Va Form 28 8832 PDF Details

Are you looking to apply for VA benefits? If so, knowing how to accurately complete Form 28-8832 is essential. This form outlines the individual's eligibility and entitlement for many of the programs offered by the U.S. Department of Veterans Affairs (VA). That's why it is important you understand every detail provided in this document thoroughly before proceeding with your application process. In this blog post, we will be discussing what a VA Form 28-8832 is, its purpose, and how to fill it out properly so that you can qualify for any military assistance or benefits that the VA has available for veterans who have served their country honorably!

QuestionAnswer
Form NameVa Form 28 8832
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names19B, va 28 8832, va form 28 8832, form 28 8832

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OMB Approved No. 2900-0265

Respondent Burden: 30 minutes

EDUCATIONAL/VOCATIONAL COUNSELING APPLICATION

PRIVACY ACT INFORMATION: The 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, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. Your obligation to respond is required to obtain or retain benefits. Giving us your SSN account information is mandatory. Applicants are required to provide their SSN under Title 38 USC 5101 (c) (1). The VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1, 1975, and still in effect. The requested information is considered relevant and necessary to determine maximum benefits under the law. The responses you submit are considered confidential (38 U.S.C. 5701). Any information provided by applicants, recipients, and others may be subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine if the veteran and other beneficiaries are eligible for counseling services that VR&E services proivde. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 30 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 Internet Page at www.whitehouse.gov/omb/library/OMBINV.VA.EPA.html#VA. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.

INTERNET VERSION AVAILABLE -You may download this application form at www.va.gov/vaforms

PART I - APPLICANT INFORMATION

1A. NAME OF APPLICANT (FIRST-MIDDLE-LAST)

1B. SOCIAL SECURITY NUMBER OF APPLICANT

 

1C. VA FILE NUMBER (If known)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2A. SEX OF APPLICANT

 

2B. APPLICANT'S E-MAIL ADDRESS

 

2C. DATE OF BIRTH

 

 

 

 

MALE

 

 

FEMALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3A. RELATIONSHIP OF APPLICANT TO VETERAN

 

3B. APPLICANT'S TELEPHONE NUMBER (Including Area Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELF

 

 

 

SURVIVING SPOUSE

 

 

 

CHILD

PRIMARY PHONE NUMBER (Where a message

OTHER PHONE NUMBER

 

 

 

SPOUSE

 

 

 

STEPCHILD

 

 

 

 

ADOPTED CHILD

can be left)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3C. MAILING ADDRESS OF APPLICANT (Number and street or rural route, city or P.O., State and ZIP Code)

VA DATE STAMP

(For VA Use Only)

4A. ARE YOU A CHILD, 14 YEARS OR OLDER, SPOUSE, OR SURVIVING SPOUSE WITH A DISABILITY SEEKING SPECIAL RESTORATIVE TRAINING?

YES NO

4B. ARE YOU A CHILD, SPOUSE, OR SURVIVING SPOUSE WITH A DISABILITY SEEKING SPECIAL VOCATIONAL TRAINING?

YES NO

5.HAVE YOU RECEIVED AN INFORMATION PAMPHLET EXPLAINING SURVIVORS' AND DEPENDENTS' EDUCATIONAL ASSISTANCE BENEFITS?

YES NO

PART II - INFORMATION CONCERNING DISABLED OR DECEASED VETERAN OR INDIVIDUAL ON ACTIVE DUTY

6A. NAME OF VETERAN OR INDIVIDUAL ON ACTIVE DUTY ON WHOSE ACCOUNT BENEFITS ARE CLAIMED (FIRST- MIDDLE -LAST)

6B. SOCIAL SECURITY NUMBER

 

6C. VA FILE NUMBER (If known)

 

 

 

 

 

7. DATE OF BIRTH

8. BRANCH OF SERVICE

9. SERVICE NUMBER

10. DATE OF DEATH OR DATE LISTED

 

 

 

AS MISSING IN ACTION OR P.O.W.

 

 

 

 

PART III - SPECIAL INFORMATION CONCERNING APPLICANT

11. IF YOU ARE THE SPOUSE OF A DISABLED VETERAN, IS A DIVORCE OR ANNULMENT PENDING?

YES NO

12A. IF YOU ARE THE SURVIVING SPOUSE OF A DECEASED VETERAN, HAVE YOU REMARRIED SINCE HIS OR HER DEATH ?

YES NO

12B. SURVIVING SPOUSE'S AGE AT TIME OF REMARRIAGE

13. HAVE YOU EVER APPLIED FOR ANY OF THE FOLLOWING VA BENEFITS? (Check applicable box(es))

A. VOCATIONAL REHABILITATION BENEFITS (Chapter 31)

B. VETERANS' EDUCATION ASSISTANCE BASED ON YOUR OWN SERVICE (Specify benefit)

C. DEPENDENTS' EDUCATIONAL ASSISTANCE (Chapter 35)

D. SURVIVORS' AND DEPENDENTS EDUCATIONAL ASSISTANCE (Complete Items 14A and 14B) on reverse)

E. OTHER (Specify)

F. NONE

VA FORM

28-8832

SUPERSEDES VA FORM 28-8832, JAN 2007,

DEC 2008

WHICH WILL NOT BE USED.

NOTE: COMPLETE ITEMS 14A AND 14B ONLY IF YOU CHECKED ITEM 13D

14A. NAME OF VETERAN ON WHOSE ACCOUNT YOU PREVIOUSLY CLAIMED BENEFITS

14B. VETERANS FILE NUMBER OR SOCIAL SECURITY NUMBER

PART IV - APPLICANT'S MILITARY SERVICE

15.HAVE YOU EVER SERVED ON ACTIVE DUTY IN THE ARMED FORCES? (Including an initial period of active duty for training for a period of 3 months or more OR subsequent periods of active duty for training of 6 months or more) (If "NO," skip this part and continue to Part V)

 

YES

 

NO

16. SERVICE INFORMATION

(Enter the following information for each period of active duty. Attach a copy of your DD214.

If you have already sent VA a DD214, do not send one with this application)

A. DATE ENTERED

ACTIVE DUTY

B. DATE SEPARATED FROM ACTIVE DUTY

C. BRANCH OF SERVICE OR RESERVE

OR GUARD COMPONENT

D. CHARACTER OF

DISCHARGE

17.REMARKS (Use this space to provide information that does not fit elsewhere on this form or that will help VA process your claim. Refer to the item numbers on this form to help us match your answers to the correct questions. If more space is needed, please attach separate sheets of paper. Be sure to place your name and Social Security Number on each additional page)

PART V - CERTIFICATION AND SIGNATURE OF APPLICANT

(All Applicants Must Complete This Part)

I CERTIFY THAT all statements in my application are true and correct to the best of my knowledge and belief.

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

18A. SIGNATURE OF APPLICANT (Do NOT Print)

SIGN HERE

IN INK

18B. DATE SIGNED

PART VI - SIGNATURE OF PARENT, GUARDIAN, OR CUSTODIAN

(This section must be completed if you are a minor child)

19A. NAME OF PARENT, GUARDIAN, OR CUSTODIAN (Type or print)

19B. TELEPHONE NUMBER AND MAIL ADDRESS OF PARENT, GUARDIAN,

 

 

 

 

 

 

 

OR CUSTODIAN (Include Area Code).

 

 

 

 

 

 

 

 

20A. SIGNATURE OF (Check one) (DO NOT PRINT)

20B. DATE SIGNED

20C. DATE REFERRED TO VR & E

 

 

PARENT

 

GUARDIAN

 

CUSTODIAN

 

 

 

 

 

 

 

 

 

SIGN HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN INK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATIONAL/VOCATIONAL COUNSELING APPLICATION

Information And Instructions For Completing This Application

(Please keep these instructions for future reference)

This VA form 28-8832 is also available on the Internet at www.va.gov/vaforms.

VA EDUCATIONAL AND VOCATIONAL COUNSELING HELP IS AVAILABLE FREE OF CHARGE if you meet one of the following conditions:

1.You are a veteran or dependent eligible for educational benefits under a program that VA administers;

2.You were discharged or released from active duty under honorable conditions not more than 1 year ago;

3.You are on active duty and 6 months or less remain before your scheduled release or discharge from service.

You may get counseling about any matter, including personal problems, related to:

•Counseling to facilitate career/occupational decisions for civilian or military occupations

•Adjustment counseling to address personal problems that may interfere with achieving any educational or employment goal

•Educational/Vocational counseling to help you develop a training, educational or employment plan

•Explanation of test results, exploration of potential objectives and assistance in developing a

successful program

What is discussed in counseling depends on you, your situation and needs. You can learn more about yourself; career opportunities and requirements; training possibilities; sources of financial aid; and how to carry through on plans that you make.

HOW TO GET COUNSELING

Complete this application and send it to the nearest United States Department of Veterans Affairs office. If you have received a DD214, you should attach a copy of it, unless you are still on active duty or if you are applying as a dependent of a veteran. VA will arrange for a counselor to meet with you. There is no charge for counseling, but you will have to pay your own travel. (Please note: counseling is not available in foreign countries except the Republic of the Philippines)

APPLICATION INSTRUCTIONS

Please complete only those areas which are applicable to you. The number on the instructions matches the item numbers on the application. Items not mentioned are self-explanatory. If you have a question please phone 1-800-827-1000 and request help.

ITEM 2C. VA may have assigned the veteran or individual an eight-digit file number. If you know the number, write it in the space provided.

ITEM 3A. "Child" includes adopted children and step children who are members of the veteran's or individual's household. Married children are eligible.

ITEM 13F. Check this box if you have never applied for VA educational benefits.

ITEM 14A AND B. If you have previously applied for benefits as the dependent child or spouse of a veteran who is permanently and totally disabled due to service-connected disabilities or who died on active duty, write the name of the person (parent or spouse) under whom you received these benefits in Item 14A and the file number or social security number in 14B.

This form is an application for counseling only. DO NOT use this form to apply for VOCATIONAL REHABILITATION AND EMPLOYMENT BENEFITS (Chapter 31) (use the VA form 28-1900, Disabled Veterans Application For Vocational Rehabilitation) or for VETERAN'S EDUCATION ASSISTANCE (Chapter 30, 32, 33, 1606 or 1607) (use the VA Form 22-1990, Application For VA Education Benefits). These forms are available on the Internet at www.va.gov/vaforms.

How to Edit Va Form 28 8832 Online for Free

When working in the online PDF editor by FormsPal, you may fill in or modify 14B right here and now. The editor is constantly updated by us, getting new features and turning out to be much more versatile. This is what you'll want to do to get started:

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So as to fill out this PDF document, be sure you enter the necessary information in every blank:

1. First, when filling in the 14B, start in the area that includes the following fields:

htmlVA completion process detailed (step 1)

2. Your next stage is to fill out these fields: IF YOU ARE THE SPOUSE OF A, PART III SPECIAL INFORMATION, YES, A IF YOU ARE THE SURVIVING SPOUSE, B SURVIVING SPOUSES AGE AT TIME OF, YES, HAVE YOU EVER APPLIED FOR ANY OF, A VOCATIONAL REHABILITATION, B VETERANS EDUCATION ASSISTANCE, C DEPENDENTS EDUCATIONAL, D SURVIVORS AND DEPENDENTS, E OTHER Specify, F NONE, VA FORM DEC, and SUPERSEDES VA FORM JAN WHICH.

C DEPENDENTS EDUCATIONAL, B SURVIVING SPOUSES AGE AT TIME OF, and VA FORM DEC of htmlVA

People often make errors when filling in C DEPENDENTS EDUCATIONAL in this area. Be sure to read twice what you type in here.

3. This next portion is focused on A NAME OF VETERAN ON WHOSE ACCOUNT, B VETERANS FILE NUMBER OR SOCIAL, PART IV APPLICANTS MILITARY, HAVE YOU EVER SERVED ON ACTIVE, YES, Enter the following information, If you have already sent VA a DD, SERVICE INFORMATION, A DATE ENTERED, ACTIVE DUTY, B DATE SEPARATED FROM ACTIVE DUTY, C BRANCH OF SERVICE OR RESERVE, OR GUARD COMPONENT, D CHARACTER OF, and DISCHARGE - fill in all these blank fields.

htmlVA completion process outlined (stage 3)

4. Filling out REMARKS Use this space to provide, PART V CERTIFICATION AND, All Applicants Must Complete This, and I CERTIFY THAT all statements in is key in this fourth step - ensure to spend some time and be mindful with each empty field!

htmlVA writing process outlined (step 4)

5. Because you come near to the end of your form, you will find a couple more requirements that should be fulfilled. Particularly, A SIGNATURE OF APPLICANT Do NOT, B DATE SIGNED, SIGN HERE, IN INK, PART VI SIGNATURE OF PARENT, This section must be completed if, A NAME OF PARENT GUARDIAN OR, B TELEPHONE NUMBER AND MAIL, A SIGNATURE OF Check one DO NOT, PARENT, GUARDIAN, CUSTODIAN, SIGN HERE, IN INK, and B DATE SIGNED must be filled out.

SIGN HERE, CUSTODIAN, and B DATE SIGNED inside htmlVA

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