Get Va Form 0722 Fillable

The Va Form 0722 is designed for individuals seeking public transit fare benefits. This guide provides detailed, step-by-step instructions to help users complete the form accurately and efficiently, ensuring a smooth application process.

Follow the steps to fill out the Va Form 0722 Fillable online

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your name in the 'Name of Applicant' field (Last, First, Middle Initial). This ensures the application is correctly attributed to you.
3. Complete the 'Full Duty Station Address' section with the accurate street address, city, state, and zip code of your duty station.
4. Input your Duty Station number in the corresponding field, which is essential for identification purposes.
5. Provide your Employee Social Security number as requested; this information helps verify your identity and eligibility.
6. In the 'Type of Benefit' section, check the box corresponding to the benefit you are requesting, either 'Direct Subsidy' or 'Field Subsidy.'
7. For 'Action Requested,' select the appropriate option: 'Add,' 'Change,' or 'Withdraw,' based on your needs.
8. When applicable, answer items 8A to 8D about your transit methods by indicating what mode(s) of transportation you will use to travel to and from work.
9. Fill out the 'Name of Transit Authority/Company' and any applicable zones in sections 8B and 8C.
10. Specify the type of media fare you require (e.g., tokens, vouchers) in section 8D.
11. If you are in the National Capital Region, provide the 'SmarTrip Identification No.' in section 9.
12. Carefully read the Employee Certification section and confirm your agreement by signing and dating the form in sections 11A and 11B.
13. Finally, ensure the Transit Manager completes their part by filling in their details in sections 12 to 17 if applicable. This includes their name, signature, and the date.
14. Once completed, you can save your changes, download, print, or share the form as needed.

Complete your Va Form 0722 Fillable online today to secure your transit fare benefits.