The VBA VA 28-1902w form is a crucial document used by veterans to apply for vocational rehabilitation and employment services. This form helps assess eligibility and determine the appropriate resources for those transitioning into the workforce. Ready to take the next step? Fill out the form by clicking the button below.
The VBA VA 28-1902w form plays a crucial role in the process of vocational rehabilitation and employment for veterans. Designed to assist those who have service-connected disabilities, this form is essential for accessing various services and benefits aimed at helping veterans achieve meaningful employment. The form collects vital information about the veteran's current employment status, educational background, and any specific barriers they may face in securing work. Completing the VBA VA 28-1902w form accurately is important, as it directly influences the assessment of eligibility for the program. Additionally, it helps determine the resources and support that may be available to each individual veteran. Understanding the nuances of this form is imperative for veterans seeking to navigate the complexities of the benefits system efficiently and effectively.
OMB Approved No. 2900-0092
Respondent Burden: 45 Minutes
Expiration Date: 11/30/2027
INFORMATION FOR VETERAN READINESS AND
EMPLOYMENT ENTITLEMENT DETERMINATION
INSTRUCTIONS: This form is used during the comprehensive initial evaluation to assist with gathering information for an Entitlement Determination. For more information, contact us at https://ask.va.gov or call us toll-free at 1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the Federal relay number is 711. VA forms are available at www.va.gov/vaforms.
During the initial evaluation, the Vocational Rehabilitation Counselor (VRC) will review the form with the claimant to obtain additional and/or missing information necessary to determine the claimant's entitlement to Chapter 31 benefits. The VRC will use their counseling skills while utilizing this form to assist with making an entitlement determination. The VRC will review and discuss the responses from the claimant during the initial evaluation to address:
•Development and analysis of information necessary to obtain a general understanding of the whole individual.
•Evaluation of claimant's capacity for suitable employment and/or independence in daily living, in accordance with 38 CFR § 21.50.
•Entitlement determination to VR&E Program, including Employment Handicap (EH) and Serious Handicap (SEH) determination, in accordance with 38 CFR § 21.51 and § 21.52.
•Assess the following factors as part of the initial evaluation:
(1)Determination of the effect(s) of claimant's Service-Connected Disabilities (SCD) and Non-Service-Connected Disabilities (NSCD) condition(s) on obtaining and maintaining employment, and on independence in daily living;
(2)The claimant's physical and mental capabilities that may affect employability and ability to function independently in daily living activities in family and community;
(3)The claimant's abilities, aptitudes, and interests;
(4)The claimant's personal history and current circumstances (including educational and training achievements, employment record, developmental and related vocationally significant factors, and family and community adjustment); and
(5)Other factors that may affect the claimant's employability.
•Identification of barriers that impact claimant's employability.
CLAIMANT'S INFORMATION
CLAIMANT'S NAME (First, Middle Initial, Last)
VA FILE NUMBER (Last four)
VRC NAME
SECTION I: VERIFICATION OF CLAIMANT'S CONTACT INFORMATION
(Please verify the claimant's contact information. If the claimant's contact information has changed or is different, please
advise the claimant to update their contact information and/or marital status on VA.gov profile).
VERIFIED CLAIMANT'S ADDRESS
VERIFIED CLAIMANT'S EMAIL ADDRESS
VERIFIED CLAIMANT'S PHONE NUMBER
VERIFIED CLAIMANT'S MARITAL STATUS
SECTION II: REVIEW OF CLAIMANT'S CIVILIAN EMPLOYMENT HISTORY
(If the claimant provides their resume, it is not necessary to duplicate information in Items 1-9. However, the civilian employment (including self-employment) history must be reviewed and discussed to identify any difficulties with job duties, obtaining and maintaining employment, salary, full time, part-time, and reasons why claimant left job positions).
CLAIMANT PROVIDED RESUME (Please complete fields not on resume)
CLAIMANT DID NOT PROVIDE RESUME (Please complete the section below)
1. IS THE CLAIMANT CURRENTLY EMPLOYED INCLUDING SELF EMPLOYMENT?
YES (If "Yes," go to #4)
NO (If "No," go to #2)
2.IF THE CLAIMANT IS UNEMPLOYED, HOW LONG HAS THE CLAIMANT BEEN UNEMPLOYED?
3.WHAT DID THE CLAIMANT DO DURING THE PERIOD OF UNEMPLOYMENT?
VA FORM
28-1902w
SUPERSEDES VA FORM 28-1902w, JUL 2024,
Page 1
NOV 2024
WHICH WILL NOT BE USED
SECTION II: REVIEW OF CLAIMANT'S CIVILIAN EMPLOYMENT HISTORY (Continued)
4. JOB TITLE:
NAME OF EMPLOYER: DATES OF EMPLOYMENT:
FULL-TIME PART-TIME AVERAGE GROSS MONTHLY SALARY: PROVIDE A DESCRIPTION OF JOB DUTIES IN DETAIL:
DO THE JOB DUTIES AGGRAVATE THE CLAIMANT'S SERVICE-CONNECTED DISABILITIES? (If "Yes," how?)
WHAT IS THE CLAIMANT'S REASON FOR LEAVING EMPLOYMENT? (e.g. resigned, fired, hired for another job)
5. JOB TITLE:
6. JOB TITLE:
VA FORM 28-1902w, NOV 2024
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7. JOB TITLE:
8. JOB TITLE:
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9.HAS THE CLAIMANT EVER HAD DIFFICULTY WITH ANY OF THE FOLLOWING ITEM(S) DUE TO THEIR SCD(s)? (If "Yes," please describe in detail)
CO-WORKER RELATIONS:
JOB PERFORMANCE:
JOB OPPORTUNITIES:
JOB SATISFACTION:
MANAGER RELATIONS:
MISSED TIME AT WORK:
OTHERS:
SECTION III: REVIEW OF CLAIMANT'S MILITARY EMPLOYMENT HISTORY
(If the claimant provides their DD-214 or military records, it is not necessary to duplicate information in Items 10-13. However, the military employment history must be discussed to identify any difficulties with job duties, obtaining and maintaining employment, salary, full time, part-time, and reasons why claimant is unable to perform the job positions.)
CLAIMANT PROVIDED DD-214 OR MILITARY RECORDS (Please complete only fields not on DD-214 or military records)
CLAIMANT DID NOT PROVIDE DD-214 OR MILITARY RECORDS (Please complete section below)
10.LIST CLAIMANT'S MILITARY ENLISTMENT HISTORY
11.JOB TITLE OR MILITARY OCCUPATIONAL SPECIALTY
12A NAME OF BRANCH OF SERVICE
ARMY
NAVY
AIR FORCE
MARINE CORPS
COAST GUARD
SPACE FORCE
USPHS
NOAA
SELECTED SERVICE (Note: Members or former members of the Selected Reserve (Army, Air Force, Coast Guard, Marine Corps, Naval Reserve, Air National Guard, or Army National Guard) who served at least one enlistment or, in the case of an officer, the period of initial obligation, or were discharged for disability incurred or aggravated in line of duty.)
OTHER (Specify)
12B. DATES OF SERVICE
12C. RANK
13A NAME OF BRANCH OF SERVICE (Please select if the claimant served more than one term of service and/or more than one branch of service.)
13B. DATES OF SERVICE
13C. RANK
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SECTION IV: REVIEW OF CLAIMANT'S LEGAL HISTORY
14.IF THE CLAIMANT HAS A HISTORY OF OR IS CURRENTLY DEALING WITH LEGAL ISSUES, SELECT ITEM(S) THAT APPLY AND DESCRIBE BELOW
BANKRUPTCY (In the last seven years):
MISDEMEANOR:
FELONY:
PROBATION:
PAROLE:
OTHER:
NOT APPLICABLE
SECTION V: REVIEW OF CLAIMANT'S SUBSTANCE ABUSE HISTORY
15.IF THE CLAIMANT HAS A HISTORY OF OR IS CURRENTLY DEALING WITH SUBSTANCE ABUSE ISSUES, SELECT ITEM(S) THAT APPLY AND DESCRIBE BELOW
ALCOHOL:
ILLEGAL DRUGS:
PRESCRIPTION DRUGS:
IF THE CLAIMANT HAD A HISTORY OF OR IS CURRENTLY RECEIVING ONGOING TREATMENT(S) FOR SUBSTANCE ABUSE, DESCRIBE TREATMENT PROGRESS INCLUDING DATE(S) AND LOCATION(S) BELOW.
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SECTION VI: REVIEW OF CLAIMANT'S EDUCATION/TRAINING HISTORY
(If the claimant provided academic or training transcripts, certifications and/or licenses,
please review their educational and/or training history.)
CLAIMANT PROVIDED TRANSCRIPTS, CERTIFICATIONS, AND/OR LICENSES (Do not need to complete all fields in this section.)
CLAIMANT DID NOT PROVIDE TRANSCRIPTS/CERTIFICATIONS, AND/OR LICENSES (Please complete section below)
16. WHAT IS THE HIGHEST LEVEL OF EDUCATION THE CLAIMANT HAS COMPLETED?
SOME HIGH SCHOOL
HIGH SCHOOL
GENERAL EDUCATIONAL DEVELOPMENT (GED) CERTIFICATE
ASSOCIATE'S DEGREE
BACHELOR'S DEGREE
MASTER'S DEGREE
POSTGRADUATE DEGREE
17.IF CLAIMANT HAS EDUCATION BEYOND HIGH SCHOOL, WHAT WAS THE FIELD OF STUDY (Degree Major), IF APPLICABLE?
18.IF CLAIMANT HAS CERTIFICATION(S) OR LICENSES (e.g. Apprenticeship, Journeyman License, Commercial Driver's License (CDL), PLEASE LIST IF APPLICABLE.
SECTION VII: REVIEW OF CLAIMANT'S SERVICE-CONNECTED AND NON-SERVICE-CONNECTED DISABILITIES
(Discuss how the claimant's disabilities impact their ability to obtain and maintain employment.)
19. LIST THE CLAIMANT'S SERVICE-CONNECTED DISABILITIES AND IMPAIRMENTS.
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SECTION VII: REVIEW OF CLAIMANT'S SERVICE-CONNECTED AND NON-SERVICE-CONNECTED DISABILITIES (Continued)
20.HAS THE CLAIMANT FILED A CLAIM OR IS CLAIMANT RECEIVING INDIVIDUAL UNEMPLOYABILITY (IU) OR TOTAL DISABILITY BASED ON INDIVIDUAL UNEMPLOYABILITY (TDIU), (If "Yes," discuss in detail)
NOTE: VRC must review for the severity of claimant's SCDs, feasibility, and potential independent living needs.
21.DOES THE CLAIMANT HAVE A VALID DRIVER"S LICENSE? (If "No," please explain reason for not having a valid driver's license)
22. NAME OF MEDICAL TREATMENT FACILITIES THE CLAIMANT IS ATTENDING.
23. HOW OFTEN IS THE CLAIMANT SEEN FOR TREATMENT?
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SECTION VIII: MISCELLANEOUS INFORMATION
(While the following information is not relevant to the entitlement determination, these
questions can assist with referrals, resources, and addressing claimant's needs.)
24.IS CLAIMANT REGISTERED WITH A LOCAL VA MEDICAL CENTER?
YES NO
25.IS CLAIMANT REGISTERED WITH MYHEALTHEVET?
26.DOES THE CLAIMANT REQUIRE A REFERRAL FOR HUDVASH OR A HOMELESS PROGRAM?
27. CHECK ITEM(S) THAT APPLY IF CLAIMANT IS RECEIVING OR HAS APPLIED FOR BENEFITS BELOW:
DISABILITY PENSION (NOT DISABILITY COMPENSATION) ( CIVILIAN
RETIREMENT ( CIVILIAN MILITARY )
MEDICARE/MEDICAID
SOCIAL SECURITY DISABILITY INCOME (SSDI OR SSI)
WORKERS COMPENSATION
PROGRAM OF VOCATIONAL REHABILITATION
MILITARY )
SECTION IX: COMMENTS
28.OTHER RELEVANT INFORMATION OR ADDITIONAL COMMENTS (Additional information provided during the initial evaluation that is relevant to the entitlement determination)
29. NAME OF VOCATIONAL REHABILITATION COUNSELOR
30.DATE (MM/DD/YYYY)
PRIVACY ACT INFORMATION: The responses you submit are considered confidential (38 U.S.C. 5701). Your obligation to respond is required in order to obtain benefits. 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., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA benefits, verification of identity and status, and personnel administration) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA, published in the Federal Register. Information that you furnish may be utilized in computer matching programs with other Federal or State agencies for the purpose of determining your eligibility to receive VA benefits, as well as to collect any amount owed to the United States by virtue of your participation in any benefit program administered by the Department of Veterans Affairs.
RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 2900-0092, and it expires November 30, 2027. Public reporting burden for this collection of information is estimated to average 45 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at VACOPaperworkReduAct@va.gov. Please refer to OMB Control No. 2900-0092 in any correspondence. Do not send your completed VA Form 28-1902w to this email address.
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Filling out the VBA VA 28-1902w form is a straightforward process. This form is used by veterans to apply for various benefits. To ensure that your application is complete and accurate, follow the steps outlined below carefully.
Once you have submitted the form, you will receive confirmation from the VA. Keep an eye out for any follow-up communication, as they may require additional information or documentation to process your application.
What is the VBA VA 28-1902w form?
The VBA VA 28-1902w form is a document used by veterans to apply for vocational rehabilitation and employment services through the Department of Veterans Affairs (VA). This form is part of the VA's efforts to assist veterans with service-connected disabilities in achieving independence and finding suitable employment.
Who is eligible to use the VBA VA 28-1902w form?
Eligibility for this form generally includes veterans who have a service-connected disability that impairs their ability to secure or maintain employment. The VA evaluates each application on a case-by-case basis to determine eligibility for vocational rehabilitation services.
How do I complete the VBA VA 28-1902w form?
To complete the form, you need to provide personal information, including your service history, details about your disability, and your employment goals. It is important to read the instructions carefully and provide accurate information to avoid delays in processing.
Where can I obtain the VBA VA 28-1902w form?
The form is available on the official VA website. You can download it directly from the site or request a physical copy through your local VA office. Ensure you have the most current version of the form to avoid any issues.
What should I do after completing the VBA VA 28-1902w form?
After completing the form, you should submit it to your local VA regional office. You can send it via mail or, in some cases, submit it electronically through the VA's online portal. Keep a copy of the submitted form for your records.
How long does it take to process the VBA VA 28-1902w form?
The processing time can vary. Typically, it may take several weeks to a few months, depending on the volume of applications and the complexity of your case. You can check the status of your application by contacting the VA or using their online tracking system.
Can I appeal if my application is denied?
Yes, if your application is denied, you have the right to appeal the decision. The VA provides specific instructions on how to file an appeal, including deadlines and required documentation. It is advisable to seek assistance from a veteran service organization if you need help with the appeals process.
Are there any fees associated with the VBA VA 28-1902w form?
There are no fees for submitting the VBA VA 28-1902w form. The vocational rehabilitation services provided by the VA are intended to be free of charge for eligible veterans.
What happens after my application is approved?
If your application is approved, you will work with a vocational rehabilitation counselor to develop a personalized plan. This plan may include training, education, and job placement assistance tailored to your specific needs and goals.
Can I update my information after submitting the VBA VA 28-1902w form?
Yes, you can update your information if there are any changes after you submit the form. It is important to keep the VA informed of any changes in your contact information, employment status, or disability status to ensure effective communication and support.
Filling out the VBA VA 28-1902w form can be a daunting task for many individuals. Mistakes during this process can lead to delays or even denials of benefits. One common error is failing to provide accurate personal information. It’s essential to double-check names, Social Security numbers, and addresses. Even a small typo can create significant complications.
Another frequent mistake is neglecting to sign and date the form. Many applicants forget this crucial step, which can result in the application being returned for correction. Ensure that both the signature and date are clearly visible to avoid unnecessary delays.
Some individuals fail to include all required documentation. The form often requires supporting evidence, such as medical records or service documents. Without these, the application may be incomplete, leading to rejection or a request for additional information.
Inaccurate descriptions of disabilities or conditions can also hinder the application process. Applicants should provide detailed and truthful accounts of their circumstances. Vague or misleading information can raise red flags and result in a denial of benefits.
Many people overlook the importance of reviewing the form before submission. Errors in spelling, grammar, or formatting can undermine the professionalism of the application. Taking the time to proofread can make a significant difference in how the application is perceived.
Another mistake is submitting the form without keeping a copy. It’s vital to retain a record of what was submitted for future reference. This can help in case there are follow-up questions or issues with the application.
Some applicants fail to follow the specific instructions outlined for the form. Each section may have unique requirements, and overlooking these can lead to incomplete submissions. Reading the instructions carefully is crucial for a successful application.
Additionally, individuals often underestimate the importance of deadlines. Submitting the form late can jeopardize eligibility for benefits. Keeping track of deadlines ensures that the application is processed in a timely manner.
Many applicants also do not seek assistance when needed. The process can be complicated, and help is available through various resources. Reaching out for guidance can clarify uncertainties and improve the chances of a successful application.
Finally, some individuals fail to follow up on their application status. After submission, it’s important to check on the progress. Proactive communication can help identify any issues early on, allowing for timely resolutions.
The VBA VA 28-1902w form is an essential document for veterans seeking vocational rehabilitation and employment services. Alongside this form, several other documents are frequently required to support the application process and ensure that all necessary information is provided. Below is a list of these documents, each serving a specific purpose in the overall evaluation and assistance process.
Each of these documents plays a critical role in the vocational rehabilitation process, helping veterans navigate their path toward meaningful employment and independence. By understanding the importance of these forms, veterans can better prepare their applications and enhance their chances of receiving the support they need.
Filling out the VBA VA 28-1902w form can be a crucial step in accessing your benefits. Here are some important dos and don'ts to keep in mind:
By following these guidelines, you can help ensure a smoother application process. Good luck!
The VBA VA 28-1902w form, also known as the Application for Vocational Rehabilitation and Employment, plays a crucial role for veterans seeking assistance in their transition to civilian life. Unfortunately, several misconceptions surround this form, leading to confusion among applicants. Below are seven common misconceptions clarified.
This is not entirely true. While the form is primarily aimed at veterans with service-connected disabilities, it can also benefit those with non-service-related disabilities who are facing challenges in obtaining or maintaining employment.
Submitting the form does not automatically ensure that benefits will be granted. The application undergoes a thorough review process, and eligibility is determined based on various factors, including the severity of the disability and the individual's employment history.
Many applicants find that the process can be lengthy and complex. It often involves multiple steps, including assessments, interviews, and potential follow-up documentation. Patience is key.
Veterans can apply multiple times if their circumstances change or if they believe they can benefit from additional services. Each application will be evaluated based on the current situation.
A college degree is not a requirement. The program is designed to assist veterans in various career paths, including vocational training, apprenticeships, and on-the-job training, catering to a wide range of educational backgrounds.
The form is versatile and supports veterans seeking self-employment or entrepreneurial opportunities as well. It encourages diverse pathways to success in the workforce.
While there are time limits for certain services, veterans can receive support for as long as they need it to achieve their employment goals. The program is focused on long-term success and sustainability.
Filling out the VBA VA 28-1902w form is an important step for veterans seeking vocational rehabilitation and employment services. Here are key takeaways to keep in mind: