Free Va 22 6553D 1 Form in PDF

Free Va 22 6553D 1 Form in PDF

The VA Form 22-6553D-1 is an essential document for veterans or trainees enrolled in on-the-job or apprenticeship training programs, designed to certify monthly progress and ensure compliance with the training terms. This form, approved under OMB No. 2900-0178, requires employers and training officials to report hours of training, wage adjustments, and any changes in the trainee's program or status. With a respondent burden of just 10 minutes, it ensures that veterans continue to receive their educational benefits without interruption. To streamline the benefits process, click the button below to fill out and submit your VA Form 22-6553D-1 today.

Get Form

The VA 22 6553D 1 form plays a pivotal role in the administration of benefits for veterans partaking in on-the-job and apprenticeship training programs. Marked with an OMB approval number and a clearly stated respondent burden of 10 minutes, this document facilitates a fundamental process to certify monthly training accomplishments and alterations in trainee status. Designed meticulously to gather essential information, the form requires details such as the training facility's name and code, trainee’s personal information, as well as comprehensive data regarding the training duration, wage adjustments, and the specifics of the training conduct and success level. Moreover, it is crucial for certifying officials to authenticate the form with their name, signature, and the date, to ensure the seamless processing of education benefits. Tailored instructions guide the completion of each section, ensuring clarity and precision, while emphasizing the serious legal implications of falsifying information. Addressed within the procedural context, the document stipulates the necessary steps for submission and underscores the significance of honest and accurate reporting as per the obligations under the Privacy Act and Title 38 of the United States Code. This form represents a critical interface between veterans seeking to advance their skills through practical training and the Department of Veterans Affairs, dedicated to facilitating their educational and professional growth.

Preview - Va 22 6553D 1 Form

OMB Approved No. 2900-0178

Respondent Burden: 10 Minutes

Expiration Date: 12/31/2024

MONTHLY CERTIFICATION OF ON-THE-JOB AND APPRENTICESHIP TRAINING

NAME AND FACILITY CODE OF TRAINING FACILITY

TRAINEE'S NAME AND ADDRESS

 

 

VA FILE NUMBER

PAYEE NUMBER

IMPORTANT: Read the instructions carefully. The employer should complete, date, and sign this form on or after the last day of the last month shown in Item 1. Call 1-888-GI-BILL-1 (1-888-442-4551), if you have questions. If you use the Telecommunications Device for the Deaf (TDD) call the Federal Relay number is 711.

INSTRUCTIONS TO CERTIFYING OFFICIAL

ITEMS 1 AND 2 - Enter the number of hours trained for each month/year shown (include any hours of related training given during working hours).

ITEM 3 - Check the appropriate box, and if training has been terminated, complete Items 4 and 5. If trainee has attained the complete job skills for their job (a "journeyman" knowledge and skills), show this information in Item 5.

ITEMS 6A, 6B, AND 6C - Check the appropriate box. If trainee received a wage increase (or decrease) not in accordance with their training agreement, show the new wage rate and the effective date of that wage rate (when trainee first received this wage rate).

ITEM 7 - Use Item 7, Remarks, to show any additional information concerning a change in the wage rate. Also, if the trainee is receiving additional educational allowance for dependents, use this item to report any change in the number of the trainee's dependents. Also use Item 7 if the trainee's conduct or progress is unsatisfactory.

ITEMS 8A and 8B - Certifying Official's printed name and date. Return form to VA office address indicated on the back of form. If you have any questions, call VA toll-free at 1-888-GI Bill (1-888-442-4551).

 

 

2. NUMBER OF HOURS

 

 

3. WAS TRAINEE ENROLLED IN AND

 

 

4. DATE TERMINATED

 

1. MONTH(S)/YEAR TO BE CERTIFIED

TRAINED FOR EACH MONTH

 

 

PURSUING THE APPROVED PROGRAM

 

 

(Month, day, year)

 

 

SHOWN IN ITEM 1

 

 

FOR THE MONTH(S) SHOWN IN ITEM 1?

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO (If "No," complete Items 4 and 5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. REASON FOR TERMINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6A. IS WAGE RATE IN ACCORDANCE

6B. RATE

 

6C. EFFECTIVE DATE

 

 

 

 

 

WITH TRAINING AGREEMENT?

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

NO (If "No," complete Items 6B and 6C)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. REMARKS

 

 

 

 

 

 

 

 

I CERTIFY THAT the previous statements are true and correct to the best of my knowledge and belief.

PENALTY - Willful false reports concerning benefits payable by VA may result in fines or imprisonment or both.

8A. PRINTED NAME AND TITLE OF CERTIFYING OFFICIAL

8B. DATE SIGNED

9. SIGNATURE OF CERTIFYING OFFICIAL (Sign in ink)

PRIVACY ACT: 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 Veteran Readiness 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 education benefits until we receive the 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 eligibility to benefits under this program and, if applicable, the amount due. Title 38 United States Code allows us to ask for this information. We estimate that it will take 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 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. (Call 711, Federal Relay, if you use the Telecommunications Device for the Deaf (TDD.))

DEC 2021 22-6553d-1

WHICH WILL NOT BE USED.

 

VA FORM

SUPERSEDES VA FORM 22-6553d-1, OCT 2019,

Page 1

FILE NUMBER:

Please send the completed form to the Regional Processing Office that handles claims for the state in which your training facility is located.

Eastern Region:

VA Regional Office

P.O. Box 4616

Buffalo, NY 14240-4616

SERVES THE FOLLOWING STATES

CO

 

CT

 

DC

DE

 

IA

IL

 

IN

KS

KY

MA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MD

 

ME

 

MI

MN

 

MO

MT

 

NC

ND

NE

NH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NJ

 

NY

 

OH

PA

 

RI

SD

 

TN

VA

VT

WI

 

 

 

 

 

 

 

 

 

 

 

 

 

WV

 

WY

 

APO/FPO AA

 

FOREIGN SCHOOLS

US VIRGIN ISLANDS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Western Region:

 

 

 

 

 

 

 

 

 

 

 

VA Regional Office

 

 

 

 

 

 

 

 

 

 

 

P.O. Box 8888

 

 

 

 

 

 

 

 

 

 

Muskogee, OK 74402-8888

 

 

 

 

 

 

 

 

 

SERVES THE FOLLOWING STATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AK

 

AL

 

AR

AZ

 

CA

FL

 

GA

HI

ID

LA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MS

 

NM

 

NV

OK

 

OR

PR

 

SC

TX

UT

WA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APO/FPO AP

 

 

 

GUAM

 

 

 

PHILIPPINES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VA FORM 22-6553D-1, DEC 2021

Page 2

Document Specs

Fact Name Detail
Form Purpose Used for monthly certification of on-the-job and apprenticeship training.
OMB Approval Number 2900-0178.
Respondent Burden 10 minutes to complete the form.
Expiration Date The form is valid through 12/31/2024.
Required for Benefits Completion and submission of the form are required to obtain or retain education benefits.

Instructions on Writing Va 22 6553D 1

To ensure a smooth and efficient process in managing VA benefits for on-the-job and apprenticeship training, it is essential to accurately complete the VA 22 6553D 1 form. This document is critical for maintaining the proper flow of benefits and ensuring that all eligible parties receive the support they are entitled to. The following steps will guide you through filling out this form accurately.

  1. Start by entering the Name and Facility Code of Training Facility at the top of the form.
  2. Fill in the Trainee's Name and Address in the designated section.
  3. Proceed to include the VA File Number and Payee Number to correctly identify the trainee’s profile and account.
  4. Under Item 1, list the Month(s)/Year to be certified for the trainee’s benefits.
  5. In Item 2, accurately enter the Number of Hours trained for each month/year provided in Item 1. This should include any hours of related training given during working hours.
  6. For Item 3, check the appropriate box to indicate if the trainee was enrolled in and pursuing the approved program. If not, you are required to fill out Items 4 and 5 regarding termination.
  7. If applicable, complete Item 4 with the Date Terminated and Item 5 with the Reason for Termination.
  8. In Item 6A, indicate whether the wage rate is in accordance with the training agreement. If “No,” provide details in Items 6B and 6C regarding the rate and the effective date.
  9. Utilize Item 7, Remarks, to communicate any additional information about a change in the wage rate, changes in the number of the trainee's dependents, or if the trainee’s conduct or progress is unsatisfactory.
  10. The certifying official must print their name and title in Item 8A and then provide the date in Item 8B.
  11. Finally, the certifying official signs the form in ink under Item 9 to certify that all provided information is true and correct to the best of their knowledge.
  12. Review the form thoroughly to ensure all information is accurate and complete before sending it to the appropriate VA office address, as indicated on the back of the form.

Upon completion and submission of the VA 22 6553D 1 form, it's essential to anticipate the next steps. The VA will review the submitted information to assess and determine eligibility for benefits under the on-the-job or apprenticeship training programs. Should additional information or clarification be required, the VA might reach out directly. Meanwhile, ensuring all information on the form remains current and accurate is advisable, including promptly reporting any changes in training status, wage rate, or dependents that might affect benefit eligibility or amounts. It is also beneficial to keep a copy of the completed form for personal records and future reference.

Understanding Va 22 6553D 1

What is the VA Form 22-6553d-1 used for?

This form is used for monthly certification of on-the-job and apprenticeship training. It allows the employer to document and certify the number of hours a trainee has worked and trained each month, any wage changes, and other relevant information to the Veterans Affairs office to process education benefits.

Who needs to fill out the VA Form 22-6553d-1?

The employer or certifying official at the training facility where the veteran or eligible person is receiving on-the-job or apprenticeship training must complete this form. It is their responsibility to accurately report the trainee's hours, wage adjustments, and other pertinent details each month.

What information is required on the VA Form 22-6553d-1?

The form requires information about the training facility, the trainee's name and address, VA file number, and payee number. Specific details on the number of hours trained for each applicable month, whether the wage rate is in accordance with the training agreement, any wage adjustments, reasons for termination of the training (if applicable), and remarks on the trainee's progress or changes in dependents are also needed.

When should the VA Form 22-6553d-1 be submitted?

The form should be completed, dated, and signed by the employer or certifying official on or after the last day of the last month shown in the item where hours worked are reported. It ensures the accuracy of the information provided regarding the trainee's on-the-job or apprenticeship training hours and other details for that month.

How is the VA Form 22-6553d-1 submitted?

Once completed, the form should be sent to the VA Regional Processing Office that handles claims for the state in which the training facility is located. The addresses for the Eastern and Western Region processing offices are provided on the form. This ensures that the form reaches the correct office for the processing of benefits.

What happens if the form is not submitted correctly or on time?

If the form is not filled out correctly or submitted on time, it could delay the processing of education benefits for the veteran or eligible person undergoing the training. It is crucial to adhere to the submission guidelines and ensure the form is complete and accurate to avoid any potential delays in benefits.

Common mistakes

When filling out the VA 22 6553D 1 form, a common pitfall includes not thoroughly reading the instructions before starting. This crucial first step helps ensure all parts of the form are completed accurately and in accordance with the VA's requirements. The instructions provide specific guidance on how each section should be filled out, which is often overlooked.

Another mistake involves inaccuracies in reporting the number of hours trained, as outlined in items 1 and 2. It’s imperative to report the exact number of hours of training, including any hours dedicated to related training during working hours. Estimations or rounding off can lead to discrepancies and may affect the benefits received.

Incorrectly managing the sections related to the trainee's enrolment status (item 3) and the termination of training (items 4 and 5) is another common error. Care should be taken to accurately indicate whether the trainee was enrolled and pursuing the approved program during the reported month(s) and to provide clear reasons for any termination if applicable.

Failing to accurately report changes in wage rate in accordance with the training agreement (items 6A, 6B, and 6C) is a significant mistake. It's critical to check the correct box to reflect whether the wage rate is in accordance with the training agreement and to accurately fill in the new wage rate and its effective date if there has been any change. This information directly affects the trainee’s eligibility and amount of benefits.

Omitting or incorrectly filling in the Remarks section (item 7) is another oversight. This section is meant for reporting any additional information that could impact the trainee’s benefits, such as changes in the number of dependents or issues with the trainee's conduct or progress. Leaving this section incomplete can lead to missed opportunities for adjustments in benefits.

On a procedural note, a frequent mistake is not having the form completed, dated, and signed by the certifying official on or after the last day of the reported month(s) (items 8A, 8B, and 9). This can result in the form being returned or processing delays, as the VA requires this section to be completed to process the education benefits.

Last but not least, individuals often neglect the privacy and respondent burden statements at the bottom of the form. Understanding these sections is important as they outline the confidentiality of the provided information and the importance of accuracy to prevent penalties, including fines or imprisonment. Although it may seem minor compared to filling out the details of training, acknowledging these sections underscores the seriousness of the form's contents.

Documents used along the form

When administering or participating in programs involving on-the-job training or apprenticeship, it's quite common to handle various forms and documents besides the VA Form 22-6553d-1 (Monthly Certification of On-the-Job and Apprenticeship Training). These documents facilitate a smooth operation of the training program, ensuring that trainees receive the appropriate benefits and that the training standards meet specified guidelines. Here is a glance at some of these essential forms and documents:

  • VA Form 22-1990: Application for VA Education Benefits. Used by individuals to apply for educational benefits under the GI Bill™, this form is the starting point for many veterans or their dependents seeking to use benefits for on-the-job or apprenticeship training.
  • VA Form 22-1995: Request for Change of Program or Place of Training. This document is for veterans or beneficiaries already receiving VA education benefits who need to change their training program or the institution where they are receiving the training.
  • VA Form 22-5490: Application for Survivors' and Dependents' Educational Assistance. For dependents of veterans who are deceased or have a total and permanent disability as a result of service, this form allows them to apply for educational benefits.
  • VA Form 22-5495: Request for Change of Program or Place of Training Survivors’ and Dependents’ Educational Assistance. Similar to the VA Form 22-1995, but specifically for those using Survivor and Dependent Educational Assistance, it allows beneficiaries to change their training program or school.
  • DD Form 214: Certificate of Release or Discharge from Active Duty. This document proves military service and is critical for verifying eligibility for VA education and training benefits.
  • VA Form 28-1905: Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status. For veterans with a service-connected disability, this form relates to vocational rehabilitation programs, including on-the-job training.
  • Training Agreement: A formal agreement between the trainee and the employer or training establishment detailing the training program, expectations, wage scale, and progress assessments. It's tailored to each on-the-job or apprenticeship program.
  • Performance Evaluations: Regular reports or evaluations documenting the progress, accomplishments, and areas needing improvement for the trainee. These evaluations are crucial for assessing the viability and success of the training.
  • Wage Scale Documentation: This document outlines the predetermined wage progression for a trainee as they acquire skills and meet specific milestones throughout their training period. It ensures transparency and fairness in compensation.

Each document plays a pivotal role in the administration and execution of VA-supported on-the-job and apprenticeship training programs. They ensure that all parties involved have a clear understanding of their roles, rights, and responsibilities, creating a structured framework within which veterans and their dependents can pursue valued and rewarding career paths.

Similar forms

The VA Form 22-6553d-1, primarily used for certifying monthly on-the-job and apprenticeship training for veterans, shares similarities with the VA Form 22-1990, Application for Education Benefits. Both forms are integral to accessing veterans' benefits but serve distinct stages in the benefits process. While the VA Form 22-6553d-1 is used for ongoing certification of training and apprenticeship programs, the VA Form 22-1990 is the initial step, where veterans apply for their education benefits. Each plays a crucial role in ensuring veterans receive the support they are entitled to for their education and training programs.

Similar to the VA Form 22-6553d-1, the VA Form 22-1995, Request for Change of Program or Place of Training, is used by veterans or service members to modify their education benefits. The 22-6553d-1 form ensures the VA is informed about the monthly progress in an apprenticeship or training program, while the 22-1995 form notifies the VA about changes in a veteran's education or training circumstances, such as switching schools or programs. Both forms ensure that the veterans' education benefits are aligned with their current training or education goals.

The VA Form 22-5490, Dependents' Application for VA Education Benefits, also shares similarities with the VA Form 22-6553d-1, albeit for dependents of veterans. While the 22-6553d-1 form is specifically for veterans engaged in on-the-job or apprenticeship training, the 22-5490 form enables dependents of veterans to apply for benefits. Both forms are critical in extending education benefits, offering financial support for either veterans themselves or their family members as they pursue education or training programs.

The Work Study Agreement, VA Form 22-8691, is another document related to the VA Form 22-6553d-1. Both forms are utilized within the context of education and training benefits provided by the VA. The VA Form 22-8691 allows students receiving VA education benefits to engage in work-study programs, where they work for VA-related activities in exchange for financial assistance. In contrast, the VA Form 22-6553d-1 is for the monthly certification of training. Both documents aim to support the educational and training endeavors of those receiving VA benefits, either through direct financial support or work-study opportunities.

Dos and Don'ts

Filling out the VA 22-6553D-1 form, also known as the Monthly Certification of On-the-Job and Apprenticeship Training, requires careful attention to detail. To ensure accuracy and compliance with Veterans Affairs (VA) requirements, here are essential dos and don'ts:

  • Do read the entire form and instructions carefully before you start filling it out. This ensures you understand what is required.
  • Do use black ink if you are filling out the form by hand. This makes the text easier to read and prevents any issues with scanning or copying the document.
  • Do fill in every required section accurately. Inaccuracies can lead to processing delays or rejections.
  • Do check the box that corresponds correctly to the trainee’s current situation, especially regarding enrollment and training completion.
  • Do include any changes in the wage rate and the effective date if the trainee’s wage has changed from what was initially agreed upon in the training agreement.
  • Don't leave any fields blank unless the instructions explicitly say it is permissible. Incomplete forms can lead to delays.
  • Don't guess information. If unsure about any detail, it’s better to verify it first rather than providing incorrect information.
  • Don't sign the form before ensuring that all the information is correct and complete. Your signature certifies that everything filled out on the form is true to the best of your knowledge.
  • Don't ignore the Respondent Burden and Privacy Act statement sections at the end of the form. Being aware of your rights and responsibilities regarding the information provided is crucial.

Filling out this form with attention to detail and accuracy supports the smooth processing of benefits and avoids unnecessary delays. Remember, this documentation plays a key role in the certification process for veterans’ on-the-job and apprenticeship training programs. Ensuring its correctness is a responsibility that helps veterans transition smoothly into civilian careers.

Misconceptions

  • One common misconception is that the form VA 22 6553D 1 is only for veterans. Although it's designed to facilitate benefits for those undergoing on-the-job and apprenticeship training under veteran's benefits, it's also used by the trainers or employers to document and certify the training progress of veterans, ensuring they receive their rightful benefits.

  • Many believe that the completion of the form is the responsibility of the trainee. In reality, it is the employer or the certifying official at the training facility who should complete, date, and sign the form, reflecting the trainee's monthly training hours and other relevant details.

  • It's often misunderstood that the form requires detailed descriptions of the training provided. The form primarily requires the number of hours trained each month, whether the trainee is still enrolled, and details of any wage adjustments, rather than exhaustive descriptions of the training content.

  • Some think the form is submitted to the Department of Labor. However, it should be sent to the Department of Veterans Affairs Regional Processing Office responsible for the state where the training facility is located, as indicated on the form.

  • There's a misconception that the form should be filled out and submitted monthly. Instead, the form is to be completed after the last day of the month for the month(s) being certified and can cover multiple months of training when necessary.

  • Another misconception is that any wage increase noted in the form automatically results in an increase in the trainee's benefits. While it's crucial to report wage changes, the impact on benefits depends on various factors and VA guidelines, not just the wage rate itself.

  • Many mistakenly believe that digital signatures are acceptable on the form. As per the instructions, the certifying official's signature must be original and signed in ink, highlighting the importance of the hard copy's authenticity.

  • Some think that if training is terminated early, the form no longer needs to be submitted. On the contrary, the form should still be filled out and sent to report the termination of training, including the reason and date of termination, to adjust or stop the benefits accordingly.

  • It's incorrectly assumed that the form serves as an application for VA benefits. This form is actually for the certification of ongoing training and does not itself initiate VA benefits; it supports the continuation of benefits for eligible trainees by reporting their training status.

  • A common belief is that the form's privacy act statement allows the VA to share information with any government agency for any reason. The statement specifies that information collected is only disclosed according to the Privacy Act of 1974 and Title 38, for purposes directly connected with administering veteran's education benefits, ensuring privacy and data protection.

Key takeaways

When submitting the VA Form 22-6553D-1 for Monthly Certification of On-the-Job and Apprenticeship Training, it is crucial to provide accurate and comprehensive information. The following key takeaways should guide individuals and certifying officials through the process with clarity and precision:

  • Ensure all sections of the form are filled out completely, beginning with basic information like the trainee's name, address, VA file number, and the training facility's name and code. Missing details may delay the certification process.
  • Record the number of hours trained for each month under certification accurately. This includes both on-the-job hours and any related training received during work hours, as stipulated in Items 1 and 2.
  • Indicate the trainee's current status correctly: whether they are still enrolled in and pursuing the approved program, or if the training has been terminated. If terminated, specify the reason and date, addressing Items 3, 4, and 5 adequately.
  • Wage changes not consistent with the training agreement must be reported. Fill out Items 6A, 6B, and 6C to document any adjustments in the trainee's wage rate, including decreases or increases, and when they took effect.
  • Use the Remarks section (Item 7) for detailing any changes in the wage rate not previously mentioned, reporting changes in the number of the trainee’s dependents, or noting unsatisfactory progress or conduct. This catch-all section is crucial for articulating circumstances that might affect the trainee’s benefits or status.
  • Before submission, verify that the Certifying Official’s printed name, signature, and date are included (Items 8A, 8B, and 9). Lack of proper certification can invalidate the form, preventing necessary actions or disbursements from being carried out.
  • Be mindful of privacy and accuracy when handling this form. Completing it truthfully is not only a matter of ethics but also a legal requirement, as false reporting can lead to penalties including fines or imprisonment.

Understanding these key aspects ensures that benefits are processed efficiently and accurately, reflecting the actual training and status of the trainee. Always double-check the form for completeness and accuracy before submitting it to the appropriate VA Regional Office. Timely and correct submission supports a seamless continuation or adjustment of benefits for those actively pursuing job training or apprenticeship programs.

Please rate Free Va 22 6553D 1 Form in PDF Form
4
(Wonderful)
1 Votes

Additional PDF Templates