The VA Form 22-1999, also known as the VA Enrollment Certification, is a crucial document used by educational institutions to certify a veteran's enrollment in educational programs. This form is divided into two sides: Side A for Institutions of Higher Learning and non-college degree training, and Side B for flight, correspondence, and apprenticeship training programs. Completing this form accurately is essential for veterans to access their education benefits, so please ensure all required information is provided by clicking the button below.
The VA Form 22-1999 plays a crucial role in helping veterans access their education benefits. This form is divided into two sides: Side A is for Institutions of Higher Learning (IHL) or schools providing non-college degree training, while Side B is designated for flight, correspondence, and apprenticeship or on-the-job training programs. Each side contains specific instructions to ensure accurate completion. For instance, institutions must certify that they meet all legal requirements and provide information about the courses offered. They must also report any changes in a student's enrollment status within 30 days. Additionally, the form allows for requests for advance and accelerated payments, which can be vital for students needing immediate financial support. The VA Form 22-1999 is essential for veterans pursuing education, as it ensures that the necessary information is submitted to the VA for processing their claims.
OMB Control No. 2900-0073
Respondent Burden: 10 minutes
Expiration Date: 06/30/2021
INSTRUCTIONS AND CERTIFICATIONS FOR
VA ENROLLMENT CERTIFICATION (VA FORM 22-1999)
IMPORTANT: Use Side A for Institutions of Higher Learning (IHL) or schools providing non-college degree (NCD) training. Use Side B for flight, correspondence, and apprenticeship or on-the-job training programs. Use the VA-ONCE (VA Online Certification) application to file this information electronically. Contact your Education Liaison Representative (ELR) for assistance.
Read the Certifications below before completing EITHER Items 19D and 19E on Side A OR Items 12D and 12E on Side B. COMPLETE ONLY ONE SIDE OF THIS FORM. If completing Side B, pull out the carbon and reverse before completing that side. Ensure that VA Copy 1 is on top.
CERTIFICATIONS
IT IS HEREBY CERTIFIED THAT:
(1)This institution has exercised reasonable diligence in meeting all applicable requirements of Title 38, U.S. Code, and any failure by the institution to meet any requirements of the law will be reported promptly to VA;
(2)The course or courses certified are approved by the State Approving agency and are generally acceptable to meet requirements for the student's educational, professional, or vocational objective;
(3)No course certified is a repetition of any course previously satisfactorily completed except as permitted by VA regulations;
(4)This institution holds no power of attorney agreement authorizing the institution to negotiate VA educational assistance allowance checks;
(5)FOR PRIVATELY OWNED SCHOOLS: The student certified is not an owner or officer of the school nor is the student certified as an official authorized to sign enrollment certifications;
(6)This institution agrees to report promptly to VA any enrollment change and any change due to unsatisfactory progress, conduct, or attendance. Promptly means within 30 days of the enrollment change. (Except for students receiving benefits under chapter 33, the institution need not report an enrollment change for a student who was in full-time attendance before the change and in full-time attendance after the enrollment change.);
(7)Check "Yes," if the student is a Yellow Ribbon Program participant;
(8A) LOCATION(S) ZIP CODE: The Zip Code entered is the Zip Code associated with the course hours as reported in this block where the student is physically participating in the course or courses certified.
(8B) FOR ENROLLMENTS UNDER CHAPTERS 30, 32, 33, 1606, and 1607: All the 85-15 ratio requirements have been satisfied.
INSTITUTIONS OF HIGHER LEARNING OR SCHOOLS PROVIDING NON-COLLEGE DEGREE TRAINING
(9)FOR ENROLLMENTS REQUESTING ADVANCE PAYMENT: It is agreed that the initial check for this enrollment period will be mailed to the school for temporary care and delivery to the student upon registration but not more than 30 days before the commencement of training. It is understood that the completion of a certificate of delivery will normally be required upon delivery of the advance payment;
(10)IF CERTIFYING "GUEST STUDENT", place the name of the primary institution in Item 17, "Remarks";
(11)FOR NONCREDIT DEFICIENCY, REMEDIAL, OR REFRESHER COURSES: The courses certified in Item 9B are needed by the student in order to pursue a program of education at this institution.
(12)YELLOW RIBBON PROGRAM: If applicable, enter the amount of Yellow Ribbon Program contributions your institution is making on behalf of the student for each term, quarter, or semester. If the Yellow Ribbon Program will be used to cover all or a portion of any out of State charges, enter the net total out of State charges assessed the student.
FLIGHT TRAINING
(13)The student has a Private Pilot's Certificate. I certify that a copy of the student's Class II Medical Certificate as of the beginning date of the course is on file at this institution. If the student is enrolled in an Airline Transport Pilot course, I certify that a copy of the student's valid Class I Medical Certificate as of the beginning date of the course is on file at this institution. For all initial enrollment certifications, I have placed the name and date of the medical certificate in Item 11, "Remarks" on Side B.
APPRENTICESHIP AND OTHER OJT PROGRAMS
(14)The employer will immediately notify VA once the trainee receives the journeyman wage. Exceptions to this rule include training on a Davis- Bacon job, or a job in a geographic location with a different wage scale.
SPECIAL INSTRUCTIONS
ADVANCE PAYMENT INFORMATION - Veterans and other claimants must complete Items 15A and 15B on Side A to request an advance payment of education benefits. Upon receipt of a timely request and enrollment information, VA will pay the veteran or claimant an advance payment of his or her education benefits. An advance payment is part of the first month and the second month's education benefits. VA will send the payment to the veteran's school for delivery to the veteran or other claimant upon entry into training.
ACCELERATED PAYMENT INFORMATION - Claimants must complete Items 16A and 16B on Side A to request an accelerated payment. Chapter 30, 1606, and 1607 beneficiaries (or beneficiaries receiving transfer-of-entitlement benefits under these chapters) qualify for an accelerated payment. An accelerated payment can only be paid under chapter 30 to claimants in a high technology program. (A list of programs is on the Internet at "www.gibill.va.gov".) An accelerated payment can only be paid under chapters 1606 or 1607 for claimants pursuing a program to qualify for accelerated payment, the cost of the program must exceed twice the amount of education benefits otherwise payable for that training.
VA FORM
22-1999
SUPERSEDES VA FORM 22-1999, JUN 2011,
JUN 2018
WHICH WILL NOT BE USED.
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 1.576 for routine uses (i.e., VA sends 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) VA obtains 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) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA, and published in the Federal Register. Your obligation to respond is required to obtain or retain benefits. While you do not have to respond, VA cannot pay the student any further education benefits until we receive the information. We cannot pay the student any education benefits until we receive this information (38 U.S.C. 3684). Your responses are 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 the student's eligibility for education benefits and the proper amount payable. Title 38, United States Code, allows us to ask for this information. We cannot pay the student any education benefits until we receive this information which schools are required to submit (38 U.S.C. 3684). We estimate that you will need an average of 10 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.reginfo.gov/public/do/PRAMain. 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 form.
VA FORM 22-1999, JUN 2018
NOTE: Tear off and read the Instruction and Certification Sheet before completing the form.
Side
VA ENROLLMENT CERTIFICATION
A
IMPORTANT: Side A is for Institutions of Higher Learning or schools offering non-degree training.
1. NAME OF STUDENT (First, Middle, Last)
2. VA FILE NO. (For chapter 35, include suffix. For Transferability
cases, enter the veteran's social security number)
3. CURRENT ADDRESS OF STUDENT
4. SOCIAL SECURITY NUMBER OF STUDENT (If not entered in Item 2)
5. TYPE OF TRAINING
6. A. NAME OF PROGRAM
UNDERGRADUATE COLLEGE DEGREE
FARM COOPERATIVE
6. B. IS STUDENT MATRICULATED AT YOUR FACILITY? (For VA
GRADUATE OR ADVANCED PROFESSIONAL
HIGH SCHOOL
purposes, a student is matriculated when formally admitted as
NON-COLLEGE DEGREE
COOPERATIVE (Not Farm)
a degree seeking student)
YES
NO
GUEST STUDENT
6. C. IS PARENT SCHOOL LETTER ON FILE?
(Supplemental School)
(Complete Item 6. C.)
7. YELLOW RIBBON RECIPIENT
ENROLLMENT DATA
8.A.
LOCATION(S)
ZIP CODE
9. COURSES TAKEN
11. CHARGES
8. B. ENROLLMENT EFFECTIVE
CREDIT HOUR COURSE(S)
NON-CREDIT
10. CLOCK
HOURS
FOR PERIODS
DATES (Month, Day, Year)
TAKEN
TAKEN BY
REMEDIAL/
PER WEEK
OF INSTRUCTION
DISTANCE
DEFICIENCY/
IN-RESIDENCE
LEARNING
REFRESHER
BEGIN
END
A. HOURS
B. HOURS
C. HOURS
TUITION AND FEES
12.YELLOW RIBBON
PROGRAM
A. AMOUNT
B. OUT OF
STATE
CHARGES
13.TRAINING TIME
(Graduate or
Advanced
Professional
Program)
14.ADDITIONAL INFORMATION FOR HIGH SCHOOL AND FARM CO-OP COURSES
A. HIGH SCHOOLS APPROVED ON A UNIT BASIS (Enter the number of high B. FARM CO-OP ONLY (Is student pursuing course concurrently with substantially
school units for which the student is enrolled)
full-time agricultural employment averaging at least 40 hours per week?)
YES NO
ADVANCE PAYMENT REQUEST - (Note: Advance payment is not accelerated payment.) (See Special Instructions.)
I REQUEST AN
ADVANCE PAYMENT
15. A. SIGNATURE OF STUDENT (Sign in ink)
15. B. DATE SIGNED
ACCELERATED PAYMENT REQUEST
(Note: Accelerated payment is not advance payment.) (See Special Instructions.)
I am requesting an accelerated payment under either chapter 30, 1606, or 1607. If I am requesting payment under chapter 30, I certify I intend to seek employment in one of the following industries: Biotechnology, Life Science Technologies, Opto-electronics, Computers and Telecommunications, Electronics, Computer-integrated Manufacturing, Material Design, Aerospace, Weapons, or Nuclear Technology.
ACCELERATED PAYMENT
(All Chapters)
16. A. SIGNATURE OF STUDENT (Sign in ink)
16. B. DATE SIGNED
17. REMARKS
NOTE - Complete Item 18 only if course(s) are contracted out to another school or are given at a branch location other than shown in Item 19B. Do not complete Item 18 if course(s) are taken at a branch or extension of a school as defined in 38 CFR 21.4266(c).
18. NAME AND ADDRESS OF CONTRACT SCHOOL OR BRANCH LOCATION
CERTIFICATIONS - The provisions described in paragraphs (1) through (14) on the attached sheet are certified.
19. A. FACILITY CODE
19. B. SCHOOL NAME AND ADDRESS
19. C. TELEPHONE NUMBER OF CERTIFYING OFFICIAL
19. D. SIGNATURE OF CERTIFYING OFFICIAL (Sign in ink)
19. E. DATE SIGNED
NOTE: Tear off the Instructions and Certifications sheet before completing the form.
IMPORTANT: Side B is for flight, correspondence, and apprenticeship or on-the-job training programs.
OMB Control No. 2900-0073 Respondent Burden: 10 minutes Expiration Date: 06/30/2021
B
2. VA FILE NO. (For chapter 35, include suffix. For transferability
5. NAME OF PROGRAM
6. TYPE OF TRAINING
7. CREDIT FOR PREVIOUS TRAINING (Not Flight)
CORRESPONDENCE
APPRENTICESHIP OR OTHER ON-THE-JOB
VOCATIONAL FLIGHT TRAINING (See Instructions)
8. A. CREDIT ALLOWED FOR PREVIOUS EDUCATION AND TRAINING
8. B. DATE TRAINING BEGAN
DUAL
SOLO
GROUND SCHOOL
CERTIFICATES AND RATINGS
IN CURRENT COURSE
8. C. NUMBER OF HOURS/UNITS OF INSTRUCTION IN CURRENT COURSE
8. D. TOTAL CHARGES
PRE-AND POST
OTHER
FLIGHT
$
CORRESPONDENCE TRAINING
IMPORTANT: A VA Form 22-1999c, Certificate of Affirmation of Enrollment Agreement, MUST be signed by this student and accompany this certification form before VA can authorize payment for this correspondence course.
9.A. DATE FIRST LESSON SENT TO STUDENT
9. B. NUMBER OF LESSONS FOR
9. C. CHARGE PER LESSON TO
9. D. WERE ANY LESSONS SERVICED BEFORE THE
WHICH STUDENT IS ENROLLED
STUDENT
DATE ENTERED IN ITEM 9. A?
(If "Yes," show lesson number and
date serviced in Item 11, "Remarks")
APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING
IMPORTANT: A signed copy of the training agreement outlining the training program and wage scale as approved by the State Approving agency or VA, or for apprentices, any document signed by the trainee incorporating this agreement by reference must be attached to this form. (Show monthly number of hours worked to date in Item 11, "Remarks.")
10.A. LOCATION(S) ZIP CODE
10.B. TRAINING DATES
(Month, Day, Year)
BEGINNING
ENDING
10. C. TYPE OF TRAINING
APPRENTICESHIP
OTHER-ON-THE-JOB
10. D. NUMBER OF
10. E. NUMBER OF
TRAINEE IS EMPLOYED
HOURS IN STANDARD
WORK WEEK
IN TRAINING PROGRAM
HRS.
11. REMARKS
12. A. FACILITY CODE
12. B. SCHOOL NAME AND ADDRESS
12. C. TELEPHONE NUMBER OF CERTIFYING OFFICIAL
12. D. SIGNATURE OF CERTIFYING OFFICIAL (Sign in ink)
12. E. DATE SIGNED
Filling out the VA Form 22-1999 is an essential step for students seeking educational benefits through the Department of Veterans Affairs. This form requires careful attention to detail to ensure that all necessary information is accurately provided. Below are the steps to guide you through the process of completing the form.
Once the form is submitted, the VA will review the information provided. If everything is in order, the student will be notified regarding their eligibility for educational benefits. It’s important to keep a copy of the completed form for personal records.
What is the purpose of VA Form 22-1999?
VA Form 22-1999 is used for enrollment certification for veterans and service members seeking education benefits. This form is crucial for institutions of higher learning and non-college degree training programs to report student enrollment to the Department of Veterans Affairs (VA).
Who should fill out VA Form 22-1999?
Only authorized officials from educational institutions should complete this form. Students do not fill it out directly. Institutions must ensure that they provide accurate information regarding the student’s enrollment and the courses being taken.
What are the two sides of the form, and when should each be used?
There are two sides to VA Form 22-1999:
What is the significance of the certifications included in the form?
The certifications on the form confirm that the institution has met all necessary requirements and that the courses are approved. They also ensure that the institution will report any changes in enrollment status to the VA within 30 days.
What is the process for requesting advance or accelerated payments?
To request an advance payment, the institution must complete Items 15A and 15B on Side A. This payment is part of the first two months of education benefits and is sent to the school for the student. For accelerated payments, Items 16A and 16B must be filled out, and specific eligibility criteria must be met.
How does the Yellow Ribbon Program relate to VA Form 22-1999?
The Yellow Ribbon Program helps cover tuition and fee costs that exceed the maximum limits set by the VA. Institutions can enter the amount they contribute on the form, which is essential for determining the total benefits a student may receive.
What should institutions do if they need assistance with the form?
Institutions can contact their Education Liaison Representative (ELR) for help. They can also use the VA-ONCE (VA Online Certification) application to file enrollment information electronically, which simplifies the process.
Filling out the VA Form 22-1999 can be a straightforward process, but many people make common mistakes that can delay their enrollment certification. One frequent error is failing to select the correct side of the form. Side A is designated for Institutions of Higher Learning or schools offering non-degree training, while Side B is for flight, correspondence, and apprenticeship programs. Selecting the wrong side can lead to unnecessary complications in processing your application.
Another common mistake is not completing all required fields. Each section of the form has specific items that must be filled out accurately. Omitting information, such as the student's Social Security number or VA file number, can result in delays. Ensure that every applicable box is completed to avoid processing setbacks.
People often overlook the importance of signatures. Both the student and the certifying official must sign the form. Without these signatures, the form may be deemed incomplete. Remember, a simple oversight like forgetting to sign can have significant consequences for your benefits.
Many individuals also fail to read the instructions thoroughly. The form contains critical information about what to include in each section. Ignoring these guidelines can lead to incorrect submissions. Take the time to familiarize yourself with the instructions before starting to fill out the form.
Another mistake occurs when individuals do not keep a copy of their completed form. It’s essential to retain a copy for your records. This not only helps you track what you submitted but also serves as a reference for any future inquiries or follow-ups with the VA.
Lastly, some applicants do not double-check their entries before submission. Simple errors, such as typos or incorrect zip codes, can cause delays in processing. A quick review can save you time and ensure that your application moves forward smoothly.
The VA Form 22-1999, known as the VA Enrollment Certification, is crucial for veterans seeking educational benefits. However, it often goes hand in hand with several other important forms and documents. Each of these plays a unique role in ensuring that the enrollment process is smooth and compliant with regulations. Here’s a brief overview of six documents commonly associated with the VA Form 22-1999.
Understanding these forms and documents is vital for a seamless experience when applying for educational benefits. Each piece of paperwork serves a specific purpose, ensuring that veterans and their dependents can effectively access the educational opportunities available to them.
The VA Form 22 is an essential document for veterans seeking education benefits. It serves as an enrollment certification for various training programs. Here are five other documents that share similarities with the VA Form 22, along with a brief explanation of how they are alike:
Each of these forms plays a crucial role in the administration of educational benefits for veterans, ensuring that the necessary information is gathered to facilitate their training and support their educational goals.
When filling out the VA Form 22-1999, there are several important guidelines to follow. Here are nine things you should and shouldn't do:
Misconceptions about the VA Form 22-1999 can lead to confusion and errors in the enrollment certification process. Here are nine common misconceptions:
Understanding these misconceptions can help ensure a smoother process for veterans and their educational institutions.
When filling out and using the VA Form 22-1999, several key points should be kept in mind to ensure accuracy and compliance. Here are ten essential takeaways: