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The VA Form 22-0803 serves as an essential application for veterans and service members seeking reimbursement for licensing or certification test fees. This form stands out as a gateway to financial support, allowing eligible individuals who qualify for various VA education benefits, such as the Montgomery GI Bill and the Post-9/11 GI Bill, to recover the costs associated with their professional certifications. Completing this form involves several key segments where applicants provide personal identification information, including their name, address, and social security number, as well as details about the specific test taken, its issuer, and the associated fees. In addition to basic identification, the form requires information on prior applications for VA education benefits, ensuring that the applicant qualifies under the appropriate programs. By submitting official test results, along with the form, claimants can expedite the reimbursement process, which must be sent to the correct VA regional office corresponding to their home address. Understanding the requirements and responsibilities outlined in the instructions is vital, as this not only facilitates the processing of claims but also ensures that applicants comply with federal regulations governing educational benefits.

Va 22 0803 Example

OMB Approved No. 2900-0695

Respondent Burden: 15 Minutes

Expiration Date: 02/28/2022

APPLICATION FOR REIMBURSEMENT OF LICENSING OR

CERTIFICATION TEST FEES

IMPORTANT: Complete this application to apply for reimbursement of licensing or certification test fees. You must apply separately for VA education benefits if you have not already done so. You can receive reimbursement of a licensing or certification test fee if you qualify for VA benefits under one of the following programs:

Montgomery GI Bill - Active Duty Educational Assistance Program (MGIB) (Chapter 30)

Post-Vietnam Era Veterans Educational Assistance Program (VEAP) (Chapter 32)

Post-9/11 GI Bill (Chapter 33)

Survivors' and Dependents' Educational Assistance Program (DEA) (Chapter 35)

Montgomery GI Bill - Selected Reserve Program (MGIB-SR) (Chapter 1606)

Reserve Educational Assistance Program (REAP) (Chapter 1607)

(See the reverse for Information and Instructions for completing this form.)

PART I - IDENTIFICATION INFORMATION

1.NAME OF APPLICANT (First, Middle Initial, Last Name)

2.MAILING ADDRESS OF APPLICANT (Number and street or rural route, city or P. O., State and ZIP Code)

3. VA FILE NUMBER (For chapter 35, enter the veteran's file number. Be 4. SOCIAL SECURITY NUMBER (If not shown in Item 3)

sure to include the suffix indicator. For dependent transfer cases, enter

 

the file number of the person who transferred entitlement to you)

5. TELEPHONE NUMBER AND HOURS VA CAN REACH YOU

 

 

(Include Area Code)

6. VA EDUCATION INFORMATION

A. HAVE YOU PREVIOUSLY APPLIED FOR VA EDUCATION BENEFITS?

 

 

YES

 

NO

(If "Yes," show the specific benefit you previously applied for in Item 6B)

 

 

 

 

 

 

 

 

 

 

 

 

(If "No," you should complete an application for education benefits)

 

 

 

B. WHAT EDUCATION BENEFIT HAVE YOU APPLIED FOR PREVIOUSLY?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. WHAT EDUCATION BENEFIT ARE YOU APPLYING FOR NOW?

 

 

 

 

 

CHAPTER 30

 

CHAPTER 32

 

CHAPTER 33

 

CHAPTER 35

 

CHAPTER 1606

 

CHAPTER 1607

 

 

 

 

 

 

 

PART II - TEST INFORMATION

7.NAME OF TEST (Specify for each test) (If more space is needed use Item 11 Remarks)

9.DATE TEST TAKEN AND TEST RESULTS (See the Instructions for this item for information and evidence you must specify or attach to this application) (If more space is needed, use Item 11 Remarks)

10.COST OF TEST INCLUDING MANDATORY FEES (Specify for each test) (If more space is needed use Item 11 Remarks)

11.REMARKS

8.COMPLETE NAME AND MAILING ADDRESS OF ORGANIZATION ISSUING LICENSE OR CERTIFICATION (Specify for each test)

I hereby authorize the release of my test information to the Department of Veterans Affairs (VA).

12. SIGNATURE OF APPLICANT

13. DATE SIGNED

IMPORTANT: To apply for reimbursement of a licensing or certification test fee, please return this form to the VA office which handles your area. See the addresses on page 2 of this form. Include a copy of your test results.

VA FORM

22-0803

SUPERSEDES VA FORM 22-0803, FEB 2019,

Page 1

AUG 2020

WHICH WILL NOT BE USED.

INFORMATION

(The items that are considered self-explanatory are not included in these instructions)

ITEM 3. If you (or the veteran or serviceperson) were previously assigned an 8-digit file number, enter this number.

ITEM 6. If you have not previously applied for VA education benefits, go to www.benefits.va.gov/gibill/, and click on "Apply for Benefits". See the top of this form for the education benefits that permit reimbursement of Licensing or Certification tests.

ITEM 7. Write the complete name of the test.

ITEM 8. Write the complete name and complete mailing address (including ZIP Code) of the organization issuing the license or certificate (not necessarily the organization that administered the test).

ITEM 9. Show the date you took the test and attach a copy of your test results. (If you do not have any test results but have a copy of your license or certification and a payment receipt for your test, attach these documents.) Reimbursement of the test fee can't be paid until this information is received. Provide this information for each test you want to receive reimbursement.

ITEM 10. Enter the cost of the test you took, including any required fees. (We can only reimburse you for required test fees.) We have no authority to reimburse you for any optional costs related to the test process. Test fees that VA will reimburse include "registration fees," fees for specialized tests, and administrative fees such as a proctoring fee. Fees that VA has no authority to reimburse include fees to take pre-tests (such as Kaplan exams), fees to receive scores quickly, or other costs or fees for optional items that are not required to take an approved test.

ITEMS 12 and 13. Sign and date the form.

Additional Information: You may provide additional information that you think will help VA process your claim. Attach additional

sheets of paper to this application if necessary. Additional information should be properly labeled (such as: Item 1, if the additional information supports Item 1 on the form).

MORE HELP: If you need help in completing this application, call VA TOLL-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 education assistance after normal business hours at our education Internet site: www.benefits.va.gov/gibill/.

HOW TO FILE YOUR CLAIM. Send the completed application to the Regional Processing Office in the region of your home address. Use the addresses below.

 

 

CO

IN

MI

NE

RI

WV

Eastern Region:

SERVES THE

CT

KS

MN

NH

SD

WY

VA Regional Office

DC

KY

MO

NJ

TN

US Virgin Islands

FOLLOWING

P. O. Box 4616

DE

MA

MT

NY

VA

Foreign Schools

Buffalo, NY 14240-4616

STATES

IA

MD

NC

OH

VT

APO/FPO AA

 

 

 

IL

ME

ND

PA

WI

 

 

 

 

 

 

 

 

 

 

 

WESTERN Region:

VA Regional Office

P. O. Box 8888

MUSKOGEE, OK 74402-8888

 

 

AK

GA

NV

UT

GUAM

SERVES THE

 

AL

HI

OK

WA

PHILIPPINES

AR

ID

OR

 

 

FOLLOWING

 

APO/FPO AP

STATES

 

AZ

LA

PR

 

 

CA

MS

SC

 

 

 

 

 

 

 

 

FL

NM

TX

 

 

PRIVACY ACT INFORMATION: 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, published in the Federal Register. Your obligation to respond is required to obtain or retain benefits (licensing and certification test reimbursement). While you do not have to respond, VA cannot reimburse you any licensing and certification test fees until we receive this information (38 U.S.C. 3452(b) and 3501(a)). 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 your eligibility for reimbursement of licensing and certification test fees. We cannot pay you any education benefits for this reimbursement until we receive this information (38 U.S.C. 5101). 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 http://www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-888-GI-BILL-1 (1-800-442-4551) to get information on where to send comments or suggestions about this form. If you are hearing impaired, call 1-888-829-4833.

VA FORM 22-0803, AUG 2020

Page 2

Form Characteristics

Fact Name Description
OMB Approval The VA Form 22-0803 is approved by the Office of Management and Budget (OMB) under the approval number 2900-0695.
Purpose This form is used to apply for reimbursement of fees associated with licensing or certification tests.
Time to Complete The estimated time required to complete the form is approximately 15 minutes.
Eligibility Requirements Applicants must qualify for VA benefits under specific programs such as the Post-9/11 GI Bill or Montgomery GI Bill.
Submission Instructions The completed form should be sent to the VA office designated for the applicant's area, along with test results.

Guidelines on Utilizing Va 22 0803

Submitting the VA Form 22-0803 is a crucial step for veterans seeking reimbursement for licensing or certification test fees. Ensuring all sections are completed accurately can smooth the process and enhance your chances of receiving the reimbursement you deserve. Below are the steps to guide you through completing this form.

  1. Start with your personal details. In Part I, fill in your name (first, middle initial, and last) in Item 1.
  2. Provide your mailing address in Item 2. Include your street number, city, state, and ZIP code.
  3. If you have a VA file number (Item 3), enter it. If you’re from Chapter 35, input the veteran's file number.
  4. Item 4 requires your Social Security number if it isn’t already listed in Item 3.
  5. Provide a telephone number where the VA can reach you in Item 5, including the area code.
  6. In Item 6A, answer whether you have applied for VA education benefits before by marking either YES or NO.
  7. If you answered yes, specify the type of benefit in Item 6B; otherwise, ensure you have applied for education benefits separately.
  8. In Item 6C, select the education benefit you are currently applying for by indicating the correct chapter.
  9. Move to Part II. In Item 7, list the name of the test you completed.
  10. In Item 8, specify the complete name and mailing address of the organization that issued the license or certification.
  11. In Item 9, indicate the date you took the test and attach a copy of your test results.
  12. Provide the cost of the test in Item 10, including all mandatory fees.
  13. If needed, use Item 11 to add any additional remarks relevant to your application.
  14. In Item 12, sign the form to authorize the release of your test information to the VA.
  15. Finally, fill in the date you signed in Item 13.

After completing the form, remember to send it to the appropriate VA office based on your home address. Don't forget to include a copy of your test results. This ensures that the VA can process your claim efficiently, helping you secure the reimbursement you are entitled to.

What You Should Know About This Form

What is the VA 22 0803 form used for?

The VA 22 0803 form is an application for reimbursement of licensing or certification test fees. If you've incurred costs from taking a test required for a job, you may be eligible for reimbursement through certain VA education benefits. However, it's essential to have already applied for the appropriate VA education benefits before you submit this form.

Who qualifies to use this form?

To qualify to use the VA 22 0803 form, you must be eligible for VA education benefits under one of the specific programs. These include the Montgomery GI Bill, Post-9/11 GI Bill, and several others. If you are unsure about your eligibility, check the list of covered programs before proceeding with this application.

How long does it take to fill out the form?

It should take you approximately 15 minutes to complete the VA 22 0803 form. This estimate includes reviewing the instructions, gathering necessary information, and filling out the form itself.

What information is required on the form?

The form requires various pieces of information, including your name, mailing address, VA file number, social security number, and details about the tests you took, such as the name of the test and the issuing organization. You'll also need to provide the test date, results, and the cost of the test, including any mandatory fees.

Do I need to submit my test results?

Yes, you must attach a copy of your test results to the VA 22 0803 form. If you don't have the results, providing a copy of your license or certification along with a payment receipt will suffice. Without these documents, reimbursement will not be processed.

Where do I send the completed form?

You should send your completed VA 22 0803 form to the Regional Processing Office that serves your area. You can find the specific addresses listed on the form itself, based on your home address. Make sure all necessary documents are included to avoid delays.

Can I appeal if my reimbursement request is denied?

If your request for reimbursement is denied, you typically have the right to appeal the decision. Instructions on how to appeal will usually be included in the denial notice. It's important to follow those procedures carefully in order to have your case reconsidered.

What if I need help filling out the form?

If you need assistance completing the VA 22 0803 form, you can call the VA toll-free at 1-888-GI-BILL-1 (1-888-442-4551). They can provide guidance on how to fill out the form and answer any questions you may have.

Is personal information kept confidential?

Yes, the VA takes your privacy seriously. Information is held confidentially and is used only for purposes authorized under the Privacy Act of 1974. This includes verifying eligibility for benefits and processing your reimbursement requests.

What happens if I don’t respond to the form?

While responding to the VA 22 0803 form is not optional in terms of providing the necessary information to process your reimbursement, submitting incomplete or missing information will prevent you from receiving any benefits. It's crucial to provide all requested details to avoid any delays.

Common mistakes

Filling out the VA Form 22-0803 can be straightforward, but many make common mistakes that can delay their application. One frequent error is failing to include the correct VA file number in item three. This number is crucial as it helps VA staff verify your eligibility. If it's wrong or missing, the process will likely stall, leading to unnecessary frustration.

Another mistake occurs when applicants leave out their social security number in item four. If the file number isn't known or available, this information becomes essential for identification. Omitting it can cause additional delays as the VA may need to seek out alternative verification methods.

It's also important to complete item six correctly. Some applicants mistakenly assume that answering “no” to having applied for VA education benefits means they can skip item six entirely. In fact, if you answer “no,” you must also submit a separate application for those benefits. Failing to recognize this can lead to further complications and stalled applications.

Part II of the form requires accurate details about the test taken. A common error here is providing incomplete test information in items seven through ten. Make sure to enter not just the test name but also the date taken and results. Leave nothing out; incomplete submissions can lead to reimbursement claims being denied.

Many submit the form without attaching the necessary test results documents, as mentioned in item nine. This oversight can result in further delays since the VA cannot process your reimbursement until receiving this evidence. Always remember to check that all required documents are included.

Lastly, don’t forget to sign and date the form in items twelve and thirteen. Some applicants neglect this crucial step, thinking they’ve completed their submission. Without your signature, the application may be considered invalid, and you will need to restart the process.

Documents used along the form

The VA Form 22-0803 is a crucial document for veterans seeking reimbursement for licensing or certification test fees. To navigate the process smoothly, applicants often need to submit several other forms and documents alongside this application. Below is a list of important accompanying documents that may be necessary.

  • VA Form 22-1990: This is the "Application for VA Education Benefits." It is essential for veterans to complete this form if they have not already applied for education benefits. This form helps determine eligibility for various VA education programs.
  • VA Form 22-1995: Known as the "Request for Change of Program or Place of Training," this form is used when a veteran wishes to change their course of study or educational institution. It's critical for maintaining the proper educational benefits after changing programs.
  • Testing Agency Information: A copy of the documentation from the organization that administered the test, which includes test scores and other relevant information. This will support your reimbursement claim and should accompany the application for it to be processed.
  • Proof of Payment: A receipt or proof of payment for the test fees is necessary. The VA requires this to confirm that the individual has incurred the cost required for reimbursement.
  • VA Form 22-0803 Continuation Sheet: If there are additional remarks or information that the applicant wishes to include, this continuation sheet can be added. It allows applicants to provide further context or clarification related to their test applications.

Submitting a complete and accurate set of documents is vital to ensure timely reimbursement. Each document plays an important role in clarifying your eligibility and substantiating your request. It's recommended to double-check the requirements and prepare your materials carefully.

Similar forms

  • VA Form 22-0804: This is another application used for reimbursement but specifically targets tuition and fees for education programs. Like the VA 22-0803, it requires completion and submission to obtain educational benefits.
  • VA Form 22-1990: This form registers veterans for education benefits under the GI Bill. Similar to the VA 22-0803, it serves as an application form but is broader as it covers various educational benefit programs.
  • VA Form 22-1995: Used for veterans who want to transfer their education benefits, this form is akin to the VA 22-0803 as it facilitates the access process for benefits. It ensures that veterans can manage their benefits effectively.
  • VA Form 22-5490: This application is aimed at dependents of veterans who seek educational assistance. It shares similarities with the VA 22-0803 in that both require personal identification and detailed information regarding education costs.
  • VA Form 22-1990N: The application for veterans seeking to access the Fry Scholarship involves providing personal and educational details similar to those required by the VA 22-0803 form. Each form serves to streamline the VA benefit process.
  • VA Form 21-526EZ: This form is an application for disability compensation and pension. While focused on compensation claims, it is similar to the VA 22-0803 in terms of being an essential step for veterans to access specific financial benefits.

Understanding these forms and their purposes can assist individuals in navigating the VA system more effectively. Each document plays a vital role in ensuring that veterans and dependents receive the educational benefits they are entitled to.

Dos and Don'ts

When filling out the VA Form 22-0803, there are certain best practices you should follow to ensure a smooth process. Here’s a handy list to guide you:

  • Double-check your information: Ensure that your name, address, and other identifying details are entered correctly.
  • Provide complete test details: Clearly specify the name of the test, date taken, and results.
  • Include all required documentation: Attach your test results or relevant receipts supporting your claim for reimbursement.
  • Use clear and concise language: If additional information is necessary, write in a straightforward manner, labeling any extra sheets clearly.
  • Sign and date your application: Without your signature, the application cannot be processed.
  • Use the correct submission address: Make sure you send the application to the appropriate VA office based on your location.

Conversely, avoid these common mistakes:

  • Don’t leave blanks: Fill in all required fields to the best of your ability. Incomplete applications can lead to delays.
  • Avoid using informal language: Keep your tone professional throughout the application.
  • Don’t forget to include pertinent receipts: Missing documents can hold up your reimbursement process.
  • Refrain from making vague statements: Be specific in every section to avoid confusion.
  • Do not submit photocopies of documents: Original documents are often required, so submit copies as instructed.
  • Don’t miss the deadline: Ensure your application is submitted within the designated timeframe for reimbursement eligibility.

By following these guidelines, you enhance the likelihood of a successful application experience, making it easier to obtain the benefits you deserve.

Misconceptions

There are several misconceptions regarding the VA Form 22-0803, which is the application for reimbursement of licensing or certification test fees. Understanding these can help veterans navigate the reimbursement process more effectively.

  • Misconception 1: Only veterans can apply for reimbursement.
  • This form is not exclusive to veterans. Dependents, under certain circumstances, may also be eligible to apply.

  • Misconception 2: You cannot apply if you have already used your VA education benefits.
  • If you have remaining eligibility, you can still apply for reimbursement even if you have previously used benefits.

  • Misconception 3: The form can be submitted any time after taking the test.
  • There is a time frame within which applications must be submitted. Be sure to check the deadlines to avoid missing out.

  • Misconception 4: Reimbursement is guaranteed simply by submitting the form.
  • Approval depends on meeting specific eligibility criteria. Submitting the form does not automatically ensure reimbursement.

  • Misconception 5: You must have taken the test through a VA-approved organization.
  • Reimbursements can be claimed for tests taken through recognized organizations, even if they are not directly affiliated with the VA.

  • Misconception 6: Only licensing tests are eligible, not certification tests.
  • Both licensing and certification tests can qualify for reimbursement, provided they meet the necessary criteria.

  • Misconception 7: You can claim any related costs for the test.
  • Only mandatory fees are eligible for reimbursement. Optional expenses associated with the test, such as quick score reports, are not covered.

  • Misconception 8: It’s unnecessary to include test results with the application.
  • Submitting your test results is a requirement. Without them, reimbursement may be delayed or denied.

  • Misconception 9: You can fill out the form without specific test details.
  • Providing complete information about each test, such as the test name and organization, is crucial for the application’s success.

  • Misconception 10: The form processing time is extremely long.
  • The form is designed to be processed efficiently. While some delays may occur, many applicants receive responses in a timely manner.

Key takeaways

Here are some important points to remember when filling out and using the VA Form 22-0803:

  • This form is for requesting reimbursement of licensing or certification test fees. Make sure you are eligible for VA education benefits before applying.
  • Clearly state your name, address, and contact information. This ensures that the VA can reach you regarding your application.
  • List the complete names of the tests you took and the organizations that issued the licenses or certificates. This information is necessary for processing your claim.
  • Attach documents showing the date of the test and your test results. Without this, reimbursement will not be possible.
  • Return the completed form to the appropriate VA office in your region. Include all relevant attachments to avoid delays in reimbursement.