VA Form 22-1990: Application for VA Education Benefits

Name: First, Middle Initial, Last.

Applicant's telephone numbers: include area code.

Applicant's e-mail address is required.

To enroll in direct deposit, attach a voided personal check or deposit slip to match the routing or transit number, account type and account number you provide.

Direct Deposit is not available for Chapter 32 recipients.

Item 9A, Chapter 33 - Post-9/11 GI Bill: you may be eligible for benefits under the Post-9/11 GI Bill, also referred to as chapter 33, if you served at least 90 aggregate days on active duty (excluding entry level and skill training) after September 10, 2001. You may also qualify if you were discharged due to a service-connected disability after serving at least 30 continuous days on active duty after September 10, 2001.

Chapter 1606: you may be eligible for the Montgomery GI Bill - Selected Reserve Educational Assistance Program, also known as MGIB-SR or chapter 1606, if you are a member of the Selected Reserve and meet certain requirements, including a 6-year commitment. To expedite processing, attach a copy of your DD 2384, Selected Reserve Educational Assistance Program (GI BILL) Notice of Basic Eligibility.

Chapter 32: you may be eligible for benefits under the Post-Vietnam Era Veterans' Educational Assistance Program (VEAP), also known as Chapter 32, if your service began on or after January 1, 1977, and before July 1, 1985, and you contributed to a VEAP account.

10B, the full name and address of the school, if known: skip this item if you are only applying for National Test Reimbursement, Licensing and Certification Test Reimbursement, or Tuition Assistance Top-Up.

10C, educational or career objective, if known (e.g. Bachelor of Arts in Accounting, welding certificate, police officer, etc.).

Complete the following for each period of military service: A. Date entered; B. Date separated; C. Service component (USN, USAF, USAR, ARNG, etc.); D. Service status (Active duty, drilling reservist, IRR, etc.); E. Were you involuntarily called to active duty for this period?

26B, Date signed (MM/DD/YYYY).

If on active duty, you also certify that you have consulted with an Education Service Officer (ESO) regarding your education program.

Willful false statements as to a material fact in a claim for education benefits is a punishable offense and may result in the forfeiture of these or other benefits and in criminal penalties.

If you have selected a school or training establishment, step 1: mail the completed application to the VA Regional Processing Office for the state or region of the school's physical address.

Tell the veterans certifying official at your school or training establishment that you have applied for VA education benefits. Ask him or her to send your enrollment information using VA Form 22-1999, Enrollment Certification, or its electronic version.

If you haven't selected a school or training establishment, step 1: mail the completed application to the VA Regional Processing Office for the state or region of your home address. Step 2: wait for VA to process your application and notify you of its decision concerning your eligibility for education benefits.

Do not check "Yes" in 11, are you on active duty, if you are currently on drilling status in the Selected Reserve, or if you are on active duty for training.

If you are now on terminal leave just before discharge, provide a copy of your DD Form 214 (Member 4) when issued.

For active duty claimants only: are you receiving, or do you anticipate receiving, any money (including but not limited to Federal tuition assistance) from the Armed Forces or Public Health Service for the course for which you have applied to the VA for education benefits? If you receive such benefits during any part of your training, check "Yes." If you are only applying for Tuition Assistance Top-Up, check "No" in this item.

For civilian employees of the U.S. Government only: if you are receiving, or anticipate receiving, any money (including, but not limited to, the Government Employees Training Act) from your agency for the same period for which you have applied to the VA for education benefits, and you will receive such benefits during any part of your training, check "Yes."

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.

You can be reimbursed for the cost of approved tests for admission to, or credit at, institutions of higher learning.

A licensing test is a test offered by a state, local, or federal agency that is required by law to practice an occupation.

Tuition Assistance Top-Up is payable only under MGIB and the Post-9/11 GI Bill programs.

Part VIII questions are only for applicants whose service began before January 1, 1977 (or delayed entry before January 2, 1978).

If you are currently married or if you have children under age 18 (under age 23 if in school), you should complete and return VA Form 21-686c. If your children are in school, you should also complete and return VA Form 21-674 for each child. If your parent(s) are dependent on you for financial support, you should complete and return VA Form 21-509.

If you qualify for a kicker, it will help VA process your claim if you submit a copy of the kicker contract. Reserve kicker contracts must include the amount and effective date.

Do not use this form to apply for Vocational Rehabilitation and Employment benefits (chapter 31 of title 38, U.S. Code), Dependents Educational Assistance benefits (chapter 35 of title 38, U.S. Code), Marine Gunnery Sergeant John David Fry Scholarship (chapter 33 of title 38, U.S. code), Transfer of Entitlement, or National Call to Service (section 510 of title 10, U.S. Code). These benefits require different application forms.