The VBA VA 28-1902w form, known as the Vocational Rehabilitation and Employment (VR&E) Services Application, is used by veterans to apply for benefits designed to help with job training, employment accommodations, resume development, and career counseling. It serves as a critical first step for veterans seeking to transition into civilian employment or to enhance their education. Individuals interested in accessing these benefits are encouraged to carefully complete the form by clicking the button below.
The VBA VA 28-1902w form serves as a vital initial step for veterans seeking education and career opportunities after their military service. As part of the Veterans Benefits Administration's commitment to supporting veterans in their transition to civilian life, this form allows individuals to apply for Vocational Rehabilitation and Employment (VR&E) services. These services include a range of programs aimed at helping veterans achieve their education and employment goals, including counseling, training, resume development, and job-seeking assistance. Completing the form accurately is crucial, as it provides the VA with the necessary information to determine eligibility and to tailor the support provided to the veteran's specific needs. With sections dedicated to personal information, military service history, education, and employment goals, the form acts as a comprehensive guide for both the applicant and the VA, ensuring that veterans can access the benefits they are entitled to in a streamlined and efficient manner.
OMB Control No. 2900-0092
Respondent Burden: 45 Minutes
Expiration Date: 08-31-2018
REHABILITATION NEEDS INVENTORY (RNI)
Privacy Act Notice: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., to determine entitlement to vocational rehabilitation benefits and to plan a program of rehabilitation services) 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 voluntary. Giving us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits. 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 for educational and vocational planning to help you make the best use of your vocational rehabilitation benefits. Title 38, United States Code chapter 31, allows us to ask for this information. We estimate that you will need an average of 45 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 1-800-827-1000 to get information on where to send comments or suggestions about this form.
1. NAME (First, middle, last)
2. TELEPHONE NUMBER(S)
HOME PHONE NUMBER
CELL PHONE NUMBER
WORK PHONE NUMBER
3. CURRENT ADDRESS
4a. E-MAIL ADDRESS 1
4b. E-MAIL ADDRESS 2
5. GENDER
6. MARITAL STATUS
7. CLAIM NUMBER
8. SOCIAL SECURITY NUMBER
MALE
FEMALE
9. CLAIMING DEPENDENTS?
10. NICKNAME/AKA
11. EMERGENCY CONTACT INFORMATION
YES
NO #
CONTACT NAME
CONTACT PHONE NUMBER
CONTACT RELATIONSHIP
12.HOW DO YOU EXPECT THIS PROGRAM TO HELP YOU?
13.WHAT ARE THE JOBS OR CAREER FIELDS YOU ARE MOST INTERESTED IN?
14.HAVE YOU EVER PARTICIPATED IN OR ARE CURRENTLY PARTICIPATING IN A VA EDUCATION BENEFIT PROGRAM?
NO
14A. HAVE YOU EVER PARTICIPATED IN A PROGRAM OF VOCATIONAL REHABILITATION BEFORE?
YES NO
(If "Yes," complete Items 14B and 14C)
14B. CHECK ALL THAT APPLY IN WHICH YOU HAVE PARTICIPATED
WORKER'S COMP
PRIVATE
STATE VOCATIONAL REHABILITATION
OTHER (Please explain)
VA VOCATIONAL REHABILITATION
14C. LIST ANY TYPE OF SERVICES YOU WERE PROVIDED (i.e., training, medical, vocational testing, functional capacities, job search activities):
EMPLOYMENT
Please fill out each area as completely as possible. If you have a resume, please attach it.
15.CIVILIAN EMPLOYMENT HISTORY: Please start with your most current position.
JOB TITLE
DATES
AVERAGE GROSS
FROM
TO
MONTHLY SALARY
COMPANY NAME
STATUS
A
TEMPORARY ASSIGNMENT OR CONTRACT
PART TIME
PERMANENT POSITION
FULL TIME
DESCRIBE JOB DUTIES IN DETAIL
REASON FOR LEAVING
B
VA FORM
28-1902w
SUPERSEDES VA FORM 28-1902w, FEB 2012,
SEP 2015
WHICH WILL NOT BE USED
15. CIVILIAN EMPLOYMENT HISTORY (CONTINUED)
C
D
16. MILITARY WORK HISTORY: What did you do in the military? Please fill out the following area as completely as possible.
Please start with your last assignment.
HIGHEST RANK ACHIEVED:
ARMED SERVICES:
ARMY
NAVY
AIR FORCE
MARINES
COAST GUARD
LIST ANY HONORS AND COMMENDATIONS
RANK
17. WOULD IT BE POSSIBLE FOR YOU TO RETURN TO WORK IN A FORMER OCCUPATION OR FOR A FORMER EMPLOYER?
VA FORM 28-1902w, SEP 2015
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MILITARY WORK HISTORY (CONTINUED)
18.WHAT WORK SKILLS DID YOU USE IN YOUR PREVIOUS POSITIONS THAT YOU THINK YOU MAY BE ABLE TO USE IN A NEW JOB?
19.PLEASE EXPLAIN WHAT YOU DID DURING PERIODS OF UNEMPLOYMENT 3 MONTHS OR LONGER:
EDUCATION AND TRAINING
Please fill out the area below regarding your education/training background as completely as possible.
Please include vocational, college, on-the-job, and other training. NOTE: Please include civilian and military schools/training.
20. MARK HIGHEST LEVEL COMPLETED:
SOME HS - HIGHEST GRADE COMPLETED:
MASTER DOCTORAL
HS - YEAR
GED - YEAR
ASSOCIATE
BACHELOR
21A. NAME OF SCHOOL
21B. DATES (MM/YYYY)
FROM TO
21C. GPA
21D.
CREDITS/
CLOCK
HOURS
21E. MAJOR COURSE
OF STUDY
21F. DEGREE (if any),
YEAR RECEIVED
22A. WHAT SUBJECTS DID YOU LIKE?
22B. WHAT SUBJECTS DID YOU DISLIKE?
1
2
3
23A. DO YOU HAVE ANY CURRENT VOCATIONAL CERTIFICATES AND/OR LICENSES?
(If "Yes," complete Items 23B and 23C)
23B. LIST CERTIFICATES/LICENSES
23C. DATE
(Apprentices or journeyman card, truck driver/CDL, etc.)
EXPIRES
24. HAVE YOU BEEN DIAGNOSED WITH A LEARNING DISABILITY? (If "Yes," please describe below):
DISABILITIES
List and describe your service-connected disability(ies). Please list the disability(ies) in order of severity.
25A. SERVICE-CONNECTED DISABILITY
25B. RATING
(%)
25C. WHAT DIFFICULTIES ARE YOU EXPERIENCING DUE TO YOUR
DISABILITIES?
26A. NON SERVICE-CONNECTED
DISABILITY
26B. RATING
26C. WHAT DIFFICULTIES ARE YOU EXPERIENCING DUE TO YOUR
27. HAS YOUR SERVICE-CONNECTED DISABILITY(IES) AFFECTED YOU IN THE FOLLOWING AREAS OF WORK? (Check all that apply)
JOB PERFORMANCE
JOB OPPORTUNITIES
CO-WORKER RELATIONS
JOB SATISFACTION
MISSED WORK TIME
MANAGER RELATIONS
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DISABILITIES (CONTINUED)
28.ARE ANY OF YOUR DISABILITIES IMPROVING? YES NO
29.ARE YOUR DISABILITIES STABLE? YES NO
30.ARE ANY OF YOUR DISABILITIES WORSENING? YES NO
31. DO YOU RECEIVE ANY OF THE FOLLOWING? (Check all that apply)
RETIREMENT (Military/civilian)
DISABILITY PENSION (Military/civilian)
UNEMPLOYMENT
WORKERS COMPENSATION BENEFITS
SOCIAL SECURITY DISABILITY INCOME (SSDI/SSI)
ALIMONY/CHILD SUPPORT
WELFARE ASSISTANCE
MEDICARE/MEDICAID
OTHER
32. DO YOU HAVE A CLAIM PENDING FOR ANY OF THE FOLLOWING? (Check all that apply)
MEDICAL TREATMENT
Please describe medical treatment you have received or are receiving.
33A. CONDITION
33B. NAME OF VA OR PRIVATE
MEDICAL FACILITY
33C. HOW OFTEN SEEN
FOR TREATMENT
33D. MEDICATION(S) PRESCRIBED
34A. DO YOU HAVE MEDICAL NEEDS
34B. WHAT DO YOU NEED?
THAT ARE NOT BEING MET?
(If "Yes," complete Item 34B)
35A. DO YOU USE ANY ADAPTIVE
35B. PLEASE DESCRIBE YOUR ADAPTIVE EQUIPMENT
EQUIPMENT SUCH AS BRACES,
ARTIFICIAL LIMBS, HEARING AIDS,
ETC?
(If "Yes," complete Item 35B)
36A. ARE THERE OTHER PROBLEMS
36B. PLEASE LIST OTHER PROBLEMS OR ISSUES WITH WHICH YOU WOULD LIKE HELP
OR ISSUES WITH WHICH YOU
WOULD LIKE HELP?
(If "Yes," complete Item 36B)
37. DO YOU HAVE ANY PENDING VA CLAIMS?
NO (If "Yes," please describe below)
38. DO YOU NEED INFORMATION ABOUT OTHER VA BENEFITS OR PROGRAMS?
MISCELLANEOUS
The following information will be used for employment planning purposes.
39A. DO YOU:
RENT
OWN
39B. DO YOU HAVE STABLE HOUSING AT PRESENT?
(If "No," complete Item 39C)
39C. DESCRIBE YOUR CURRENT LIVING SITUATION:
40A. WHAT MODE OF TRANSPORTATION DO YOU USE?
PERSONAL
PUBLIC TRANSPORTATION
40B. HOW FAR ARE YOU WILLING TO COMMUTE FOR WORK AND/OR SCHOOL?
40C. DO YOU HAVE A VALID DRIVER'S LICENSE?
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MISCELLANEOUS (CONTINUED)
41. ARE YOU WILLING TO RELOCATE FOR A JOB?
42. IF YOU HAVE HAD A HISTORY OF OR ARE CURRENTLY DEALING WITH LEGAL ISSUES, PLEASE SELECT AND DESCRIBE BELOW:
BANKRUPTCY
MISDEMEANOR
FELONY
PROBATION
PAROLE
N/A
43. IF YOU HAVE HAD AND/OR PRESENTLY HAVE SUBSTANCE ABUSE ISSUES, PLEASE SELECT AND DESCRIBE BELOW:
ALCOHOL
DRUGS (Illicit)
DRUGS (Prescription)
44. IF YOU HAVE A HISTORY OF OR ARE CURRENTLY IN ON-GOING TREATMENT(S) FOR SUBSTANCE ABUSE(S), PLEASE DESCRIBE BELOW:
45. DID ANYONE HELP YOU COMPLETE THIS FORM?
DATE COMPLETED
PROTECTION OF PRIVACY INFORMATION STATEMENT
(For use by counselees and rehabilitation program participants)
I have been informed and understand that the information requested in this and any later interviews is requested under the authorization of Title 38, United States Code, 1.576, Veterans Benefits. This information is needed to assist in vocational and educational planning, to authorize my receipt of rehabilitation services, to develop a record of my vocational progress, and to assure I obtain the best results from my rehabilitation program. I understand that the information I provide will not be used for any other purpose and that my responses may be disclosed outside the VA only if the disclosure is authorized under the Privacy Act of 1974, including the routine uses identified in VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA, published in the Federal Register. Generally, disclosures under the authority of a routine use will be made to develop my claim for vocational rehabilitation benefits under title 38, United States Code.
My giving the requested information is voluntary. I understand that the following results might occur if I do not give this information:
(1)I may not receive the maximum benefit either from counseling or from my education or rehabilitation program.
(2)If certain information is required before I may enter a VA program, my failure to give the information may result in my not receiving the education or rehabilitation benefit for which I have applied.
(3)If I am in a program in which information on my progress is required, my failure to give this information may result in my not receiving further benefits or services.
My failure to give this information will not have a negative effect on any other benefit to which I may be entitled.
I HEREBY CERTIFY THAT the information I have given above is true and correct to the best of my knowledge and belief.
SIGNATURE OF VETERAN
DATE SIGNED
SIGNATURE OF CASE MANAGER OR VOCATIONAL REHABILITATION COUNSELOR (VRC)
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Filling out the VBA VA 28-1902w form is a crucial step for veterans and service members seeking to access certain benefits. These benefits can significantly aid in educational and occupational advancements. Completing this form accurately ensures that the correct information is relayed to the Veterans Affairs department, facilitating a smoother process. Here is a step-by-step guide to assist you in filling out the form correctly.
After completing the VBA VA 28-1902w form, submit it to the designated Veterans Affairs office. It is advisable to keep a copy for your records. The processing time can vary, so it's important to submit the form well in advance of when the benefits are needed. By following these steps, you can help ensure your application is processed efficiently, bringing you closer to accessing the benefits intended to assist you.
What is the VBA VA 28-1902w form used for?
The VBA VA 28-1902w form is a critical document for individuals seeking to apply for education benefits through the Department of Veterans Affairs (VA). It is designed to collect necessary information to determine eligibility and to enroll applicants in the appropriate education benefit program. This can include programs such as the Post-9/11 GI Bill, Montgomery GI Bill, or Vocational Rehabilitation and Employment (VR&E) benefits.
Who needs to fill out the VBA VA 28-1902w form?
This form is required for veterans, service members, and certain dependents who are applying for VA education benefits. It’s an initial step in accessing the educational support provided through the VA, aiming to assist those who have served in the military to further their education or training for career advancement.
Can I submit the VBA VA 28-1902w form online?
Yes, the form can be submitted online, providing an efficient and accessible means for applicants to apply for their education benefits. The VA encourages online submission through its eBenefits platform or the VA website, as it can speed up the processing time of applications.
What information do I need to provide on the VBA VA 28-1902w form?
Applicants are required to provide personal information, including their social security number, contact details, and military service history. Additionally, details regarding the education benefits being applied for and information about the educational or training institution they plan to attend are needed. Accurate and thorough completion of the form is crucial for the processing of benefits.
How long does it take to process the VBA VA 28-1902w form?
The processing time for the form can vary based on the current workload of the VA and the completeness of the application. Generally, applicants can expect a decision within 30 days from the submission of their form. However, this timeline may extend during peak application periods or if additional information is required.
Is there a deadline for submitting the VBA VA 28-1902w form?
There is no strict deadline for submitting the form; however, to ensure that benefits can be used for a specific academic period, it is advised to submit the application well in advance of the term start date. This proactive approach allows for any potential processing delays and ensures that benefits are available when needed.
What happens after I submit the form?
After submission, the form is reviewed by VA officials to determine eligibility for education benefits. Applicants may be contacted for additional information or documentation. Once reviewed, the VA will issue a decision regarding benefit eligibility and, if approved, provide guidance on how to use the education benefits for their intended purpose.
Can I appeal if my application is denied?
If an application for education benefits is denied, applicants have the right to appeal the decision. The VA provides information on the appeals process, which typically involves submitting a written notice of disagreement. It is important to review the specific reasons for denial and address these points in any appeal submission.
Filling out forms for the Department of Veterans Affairs (VA) can be complex and one such form is the VBA VA 28-1902w. A small mistake can delay the process significantly. Unfortunately, mistakes are common and can create unnecessary hurdles in getting the assistance needed.
One frequent error is overlooking the need to sign the form. A signature is mandatory for the form to be processed. However, individuals often miss this crucial step, leading to delays. The signature confirms that all provided information is accurate and allows the process to move forward.
Another common issue is incomplete responses. The form asks for specific details regarding the applicant's service, education, and desired vocational goals. Leaving sections incomplete can halt the process as the VA requires comprehensive information to make a decision regarding the applicant's eligibility and needs.
Incorrectly filling in personal details, such as Social Security numbers or addresses, is also a prevalent mistake. Such errors can lead to confusion and misidentification, significantly delaying the process. It's important to double-check these details to ensure they are accurate.
Many applicants misunderstand the purpose of certain sections, leading to incorrect information being provided. For example, the section on educational history and desired employment outcomes requires clear and accurate details. Misinterpretation of what is required can lead to incorrect or unhelpful information being submitted.
Failure to specify the type of assistance needed is another error. The form is designed to provide various types of support, from educational aid to vocational rehabilitation. Being clear and specific about the support sought is crucial.
Submitting the form without attaching required documents, like proof of military service or medical records, is a mistake that can lead straight to a delay. These documents are crucial for verifying the applicant's eligibility and need for assistance.
A common oversight is not checking for the latest version of the form. The VA updates forms periodically to include new information or clarify instructions. Using an outdated form may mean missing critical updates or instructions, leading to confusion or delays.
Lastly, neglecting to follow up after submitting the form is a mistake. While it's the VA's responsibility to process applications, staying proactive and following up can prevent oversights and ensure the application is being processed in a timely manner.
When engaging with the Veterans Benefits Administration, specifically regarding vocational rehabilitation and employment programs, the VBA VA 28-1902w form plays a crucial role. However, it's seldom the only document required. Below is a guide to other forms and documents often necessary to support or accompany the VBA VA 28-1902w form. Understanding these documents is vital to ensure a comprehensive and timely application process.
Successfully navigating through the VA's vocational rehabilitation and employment benefits requires a thorough understanding and submission of the correct forms and documents. Veterans are encouraged to diligently gather and complete all necessary paperwork to facilitate their claims or program enrollments, always aligning with the VBA's requirements. Paying attention to detail and providing comprehensive documentation will support a smoother process in accessing deserved benefits.
The VBA VA 28-1902w form, used in Veteran affairs, shares similarities with forms like the DD Form 214, Certificate of Release or Discharge from Active Duty. Both of these documents serve in the context of military service, with the DD Form 214 acting as evidence of a veteran's service and discharge status. This form is crucial for veterans as they need it to access benefits, much like how the VA 28-1902w is used to apply for vocational rehabilitation services.
Another related document is the VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. This form and the VA 28-1902w are both used by veterans to initiate claims within the Department of Veterans Affairs. However, the VA 21-526EZ specifically helps veterans obtain compensation for disabilities connected to their military service, showcasing a focused approach to benefits based on health and service conditions.
Similarly, the SF-2803, Application for Refund of Retirement Deductions for Federal Employees, parallels the VBA VA 28-1902w form by catering to individuals applying for specific benefits. The SF-2803 is aimed at federal employees seeking refund of their retirement deductions, signifying how specialized forms address distinct needs, from federal employment to veterans’ rehabilitation.
Form SSA-454-BK, Continuing Disability Review Report, used by the Social Security Administration, also shares similarities with the VA 28-1902w. Both documents involve the review process of eligibility for benefits, albeit in different domains; the SSA-454-BK for ongoing disability benefits and the VA form for vocational rehabilitation benefits. Each serves as a pivotal step in reassessing qualification for continued support.
The I-765, Application for Employment Authorization, is another parallel document by serving an entirely different population—immigrants and non-citizens seeking work authorization in the U.S. Like the VA 28-1902w, it serves as a critical step for applicants to gain access to essential benefits, in this case, employment, underlining the broader theme of accessing rights and services through formal application processes.
Last, the Free Application for Federal Student Aid (FAFSA) form is indirectly related to VBA VA 28-1902w by aiming to assist applicants in accessing financial aid for education. Although catering to a generally younger and different demographic, both forms emphasize the importance of education and support, one for vocational rehabilitation and the other for higher education funding. This demonstrates the widespread need for structured assistance in various facets of life and service.
Filling out the VBA VA 28-1902w form, necessary for applying for VA Vocational Rehabilitation and Employment benefits, requires careful attention to detail to ensure the process goes smoothly. Here are some tips on what you should and shouldn't do when completing the form:
The Veterans Benefits Administration (VBA) provides a range of benefits to veterans and their families. One tool in accessing these benefits is the VA Form 28-1902w, but there are many misconceptions about this form. Explaining these misunderstandings can help to ensure that veterans can make full use of the benefits available to them.
Clearing up these misconceptions about VA Form 28-1902w is vital. Understanding the purpose of the form, the benefits it can help access, and the process for its completion and submission ensures that veterans are better positioned to take full advantage of the support available to them. Veterans do not have to navigate these processes alone; support is available every step of the way.
Ensure all personal information is accurate and current on the VBA VA 28-1902w form, including contact details and Social Security number.
When detailing your education and work history, be thorough to provide the Veterans Benefits Administration (VBA) with a clear understanding of your background.
Clarify your intended vocational goals and the assistance you're seeking. Your objectives should align with the opportunities the VA can help facilitate.
Review the form for completeness and accuracy before submission. Missing or incorrect information may delay the processing of your application.
Submit the form to the appropriate VA office as indicated in the form's instructions. Submission can often be completed online, through mail, or in person.
Keep a copy of the completed form for your records. Tracking your submission and any future correspondence with the VA is essential.
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