Forms DB Data
Link to form
Form number
22-5495
Row ID
2445
Form title
Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapters 33 and 35, Title 38, U.S.C.) (Fillable)
Issue date
Revision date
Form administration
Number of pages
4
Deleted
False
Form name
Dependents’ Request for Change of Program or Place of Training
Form Language
English
When to use
Use VA Form 22-5495 to request changes to your education benefits if you’re using one of these programs:
- Survivors’ and Dependents’ Educational Assistance (DEA) program, or
- Fry Scholarship