Va Form Information PDF Details

The VA Information Form is a crucial document for veterans or eligible persons aiming to either change their educational program or reenroll after being marked for unsatisfactory attendance, conduct, or progress in their previous education endeavors. With its intricate structure, the form requires the applicant to provide comprehensive information regarding their educational objectives and the reasons behind the change or previous unsatisfactory performance. The form is divided into sections, including personal details, the nature of the educational shift or the reasons behind unsatisfactory academic records, and steps taken to ensure future compliance and success. This document not only plays a pivotal role in determining one's eligibility for further educational benefits under the Department of Veterans Affairs but also emphasizes the importance of accountability and improvement in one's academic journey. It reflects a blend of regulatory requirements and personal accountability, asking for a declaration of truth and complete information to the best of the applicant's knowledge. Applicants are guided to provide additional remarks if necessary, and the form ends with the signature of the applicant, underscoring the importance of the information's accuracy and completeness. The form, adorned with an OMB approval number and an explicit estimate of the respondent's burden, signals its compliance with federal documentation standards while acknowledging the privacy and confidentiality of the respondent's information as protected under various statutes. This comprehensive approach ensures that veterans seeking educational changes or reenrollment are well informed of their obligations and the significance of their submissions in securing their educational benefits.

QuestionAnswer
Form NameVa Form Information
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesva form 22 8873, 8873 template, 8873 form, va form consent to release information

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OMB Approved No. 2900-0358

Respondent Burden: 30 Minutes

SUPPLEMENTAL INFORMATION FOR CHANGE OF PROGRAM OR REENROLLMENT

AFTER UNSATISFACTORY ATTENDANCE, CONDUCT OR PROGRESS

INSTRUCTIONS: Please furnish the information requested in Part I (Item 3) or Part II (Item 4) checked below. Disregard any item not checked. Also attach any related information that you would like to have considered when VA evaluates your claim. If you need more space for continuing your answer to an item, use the back of this form. Place your additional information in item 5, Remarks. Alternately, attach a separate sheet of paper with your additional information to this form.

1 . FIRST-MIDDLE-LAST NAME OF VETERAN OR ELIGIBLE PERSON

2. VA FILE NUMBER OR SOCIAL SECURITY NUMBER

PART I - CHANGE OF PROGRAM

3. YOU HAVE CHANGED YOUR EDUCATIONAL OBJECTIVE (PROGRAM). STATE WHY THIS NEW PROGRAM IS THE RIGHT PROGRAM FOR YOU.

PART II - UNSATISFACTORY ATTENDANCE, CONDUCT OR PROGRESS

4.YOUR PREVIOUS SCHOOL STATED THAT YOUR ATTENDANCE, CONDUCT OR PROGRESS WAS UNSATISFACTORY. IF YOU NEED MORE SPACE FOR YOUR INFORMATION, USE THE BACK OF THIS FORM OR ATTACH A SEPARATE PIECE OF PAPER.

A.STATE WHY YOU HAD UNSATISFACTORY ATTENDANCE, CONDUCT OR PROGRESS.

B. STATE WHAT STEPS OR PRECAUTIONS YOU HAVE TAKEN TO ENSURE THAT THE UNSATISFACTORY ATTENDANCE, CONDUCT, OR PROGRESS WILL NOT HAPPEN AGAIN.

C. STATE WHY THIS NEW PROGRAM IS THE RIGHT PROGRAM FOR YOU.

VA FORM

22-8873

SUPERSEDES VA FORM 22-8873, SEP 2006,

WHICH WILL NOT BE USED.

AUG 2009

PART III - OTHER INFORMATION

5 . REMARKS

I HEREBY CERTIFY THAT the statements contained herein are true and complete to the best of my knowledge and belief.

6 . SIGNATURE OF APPLICANT (Do NOT print)

7. DATE

 

If you have already enrolled in an institutional program (college, university, technical school, etc.), you should complete

 

this form and give it to the Veterans Affairs office at your school. Your school will complete VA Form 22-1999,

IMPORTANT

Enrollment Certification (if not previously completed) and send all this information to the appropriate VA Office. If you

 

have not already enrolled in an institutional program, you should complete and return this form to the VA office that sent

 

it to you.

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, 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. An example of a routine use allows the VA to send educational forms or letters with a individual's identifying information to the individual's school or training establishment to (1) assist the individual in the completion of claims forms or (2) for the VA to obtain further information as may be necessary from the school for the VA to properly process the individual's education claim or to monitor his or her progress during training. Your obligation to respond is required to obtain or retain benefits. Giving us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits. 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 enacted before January 1, 1975, and still in effect. The requested information is considered relevant and necessary to determine the maximum benefits under the law. While you do not have to respond, VA cannot process your claim for education assistance unless the information is furnished as required by existing law (38 U.S.C. 3471). 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 your eligibility for additional educational benefits for a change of program or reenrollment after unsatisfactory attendance, conduct or progress. (38 U.S.C. sections 3474, 3524 and 3691). 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 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this information collection.

VA FORM 22-8873, AUG 2009

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filling in va form conduct step 1

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The application will request for extra info to instantly prepare the section C STATE WHY THIS NEW PROGRAM IS, VA FORM AUG, and SUPERSEDES VA FORM SEP WHICH.

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stage 4 to filling out va form conduct

End by checking the next areas and completing them as required: I HEREBY CERTIFY THAT the, SIGNATURE OF APPLICANT Do NOT, DATE, IMPORTANT, If you have already enrolled in an, PRIVACY ACT INFORMATION VA will, and RESPONDENT BURDEN We need this.

I HEREBY CERTIFY THAT the, SIGNATURE OF APPLICANT Do NOT, DATE, IMPORTANT, If you have already enrolled in an, PRIVACY ACT INFORMATION VA will, and RESPONDENT BURDEN We need this in va form conduct

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