DATE ENTERED ACTIVE DUTY VA FORM DEC 2016 22-5495 B. DATE SEPARATED OR GUARD COMPONENT SUPERSEDES VA FORM 22-5495 SEP 2016 WHICH WILL NOT BE USED. 28A. SIGNATURE OF APPLICANT DO NOT PRINT 28B. DATE SIGNED Sign Here In INK VA FORM 22-5495 DEC 2016 Page 2 INFORMATION AND INSTRUCTIONS FOR COMPLETING THE Use this form to request a change of program or place of training under the following benefit programs Survivors and Dependents Educational Assistance Program chapter 35 of title 38 U.S. Code Post-9/11 GI Bill Marine Gunnery Sergeant John David Fry Scholarship chapter 33 of title 38 U.S. Code Do not use this form to apply for a change of program or place of training for Veterans education assistance based on your own service chapters 30 32 33 1606 or 1607. For all other flight courses you must have a valid second-class medical certificate on the date that you enter training. Page 3 HOW TO FILE YOUR CLAIM Be sure to do the following A If you have selected a school or training establishment ....

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How to fill out the VA 22-5495 online

The VA 22-5495 form is essential for dependents requesting a change of program or place of training under specific VA benefit programs. This guide will provide clear, step-by-step instructions to help you complete the form online with ease.

Follow the steps to successfully complete the VA 22-5495 online form.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Complete part I with your applicant information, including your name, social security number, date of birth, and current mailing address.
  3. In part II, provide information about the qualifying individual whose benefits you are claiming, including their name, social security number or VA file number, relationship to you, and dates pertinent to military service.
  4. Move to part III to enter your military service information if applicable, including whether you've ever served on active duty, and provide relevant dates.
  5. In part IV, indicate the type of benefit you are applying for and the type of education or training you seek. Be specific in stating your educational objectives and provide any necessary details for changing schools.
  6. Use part V to add any remarks you may have. Make sure to certify the accuracy of your application by providing your signature and date in the designated fields.
  7. Finally, review your completed form for accuracy. You can save changes, download, print, or share the form as needed.

Begin your application process and complete the VA 22-5495 online today.

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