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The VA Form 28-1905 serves a vital role for veterans seeking vocational rehabilitation services. This form, often referred to as the Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status, is crucial for both veterans and the educational institutions they attend. By completing this document, veterans authorize their selected facility or service provider to offer the necessary training or support under various chapters of the U.S. Code, specifically Chapters 18, 31, and 35. These chapters govern a range of programs aimed at aiding veterans and certain eligible individuals with educational and vocational endeavors. The information required on the form is straightforward. It begins with identifying data, such as the individual's name and VA file number, and moves on to authorize the facility or vendor providing services. Additional details, including the enrollment period and specific guidelines related to the training program, are essential to ensure that the VA can cover tuition, fees, and supplies. Notably, Section C of the form plays a critical role in certifying the individual's attendance in the specified program, ensuring the timely processing of benefits. With a respondent burden estimated at just five minutes, it is designed to be user-friendly while also capturing all necessary details for the Department of Veterans Affairs to facilitate a smooth rehabilitation process.

Va 28 Example

OMB Control No. 2900-0014

Respondent Burden: 5 Minutes

Expiration Date: XX/XX/XXXX

AUTHORIZATION AND CERTIFICATION OF ENTRANCE OR REENTRANCE INTO

REHABILITATION AND CERTIFICATION OF STATUS

NOTE: Before completing this form, read the instructions and other important information on the back.

SECTION A - IDENTIFYING DATA

1. NAME AND MAILING ADDRESS OF ENTITLED INDIVIDUAL

..

2. VA FILE NUMBER

3. SOCIAL SECURITY NUMBER

SECTION B - AUTHORIZATION TO FACILITY/VENDOR

4. NAME OF SERVICE/ASSISTANCE (Include degree type when applicable)

5. ENROLLMENT PERIOD

6. PLAN CODE

7. FACILITY CODE

8. NAME AND ADDRESS OF FACILITY OR SERVICE PROVIDER (Vendor)

9.SPECIFIC GUIDELINES (Restricted hours; courses approved/not approved; restricted bookstore purchases; tutoring approved; etc.)

10A. NAME.OF CASE MANAGER OR DESIGNEE AND ADDRESS OF REGIONAL OFFICE.

10B. E-MAIL ADDRESS OF CASE MANAGER

11A. SIGNATURE OF CASE MANAGER

11B. DATE SIGNED

12. VA BILLING ADDRESS

SECTION C - CERTIFICATION OF ATTENDANCE

13.I CERTIFY THAT the individual in Item 1 began or resumed the program shown in Item 4 on the beginning date for term 1 in Item 14A. He or she continues to be pursuing or enrolled in that program. Charges for this program are in accordance with our current: (Check one)

 

VA CONTRACT OR AGREEMENT

 

SCHOOL CATALOG

 

OTHER PUBLISHED DOCUMENT

14. ENROLLMENT DATE

 

 

 

D. TYPE AND

 

F. STANDARD CLASS

 

 

 

NUMBER OF HOURS E. TRAINING TIME

SESSION PER WEEK

 

 

 

(S=semester

(F=full-time

(Only if less than the

A.

B. BEGINNING DATE

C. ENDING DATE

Q=quarter

3/4=3/4-time

term hours certified or

TERM

D=deficiency

 

 

1/2=1/2-time

if the term is of non-

 

 

 

R=residence

 

 

 

L=less than

standard length)

 

 

 

C=clock/shop

 

 

 

1/2-time)

 

 

 

 

U=carnegie)

 

 

 

 

 

 

1

2

3

4

15. LISTING OF SPECIFIC COURSES (In place of this list, you may attach a copy of registration or other documentation)

16A. SIGNATURE AND TITLE OF CERTIFYING OFFICIAL

16B. DATE SIGNED

VA FORM

28-1905

SUPERSEDES VA FORM 28-1905, SEP 2011,

XXX XXXX

 

WHICH WILL NOT BE USED.

INSTRUCTIONS TO SCHOOL, ON-JOB TRAINING ESTABLISHMENT, OR OTHER FACILITY

This form authorizes this veteran or eligible person for training or services at your facility under Vocational Rehabilitation (Chapter 31, title 38, U.S.C); Specialized Vocational Training, Special Restorative Training (Chapter 35, title 38 U.S.C.); or Vocational Training for Certain Children With Spina Bifida or Other Covered Birth Defects (Chapter 18, title 38, U.S. C.). Under Chapters 18 and 31, but NOT under Chapter 35, the Department of Veterans Affairs will pay for tuition, fees, books, and supplies for the program identified in Item 4. Item 9 lists specific guidelines regarding the rehabilitation program for this individual. Forward vouchers for program expenses to the office in Item 10. VA pays in arrears directly to the institution all vouchers for the veteran's tuition, fees, books and supplies. The veteran under Chapter 31 or child under Chapter 18 should not pay these expenses.

After the veteran or eligible person has enrolled or has begun his or her rehabilitation or training program or evaluation, please complete all applicable items in the certification in Section C, sign and date the certification, and return the form to the case manager or person in Item 10. Note these special instructions for completing the following items:

Item 14A. For schools or institutions providing training or instruction on a semester, quarter, or other term basis, enter up to four terms, but do NOT enter a total enrollment period that exceeds 1 academic year, including summer sessions if appropriate. If the individual's vocational rehabilitation or training plan projects attendance for the entire academic year, the school or institution should certify the entire academic year.

Item 14D. For college-level courses organized on a term basis, enter the type and number of credit hours. For other programs, enter the type and number of classroom and shop hours per week.

Item 14E. For each term, indicate the training time the facility considers that the number of hours in Item 14D represents.

Item 14F. Answer this item only if the facility organizes its classes in semesters, quarters, or other terms and reports training time in credit-hours. For a detailed explanation of the relationship between standard class sessions, nonstandard term lengths, and term hours, contact the VA regional office's Education Liaison Representative.

Item 15. You must complete this item for college-level or vocational training. This includes classroom courses which supplement an on-job or apprentice training program. In place of an entry, you may attach a copy of the individual's registration or other documentation that details the courses the individual is taking.

The case manager may also request that you submit additional information with this form.

For on-job training, you will also need to submit monthly either VA Form 28-1905c, Monthly Record of Training and Wages, or VA Form 28-1917, Monthly Statement of Wages Paid to Trainee. The case manager will inform you which of these forms you will have to submit.

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. to obtain information to document type and number of hours of the veteran's training status) 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. Giving us your SSN account information is mandatory. Applicants are required to provide their SSN under Title 38 U.S.C. 5101 (c)

(1). VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1, 1975, and still in effect. Information submitted is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine or confirm the proper subsistence allowance rate payable to the trainee. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 5 minutes to review the instructions, find the information, and completed 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 coltrol numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.

VA FORM 28-1905, XXX XXXX

Form Characteristics

Fact Name Description
OMB Control Number VA Form 28-1905 is identified by OMB Control No. 2900-0014.
Respondent Burden The estimated time to complete this form is about 5 minutes.
Expiration Date The form's expiration date is listed as XX/XX/XXXX.
Purpose This form authorizes veterans or eligible persons for training or services under various rehabilitation programs.
Governing Law This form is governed under Chapter 31 and Chapter 35 of Title 38, U.S.C.
Certification Requirement Signatures from both the certifying official and case manager are required to validate this form.
Program Expenses The VA covers tuition, fees, books, and supplies for approved educational programs.
Submission Guidelines After completion, the form must be returned to the case manager listed in the form.
Privacy Act Compliance Information submitted is protected under the Privacy Act of 1974.
Mandatory SSN Providing a Social Security Number is mandatory for processing benefits under Title 38 U.S.C. 5101.

Guidelines on Utilizing Va 28

Completing the VA Form 28-1905 requires meticulous attention to detail. The information submitted on this form assists the Department of Veterans Affairs in ensuring the accurate processing of vocational rehabilitation benefits. The next step involves carefully filling out each section to provide a complete picture of the training program and the individual's enrollment status.

  1. Section A - Identifying Data:
    • Input your full name and mailing address.
    • Enter your VA file number.
    • Provide your social security number.
  2. Section B - Authorization to Facility/Vendor:
    • Indicate the name of the service or assistance needed, specifying degree type if applicable.
    • Fill out the enrollment period for your program.
    • Record the plan code and facility code.
    • Provide the name and address of the facility or service provider.
    • Detail any specific guidelines regarding the program (e.g., restricted hours).
    • Enter the name and address of your case manager or designee.
    • Include the email address of your case manager.
    • Your case manager must sign and date this section.
    • Fill in the VA billing address.
  3. Section C - Certification of Attendance:
    • Certify stating that you began or resumed the program as mentioned.
    • Select the appropriate option regarding the charges for the program (VA contract, school catalog, etc.).
    • List relevant enrollment dates and specify the type of training hours.
    • Mention the standard class number of hours per week.
    • List specific courses you are taking; documentation may be attached if applicable.
    • Obtain the signature and title of the certifying official along with the date signed.

What You Should Know About This Form

What is the VA 28 form?

The VA 28 form, officially known as the "Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status," is used to authorize veterans or eligible individuals for training or rehabilitation services. This form ensures that those who qualify can access benefits related to their training or rehabilitation programs under various chapters of Title 38, United States Code.

Who needs to complete the VA 28 form?

This form needs to be filled out by the service provider or educational institution offering training or rehabilitation services to the veteran or eligible person. It is important that the individual who the form pertains to is eligible for the benefits and has enrolled or resumed their program.

What information is required on the VA 28 form?

The VA 28 form requires several key pieces of information, including the name and address of the entitled individual, VA file number, and social security number. Additionally, details about the training program, such as enrollment periods and facility information, must be provided. The form also includes sections for certification of attendance and signatures from both the certifying official and case manager.

What is the purpose of certifying attendance?

Certifying attendance is crucial as it confirms that the individual has started or resumed their training program. This certification serves as a verification step that the Department of Veterans Affairs (VA) will use to process payments for tuition, fees, and other related expenses, ensuring veterans receive the benefits they are entitled to.

How long does it take to complete the VA 28 form?

On average, it takes about 5 minutes to complete the VA 28 form. This estimated time includes reviewing the instructions, gathering necessary information, and filling out the required fields in the form.

What is the expiration date on the VA 28 form?

Each version of the VA 28 form bears a specific expiration date. To ensure you are using a valid form, it's important to check the latest version available, as specified by the Department of Veterans Affairs. This form is periodically updated to maintain compliance with updated regulations and standard practices.

Can the VA 28 form be submitted electronically?

While it may vary depending on the facility or service provider, many institutions now offer the option to submit forms electronically. However, it’s advisable to check with the institution's guidelines or your case manager for specific submission methods available to you.

What happens if I do not provide my Social Security number?

Providing your Social Security number (SSN) on the VA 28 form is mandatory under Title 38, U.S. Code. Failure to provide your SSN could delay the processing of benefits. However, VA cannot deny benefits solely for not providing an SSN unless required by federal law in effect before 1975.

What should I do if I notice an error on the VA 28 form after submission?

If you notice an error after submitting the form, contact your case manager or the facility that received your submission immediately. They can guide you on how to correct the mistake and ensure that your records are updated properly, preventing any potential issues with your benefits.

Who can I contact for assistance with the VA 28 form?

If you need assistance with the VA 28 form, you can reach out to the local VA regional office or call the VA's customer service hotline at 1-800-827-1000. They can provide guidance and answer questions about completing the form and the benefits you may qualify for.

Common mistakes

Completing the VA 28 form can be a straightforward process, but there are common mistakes that individuals often make. One frequent issue is providing incorrect or incomplete personal information in Section A. This includes the individual's name, mailing address, VA file number, and Social Security number. Such inaccuracies can delay processing. It's essential to double-check this information before submission.

Another mistake involves failing to read the instructions thoroughly. The form includes several important guidelines that are indicated on the back. Not adhering to these could lead to errors in the enrollment section, especially regarding the enrollment period and specific course information. Ignoring these details may result in a denial of benefits.

In Section B, people often neglect to provide specific details for the facility or service provider. Missing information like the facility code or the precise guidelines for courses can lead to misunderstandings about the services authorized. It is vital to include all relevant data to avoid delays in service provision.

Some individuals mistakenly assume that signatures are not necessary. Both the case manager's signature and the date are critical components of the form. Without these, the certification of attendance in Section C could be deemed incomplete. It's important to secure all required signatures before submission.

When detailing the type and number of hours in Section D, individuals frequently misinterpret the various classifications. Understanding the difference between full-time, part-time, and other training classifications is crucial. Misclassifying training hours can lead to issues with funding and support.

Another common error is failing to attach necessary documentation or supporting materials. For instance, if applicable, individuals should attach registration forms or other course details as instructed in Section 15. Omitting this information can lead to complications in verifying the training program.

People also sometimes misunderstand the requirements for certifying attendance. Misstatement of enrollment dates or attendance status can result in denied claims for educational benefits. It is advisable to provide precise information to ensure compliance with VA regulations.

Additionally, forgetting to include the VA billing address often leads to processing delays. This address is essential for the VA to remit payment for tuition and fees directly, so including it is necessary to avoid interruptions in service.

Lastly, individuals may overlook the expiration date and OMB control number at the top of the form. Submitting an outdated form can lead to unnecessary complications and delays. Ensuring that the latest version of the VA 28 is submitted is advisable to facilitate a smooth review process.

Documents used along the form

The VA 28 form is important for veterans seeking vocational rehabilitation services. However, several other documents are often needed to support the application process or track progress. Below is a list of these related forms and documents, along with a brief description of each.

  • VA Form 28-1905c: This form captures the Monthly Record of Training and Wages. It's essential for tracking a trainee's progress in on-the-job training programs, detailing hours worked, and wages earned.
  • VA Form 28-1917: Known as the Monthly Statement of Wages Paid to Trainee, this form provides a summary of wages received during the month. It's important for ensuring that the veteran receives the correct benefits based on their training.
  • VA Form 22-1990: This document serves as the Application for VA Education Benefits. It is the starting point for veterans who wish to apply for education and training benefits.
  • VA Form 22-5490: This form is designed for children of veterans applying for education benefits. It outlines the information needed for the dependents' program.
  • VA Form 21-0960C-1: This is the Application for Disability Compensation for Spina Bifida-related conditions. Children of veterans with Spina Bifida may need this form to qualify for additional benefits.
  • VA Form 22-1995: For veterans wishing to change their program or place of training, this is the form to submit. It ensures the benefits continue seamlessly during transitions.
  • VA Form 28-1902: This document is used for an evaluation of vocational rehabilitation needs. It helps determine if a veteran is eligible for services and what specific assistance is required.

These forms work together in supporting a veteran's journey through vocational rehabilitation. Each one plays a crucial role in ensuring that the necessary information is gathered and submitted correctly. Understanding these documents will help streamline the process and make it easier for veterans to access the benefits they deserve.

Similar forms

The VA Form 28, which is focused on the vocational rehabilitation process, shares similarities with several other documents used in similar contexts. Here are six related forms, detailing their similarities to the VA 28 form.

  • VA Form 28-1905c: This form is used for reporting the monthly record of training and wages. Like the VA 28, it is essential for documenting the status of the veteran's training and services. Both forms are part of the broader tracking and reporting process for vocational rehabilitation.
  • VA Form 28-1917: This form provides a monthly statement of wages paid to the trainee. Much like the VA 28, it helps ensure accurate reporting of financial aspects related to veterans' training programs, which is crucial for maintaining funding and compliance.
  • VA Form 22-1990: This application is for veterans seeking education benefits. It is similar to the VA 28 in that it initiates access to VA educational programs and supports the verification of eligibility for assistance under various circumstances.
  • VA Form 22-1995: This is used for applying for a change in the program or place of training. Similar to the VA 28, this form facilitates the tracking of a veteran's educational journey and adherence to established guidelines and requirements.
  • VA Form 22-1999: This form serves as a record of enrollment in an educational program. Like the VA 28, it is crucial for documenting participation and ensuring that veterans receive the benefits to which they are entitled.
  • VA Form 20-0995: This form is for appealing a VA decision regarding benefits. Similarly to the VA 28, it plays a vital role in the process of accessing and contesting benefits under the VA framework.

Each of these forms contributes to a structured process for veterans to access necessary resources and benefits, reflecting the interconnected nature of the VA's various services.

Dos and Don'ts

When filling out the VA 28 form, several important considerations can help ensure that the submission process is efficient. Below are six actions to take and avoid:

  • Do read all instructions carefully before starting the form. Understanding the requirements is crucial.
  • Do provide accurate and complete information in all sections. Missing details can delay processing.
  • Do use clear and legible handwriting if filling out the form by hand. This makes it easier for reviewers to read your information.
  • Do double-check your Social Security number for accuracy. An incorrect number can lead to significant issues.
  • Don't skip any sections unless specifically instructed to do so. Every part of the form is intended to gather necessary information.
  • Don't submit the form without reviewing it one last time. Errors can be costly and time-consuming to fix.

Misconceptions

Misconceptions about the VA 28 form can lead to confusion and potential issues when it comes to getting the benefits veterans deserve. Here are seven common misconceptions:

  • The VA 28 form is only for veterans. Many eligible individuals, including children with certain birth defects or those under specific rehabilitation programs, can also use this form. It's not limited to veterans alone.
  • You don't need to complete the form if you're already enrolled in a program. It's still essential to submit the VA 28 form even if you’ve started your training. This form officially certifies your enrollment and keeps your benefits intact.
  • The form is too complicated to fill out. While it may seem intimidating at first, the VA has provided clear instructions. Most people can complete it in about five minutes with a little patience.
  • Submitting the form guarantees automatic approval for benefits. While the form is necessary, approval also depends on meeting other requirements. Always make sure to follow up with your case manager for clarity.
  • The VA will pay upfront for my training costs. The VA pays in arrears. This means they will reimburse you for training expenses after completion. It’s important to plan your finances accordingly.
  • All programs and courses are covered under the VA 28 form. Not every training program qualifies for funding. It’s crucial to check whether your specific course meets the guidelines outlined in the form.
  • Once submitted, I can forget about the form. It’s your responsibility to ensure that all updates regarding your enrollment or changes in your program are communicated to the VA. Regular check-ins can help avoid complications.

Understanding these misconceptions can help navigate the VA 28 form process more effectively. Clear knowledge leads to better preparation and successful outcomes.

Key takeaways

Here are key takeaways regarding the use of the VA Form 28:

  • Section Identification: Fill out identifying data accurately in Section A. This includes the name, address, VA file number, and social security number of the entitled individual.
  • Authorization Details: Provide clear details in Section B, specifying the service or assistance needed, enrollment period, and facility code. This information is crucial for processing the request effectively.
  • Certification of Attendance: In Section C, the certifying official must confirm the individual's enrollment. This includes dates and attendance information, which are necessary for the VA to process funding correctly.
  • Submission Process: After completing the form, it should be returned to the case manager or designated individual. Ensure all items are filled out to prevent delays in funding and support services.