less than 1/2 time and all chapter 33 students that have a change in status. List the charges for the adjusted load by school year, term, or other period. This item does not apply to students receiving chapter

32or 1606 benefits).

A. TUITION

$

B. FEES

$

C.YELLOW RIBBON (Chapter 33 only)

$

9.DO PREVIOUS CERTIFICATIONS FOR SUBSEQUENT TERMS REMAIN UNCHANGED?

YES NO

10.CALLUP TO ACTIVE DUTY (Complete if student called to active duty- see Instructions)

STUDENT CALLED UP - No Credit Granted

STUDENT CALLED UP - Credit Granted

MITIGATING CIRCUMSTANCES (Complete only if indicated by Item 6 or 7)

11. DOES THE STUDENT CLAIM THAT TERMINATION OR ADJUSTMENT ACTIONS INVOLVED MITIGATING CIRCUMSTANCES?

YES

NO

UNKNOWN (If "Yes," attach student's statement together with the student's supporting evidence)

12. REMARKS

IT IS HEREBY CERTIFIED THAT the student's status changed on the date indicated and in accordance with the facts shown above.

13A. DATE

13B. SIGNATURE AND TITLE OF CERTIFYING OFFICIAL

13C. NAME AND ADDRESS OF SCHOOL OR TRAINING ESTABLISHMENT

(Include Facility Code)

	VA FORM	22-1999b	SUPERSEDES VA FORM 22-1999b, NOV 2008,
	JUL 2012		WHICH WILL NOT BE USED.

School Copy 2

How to Edit Va Form 1999B Online for Free

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Step 1: The following webpage has an orange button that says "Get Form Now". Merely click it.

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Complete the Va Form 1999, B PDF and enter the content for every area:

filling out Va Form 1999B part 1

Write down the requested details in C, CREDIT, HOURS, BEFORE, ADJUSTMENT D, CREDIT, HOURS, AFTER, ADJUSTMENT FULL, TIME TIME, TIME, LESS, THAN, TIME TIME, OR, LESS H, REVISED, ENDING, DATE A, TUITION B, FEES C, YELLOW, RIBBON, Chapter, only YES, STUDENT, CALLED, UP, No, Credit, Granted STUDENT, CALLED, UP, Credit, Granted and YES box.

Va Form 1999B CCREDITHOURSBEFOREADJUSTMENT, DCREDITHOURSAFTERADJUSTMENT, FULLTIME, TIME, TIME, LESSTHANTIME, TIMEORLESS, HREVISEDENDINGDATE, ATUITION, BFEES, CYELLOWRIBBONChapteronly, YES, STUDENTCALLEDUPNoCreditGranted, STUDENTCALLEDUPCreditGranted, and YES fields to insert

The program will require you to insert some necessary info to instantly fill in the part A, DATE VA, FORM, JUL and VA, Copy

Filling in Va Form 1999B step 3

You will need to identify the rights and responsibilities of every party in part NOTICE, OF, CHANGE, IN, STUDENT, STATUS NAME, OF, STUDENT, First, Middle, Last CURRENT, ADDRESS, OF, STUDENT A, BEGIN, DATE A, LAST, DATE, OF ATTENDANCE, DATES, OF, TERM, AFFECTED BEND, DATE B, REASON, FOR, TERMINATION WITHDRAWAL, BEFORE, BEGINNING, OF, TERM WITHDRAWAL, DURING, DROP, PERIOD END, OF, TERM, OR, COURSE GRADUATION, OTHER, Explain, in, Item, Remarks and A, DATE, ADJUSTMENT

step 4 to entering details in Va Form 1999B

Fill in the file by reviewing these areas: C, CREDIT, HOURS, BEFORE, ADJUSTMENT D, CREDIT, HOURS, AFTER, ADJUSTMENT FULL, TIME TIME, TIME, LESS, THAN, TIME TIME, OR, LESS H, REVISED, ENDING, DATE A, TUITION B, FEES C, YELLOW, RIBBON, Chapter, only YES, STUDENT, CALLED, UP, No, Credit, Granted STUDENT, CALLED, UP, Credit, Granted and YES.

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