If you're a veteran, then you know that there are certain forms and documents that you need to file in order to receive benefits from the government. One such form is VA Form 22 8691, also known as the "Statement of Service." This document is used to verify your military service, and it's important that it's filled out correctly and submitted on time. In this blog post, we'll explain what VA Form 22 8691 is and how to fill it out correctly. We'll also provide some tips for ensuring a smooth claim process.
This page offers specifics of va form 22 8691. You might like to find out its length, the typical time to complete the form, the blanks you should fill in, and so on.
| Question | Answer |
|---|---|
| Form Name | Va Form 22 8691 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names |
OMB Approved No.
Respondent Burden: 15 minutes
Expiration Date: 04/30/2024
APPLICATION FOR
PART I - IDENTIFICATION INFORMATION
1.NAME OF APPLICANT (First, Middle, Last)
2.MAILING ADDRESS OF APPLICANT (Number, and street or rural route, city or P.O., State and 9 digit ZIP Code) (Include your email address to receive electronic student payment letters)
3C. DATE OF BIRTH OF APPLICANT (Month, Day, Year)
4.TELEPHONE NUMBERS (Include Area Code Home/Cell)
3A. VA FILE NUMBER (For chapter 35, enter the veteran's file number. Be sure to include the suffix indicator. For dependent's transfer of entitlement cases, enter the file number of the person who transferred entitlement to you)
3B. SOCIAL SECURITY NUMBER (If not shown in Item 3A)
3D. SEX OF APPLICANT
|
MALE |
|
FEMALE |
4A. EMAIL ADDRESS (If applicable)
5. EDUCATION BENEFIT RECEIVING |
|
CHAPTER 33 (Post- 9/11 GI Bill)(Including Fry and STEM Scholarships) |
|||
|
|
CHAPTER 30 |
(Montgomery GI Bill - Active Duty) |
|
CHAPTER 35 (Dependents Educational Assistance) |
|
|
|
|||
|
|
|
|||
|
|
CHAPTER 31 |
(Veteran Readiness and Employment) |
|
CHAPTER 1606 (Montgomery GI Bill - Selected Reserve) |
|
|
|
|||
|
|
|
|||
|
|
|
|||
|
|
CHAPTER 32 (Veterans Educational Assistance Program) |
|
TRANSFER OF ENTITLEMENT PROGRAM (Parent or Spouse entitled to benefits) |
|
|
|
|
|||
|
|
|
|||
|
|
|
|||
|
|
|
|
|
|
PART II - SCHOOL INFORMATION
6A. NAME AND COMPLETE ADDRESS OF SCHOOL |
6B. CURRENT ACADEMIC OR TRAINING PROGRAM |
||
|
|
|
|
7. CURRENT ENROLLMENT INFORMATION |
8. NEXT ENROLLMENT PERIOD YOU PLAN TO ATTEND |
||
|
|
|
|
A. BEGINNING DATE |
B. ENDING DATE |
A. BEGINNING DATE |
B. ENDING DATE |
(Month, Day, Year) |
(Month, Day, Year) |
(Month, Day, Year) |
(Month, Day, Year) |
|
|
|
|
PART III - WORK STUDY INFORMATION
9.ADVANCE PAYMENT - DO YOU WANT AN ADVANCE PAYMENT? (See instructions for information on advance payment on reverse under "How Much Can I Earn?")
|
|
YES |
|
NO |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10. HAVE YOU EVER PARTICIPATED IN THE VA |
11. WORK SITE PREFERENCE (Tell us the school, VA facility or other government |
|
||||||||||||
|
PROGRAM BEFORE? (If "YES," please state where you worked) |
|
facility where you would prefer to do VA related work. Be specific as many facilities |
|
||||||||||
|
|
|
|
|
|
have the same name or perform the same services in different locations or cities.) |
|
|||||||
|
|
YES |
|
NO |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12. WORK EXPERIENCE (Tell us about the jobs you had before, |
|
13. SPECIFY THE DAYS AND HOURS DURING THE WEEK YOU ARE AVAILABLE TO WORK |
|
|||||||||||
|
other than VA |
|
|
|
|
|
|
|
|
|
|
|||
|
(X) |
DAYS |
|
WHEN AVAILABLE |
(From & To) |
|
||||||||
|
If you have no work experience, place "NONE" in this space. If |
|
|
|
||||||||||
|
|
|||||||||||||
|
needed, attach a separate sheet with your |
|
|
|
MONDAY |
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TUESDAY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WEDNESDAY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14.QUALIFICATIONS (Tell us about any special qualifications you have based on your education or work experience. Also, tell us what kinds of jobs interest you. If needed, attach a separate sheet with this information)
15.SIGNATURE OF APPLICANT (Sign in ink)(Do no print) By signing this box, I, the applicant, understand that I may not engage in VA Work Study duties until approved by VA.
16. DATE SIGNED
PRIVACY ACT INFORMATION: VA will not disclose information collected by this information collection to any source other than what has been authorized by the Privacy Act of 1974 or Title 38 Code of Federal Regulations 1.576 for routine uses as identified in VA's system of records, 58 VA 21/22/28, Compensation, Pension, Education and Veteran Readiness and Employment Records - VA as published in the Federal Register at http://www.rms.oit.va.gov/SOR_Records/58VA21_22.asp. An example of a routine use allows VA to send educational forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1) assist the veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary from the school for VA to properly process the veteran's education claim or to monitor his or her progress during training. Your obligation to respond is "required to obtain or retain benefits". We cannot pay you any
Respondent Burden: We need this information to determine your eligibility for VA
VA FORM |
EXISTING STOCKS OF VA FORM |
||
APR 2021 |
|||
WILL NOT BE USED. |
STUDENT
ALLOWANCE PROGRAM
WHO IS ELIGIBLE?
You are eligible if you're training in a college degree, vocational, or professional program at least
HOW MUCH CAN I EARN?
Your hourly pay rate will be the greater of:
(1)The Federal minimum wage; or
(2)The minimum wage for the State in which you are working.
The total number of hours you can work cannot be more than 25 times the number of weeks in your enrollment period. If you elect to receive an advance payment, VA will make your first payment in advance of your work for the lesser of:
(1)40 percent of the total amount of the
(2)50 hours at your hourly pay rate.
You can only receive one advance payment per contract agreement (original contract agreement and any extension to that contract agreement).
If you do not elect to receive an advance payment, VA will pay you for any hours after you work the hours.
Your final payment will be for the lesser of:
(1)50 hours; or
(2)The number of hours remaining on your contract.
WHAT TYPE OF WORK MAY I DO?
You may do the following types of
•VA paperwork at schools;
•VA paperwork at VA offices or facilities;
•VA outreach services under VA supervision;
•Outreach services as provided by a State approving agency;
•Provide hospital,
•Administrative (office) work at a national cemetery or a State veteran's cemetery;
•Work at Department of Defense facilities related to education benefits under the Montgomery GI
NOTE: Only claimants receiving
NOTE: The position description duties (job activities) must be provided with the initial Work Site Application, or if changes are made to the Work Site Activities. NOTE: Educational facilities and Offices of Members of Congress are limited to the type of work/duties their Work Study students can perform. These include, but are not limited to the following:
•Dissemination of general information regarding Veteran benefits and/or services;
•Preparation, processing, maintaining and organizing
•VA outreach in a cooperative supervisory effort with a VA employee who is controlling the work activities;
•Performance of work specifically listed in the Work Site's job description;
•Tasks that require 100% performance of
•Work for the specific Work Site listed on the contract agreement/time record;
•Assisting Congressional Offices with preparing VA benefits claims;
•Distributing information from Congressional Offices to others about VA and
Penalty for Private |
Official Business |
Use $300 |
|
Department of Veterans Affairs
Student
Veterans Benefits Administration
HOW DO I APPLY?
Complete the form on the other side of this page, and mail it to the Muskogee VA Regional Processing Office that handles your education claim at P. O. Box 8888, Muskogee, OK
is 711.