Va Form 22-5495 - Dependents' Request For Change Of Program Or Place Of Training Page 4

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HOW TO FILE YOUR CLAIM

Be sure to do the following:

(A) If you have selected a school or training establishment:

Step 1: Mail the completed form to the VA Regional Processing Office for the region of that school's physical address.

See below for the addresses of these VA Regional Processing Offices.

Step 2: Tell the veterans certifying official at your school or training establishment that you have applied for VA

educational benefits. Ask him or her to send your enrollment information using VA Form 22-1999, Enrollment

Certification, or its electronic version.

Step 3: Wait for VA to process your application and notify you of its decision concerning your eligibility for education

benefits.

(B) If you have not selected a school or training establishment:

Step 1: Mail the completed form to the VA Regional Processing Office for the region of your home address. See

below for the address of these VA Regional Processing Offices.

Step 2: Wait for the VA to process your application and notify you of its decision concerning your eligibility for education

benefits.

EASTERN REGION

CENTRAL REGION

VA Regional Office

US Virgin Islands

PO Box 4616

PO Box 32432

Foreign Schools

Buffalo, NY 14240-4616

St. Louis, MO 63132-0832

APO/FPO AA

WESTERN REGION

VA Regional Office

PO Box 8888

Muskogee, OK 74402-8888

Guam

Philippines

APO/FPO AP

MORE HELP - If you need more help completing this application or you want information about our work-study program, call

VAtoll-free at 1-888-GI-BILL-1 (1-888-442-4551). If you use the Telecommunications Device for the Deaf (TDD), the Federal

Relay number is 711. You can also get more information about education assistance from our education Internet site at

PRIVACY ACT NOTICE: 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 1.526 for routine uses as identified in VA's system of records, 58VA21/22/28,

Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. An example of

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 education benefits. The requested information is considered relevant and necessary to determine the maximum benefits under the law. Payment

of education benefits cannot be made unless the information is furnished as required by existing law (38 U.S.C. 3513). The responses you submit are

considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine your eligibility for education benefits (38 U.S.C. 3513). Title 38, United States

Code, allows us to ask for this information. We estimate that you will need an average of 15 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 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 22-5495, DEC 2016

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