The VBA VA 28-1902w form is a crucial document designed for veterans seeking vocational rehabilitation and employment services. This form helps veterans outline their eligibility and needs, paving the way for support tailored to their unique circumstances. Ready to take the next step? Fill out the form by clicking the button below.
The VBA VA 28-1902w form plays a crucial role in the process of applying for vocational rehabilitation and employment services for veterans. This form is specifically designed for veterans seeking assistance in overcoming barriers to employment due to service-connected disabilities. By completing the VBA VA 28-1902w, veterans can access various resources, including counseling, education, and job training, tailored to their unique needs. It is essential for applicants to provide accurate and comprehensive information, as this will facilitate a smoother review process and expedite access to vital services. Understanding the key components of this form, including eligibility criteria and required documentation, is imperative for veterans aiming to enhance their employability and achieve personal independence. Timely submission of the VBA VA 28-1902w can significantly impact the overall success of a veteran's rehabilitation journey, making it a priority for those in need of support.
OMB Approved No. 2900-0092
Respondent Burden: 45 Minutes
Expiration Date: 11/30/2027
INFORMATION FOR VETERAN READINESS AND
EMPLOYMENT ENTITLEMENT DETERMINATION
INSTRUCTIONS: This form is used during the comprehensive initial evaluation to assist with gathering information for an Entitlement Determination. For more information, contact us at https://ask.va.gov or call us toll-free at 1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the Federal relay number is 711. VA forms are available at www.va.gov/vaforms.
During the initial evaluation, the Vocational Rehabilitation Counselor (VRC) will review the form with the claimant to obtain additional and/or missing information necessary to determine the claimant's entitlement to Chapter 31 benefits. The VRC will use their counseling skills while utilizing this form to assist with making an entitlement determination. The VRC will review and discuss the responses from the claimant during the initial evaluation to address:
•Development and analysis of information necessary to obtain a general understanding of the whole individual.
•Evaluation of claimant's capacity for suitable employment and/or independence in daily living, in accordance with 38 CFR § 21.50.
•Entitlement determination to VR&E Program, including Employment Handicap (EH) and Serious Handicap (SEH) determination, in accordance with 38 CFR § 21.51 and § 21.52.
•Assess the following factors as part of the initial evaluation:
(1)Determination of the effect(s) of claimant's Service-Connected Disabilities (SCD) and Non-Service-Connected Disabilities (NSCD) condition(s) on obtaining and maintaining employment, and on independence in daily living;
(2)The claimant's physical and mental capabilities that may affect employability and ability to function independently in daily living activities in family and community;
(3)The claimant's abilities, aptitudes, and interests;
(4)The claimant's personal history and current circumstances (including educational and training achievements, employment record, developmental and related vocationally significant factors, and family and community adjustment); and
(5)Other factors that may affect the claimant's employability.
•Identification of barriers that impact claimant's employability.
CLAIMANT'S INFORMATION
CLAIMANT'S NAME (First, Middle Initial, Last)
VA FILE NUMBER (Last four)
VRC NAME
SECTION I: VERIFICATION OF CLAIMANT'S CONTACT INFORMATION
(Please verify the claimant's contact information. If the claimant's contact information has changed or is different, please
advise the claimant to update their contact information and/or marital status on VA.gov profile).
VERIFIED CLAIMANT'S ADDRESS
VERIFIED CLAIMANT'S EMAIL ADDRESS
VERIFIED CLAIMANT'S PHONE NUMBER
VERIFIED CLAIMANT'S MARITAL STATUS
SECTION II: REVIEW OF CLAIMANT'S CIVILIAN EMPLOYMENT HISTORY
(If the claimant provides their resume, it is not necessary to duplicate information in Items 1-9. However, the civilian employment (including self-employment) history must be reviewed and discussed to identify any difficulties with job duties, obtaining and maintaining employment, salary, full time, part-time, and reasons why claimant left job positions).
CLAIMANT PROVIDED RESUME (Please complete fields not on resume)
CLAIMANT DID NOT PROVIDE RESUME (Please complete the section below)
1. IS THE CLAIMANT CURRENTLY EMPLOYED INCLUDING SELF EMPLOYMENT?
YES (If "Yes," go to #4)
NO (If "No," go to #2)
2.IF THE CLAIMANT IS UNEMPLOYED, HOW LONG HAS THE CLAIMANT BEEN UNEMPLOYED?
3.WHAT DID THE CLAIMANT DO DURING THE PERIOD OF UNEMPLOYMENT?
VA FORM
28-1902w
SUPERSEDES VA FORM 28-1902w, JUL 2024,
Page 1
NOV 2024
WHICH WILL NOT BE USED
SECTION II: REVIEW OF CLAIMANT'S CIVILIAN EMPLOYMENT HISTORY (Continued)
4. JOB TITLE:
NAME OF EMPLOYER: DATES OF EMPLOYMENT:
FULL-TIME PART-TIME AVERAGE GROSS MONTHLY SALARY: PROVIDE A DESCRIPTION OF JOB DUTIES IN DETAIL:
DO THE JOB DUTIES AGGRAVATE THE CLAIMANT'S SERVICE-CONNECTED DISABILITIES? (If "Yes," how?)
WHAT IS THE CLAIMANT'S REASON FOR LEAVING EMPLOYMENT? (e.g. resigned, fired, hired for another job)
5. JOB TITLE:
6. JOB TITLE:
VA FORM 28-1902w, NOV 2024
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7. JOB TITLE:
8. JOB TITLE:
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9.HAS THE CLAIMANT EVER HAD DIFFICULTY WITH ANY OF THE FOLLOWING ITEM(S) DUE TO THEIR SCD(s)? (If "Yes," please describe in detail)
CO-WORKER RELATIONS:
JOB PERFORMANCE:
JOB OPPORTUNITIES:
JOB SATISFACTION:
MANAGER RELATIONS:
MISSED TIME AT WORK:
OTHERS:
SECTION III: REVIEW OF CLAIMANT'S MILITARY EMPLOYMENT HISTORY
(If the claimant provides their DD-214 or military records, it is not necessary to duplicate information in Items 10-13. However, the military employment history must be discussed to identify any difficulties with job duties, obtaining and maintaining employment, salary, full time, part-time, and reasons why claimant is unable to perform the job positions.)
CLAIMANT PROVIDED DD-214 OR MILITARY RECORDS (Please complete only fields not on DD-214 or military records)
CLAIMANT DID NOT PROVIDE DD-214 OR MILITARY RECORDS (Please complete section below)
10.LIST CLAIMANT'S MILITARY ENLISTMENT HISTORY
11.JOB TITLE OR MILITARY OCCUPATIONAL SPECIALTY
12A NAME OF BRANCH OF SERVICE
ARMY
NAVY
AIR FORCE
MARINE CORPS
COAST GUARD
SPACE FORCE
USPHS
NOAA
SELECTED SERVICE (Note: Members or former members of the Selected Reserve (Army, Air Force, Coast Guard, Marine Corps, Naval Reserve, Air National Guard, or Army National Guard) who served at least one enlistment or, in the case of an officer, the period of initial obligation, or were discharged for disability incurred or aggravated in line of duty.)
OTHER (Specify)
12B. DATES OF SERVICE
12C. RANK
13A NAME OF BRANCH OF SERVICE (Please select if the claimant served more than one term of service and/or more than one branch of service.)
13B. DATES OF SERVICE
13C. RANK
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SECTION IV: REVIEW OF CLAIMANT'S LEGAL HISTORY
14.IF THE CLAIMANT HAS A HISTORY OF OR IS CURRENTLY DEALING WITH LEGAL ISSUES, SELECT ITEM(S) THAT APPLY AND DESCRIBE BELOW
BANKRUPTCY (In the last seven years):
MISDEMEANOR:
FELONY:
PROBATION:
PAROLE:
OTHER:
NOT APPLICABLE
SECTION V: REVIEW OF CLAIMANT'S SUBSTANCE ABUSE HISTORY
15.IF THE CLAIMANT HAS A HISTORY OF OR IS CURRENTLY DEALING WITH SUBSTANCE ABUSE ISSUES, SELECT ITEM(S) THAT APPLY AND DESCRIBE BELOW
ALCOHOL:
ILLEGAL DRUGS:
PRESCRIPTION DRUGS:
IF THE CLAIMANT HAD A HISTORY OF OR IS CURRENTLY RECEIVING ONGOING TREATMENT(S) FOR SUBSTANCE ABUSE, DESCRIBE TREATMENT PROGRESS INCLUDING DATE(S) AND LOCATION(S) BELOW.
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SECTION VI: REVIEW OF CLAIMANT'S EDUCATION/TRAINING HISTORY
(If the claimant provided academic or training transcripts, certifications and/or licenses,
please review their educational and/or training history.)
CLAIMANT PROVIDED TRANSCRIPTS, CERTIFICATIONS, AND/OR LICENSES (Do not need to complete all fields in this section.)
CLAIMANT DID NOT PROVIDE TRANSCRIPTS/CERTIFICATIONS, AND/OR LICENSES (Please complete section below)
16. WHAT IS THE HIGHEST LEVEL OF EDUCATION THE CLAIMANT HAS COMPLETED?
SOME HIGH SCHOOL
HIGH SCHOOL
GENERAL EDUCATIONAL DEVELOPMENT (GED) CERTIFICATE
ASSOCIATE'S DEGREE
BACHELOR'S DEGREE
MASTER'S DEGREE
POSTGRADUATE DEGREE
17.IF CLAIMANT HAS EDUCATION BEYOND HIGH SCHOOL, WHAT WAS THE FIELD OF STUDY (Degree Major), IF APPLICABLE?
18.IF CLAIMANT HAS CERTIFICATION(S) OR LICENSES (e.g. Apprenticeship, Journeyman License, Commercial Driver's License (CDL), PLEASE LIST IF APPLICABLE.
SECTION VII: REVIEW OF CLAIMANT'S SERVICE-CONNECTED AND NON-SERVICE-CONNECTED DISABILITIES
(Discuss how the claimant's disabilities impact their ability to obtain and maintain employment.)
19. LIST THE CLAIMANT'S SERVICE-CONNECTED DISABILITIES AND IMPAIRMENTS.
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SECTION VII: REVIEW OF CLAIMANT'S SERVICE-CONNECTED AND NON-SERVICE-CONNECTED DISABILITIES (Continued)
20.HAS THE CLAIMANT FILED A CLAIM OR IS CLAIMANT RECEIVING INDIVIDUAL UNEMPLOYABILITY (IU) OR TOTAL DISABILITY BASED ON INDIVIDUAL UNEMPLOYABILITY (TDIU), (If "Yes," discuss in detail)
NOTE: VRC must review for the severity of claimant's SCDs, feasibility, and potential independent living needs.
21.DOES THE CLAIMANT HAVE A VALID DRIVER"S LICENSE? (If "No," please explain reason for not having a valid driver's license)
22. NAME OF MEDICAL TREATMENT FACILITIES THE CLAIMANT IS ATTENDING.
23. HOW OFTEN IS THE CLAIMANT SEEN FOR TREATMENT?
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SECTION VIII: MISCELLANEOUS INFORMATION
(While the following information is not relevant to the entitlement determination, these
questions can assist with referrals, resources, and addressing claimant's needs.)
24.IS CLAIMANT REGISTERED WITH A LOCAL VA MEDICAL CENTER?
YES NO
25.IS CLAIMANT REGISTERED WITH MYHEALTHEVET?
26.DOES THE CLAIMANT REQUIRE A REFERRAL FOR HUDVASH OR A HOMELESS PROGRAM?
27. CHECK ITEM(S) THAT APPLY IF CLAIMANT IS RECEIVING OR HAS APPLIED FOR BENEFITS BELOW:
DISABILITY PENSION (NOT DISABILITY COMPENSATION) ( CIVILIAN
RETIREMENT ( CIVILIAN MILITARY )
MEDICARE/MEDICAID
SOCIAL SECURITY DISABILITY INCOME (SSDI OR SSI)
WORKERS COMPENSATION
PROGRAM OF VOCATIONAL REHABILITATION
MILITARY )
SECTION IX: COMMENTS
28.OTHER RELEVANT INFORMATION OR ADDITIONAL COMMENTS (Additional information provided during the initial evaluation that is relevant to the entitlement determination)
29. NAME OF VOCATIONAL REHABILITATION COUNSELOR
30.DATE (MM/DD/YYYY)
PRIVACY ACT INFORMATION: The responses you submit are considered confidential (38 U.S.C. 5701). Your obligation to respond is required in order to obtain benefits. 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., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA benefits, verification of identity and status, and personnel administration) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA, published in the Federal Register. Information that you furnish may be utilized in computer matching programs with other Federal or State agencies for the purpose of determining your eligibility to receive VA benefits, as well as to collect any amount owed to the United States by virtue of your participation in any benefit program administered by the Department of Veterans Affairs.
RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 2900-0092, and it expires November 30, 2027. Public reporting burden for this collection of information is estimated to average 45 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at [email protected]. Please refer to OMB Control No. 2900-0092 in any correspondence. Do not send your completed VA Form 28-1902w to this email address.
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Completing the VBA VA 28-1902w form is an important step in the process of accessing benefits. Careful attention to detail will ensure that your application is processed smoothly and efficiently. Follow these steps to fill out the form correctly.
After submitting the form, you will receive confirmation from the VA. It is essential to keep track of your application status and respond promptly to any requests for additional information. This proactive approach will help ensure that your benefits are processed without unnecessary delays.
The VBA VA 28-1902w form is used by veterans to apply for vocational rehabilitation and employment services. This program helps veterans with service-connected disabilities prepare for, find, and maintain suitable employment. It also assists in achieving independence in daily living.
Eligibility for this form generally includes veterans who have a service-connected disability that impairs their ability to work. Specific eligibility requirements can vary, so it’s important to review the criteria set by the Department of Veterans Affairs (VA).
You can obtain the VBA VA 28-1902w form through the following methods:
To complete the VBA VA 28-1902w form, you will need to provide personal information, including:
You can submit the completed form to your local VA regional office. You may also have the option to submit it online through the VA's eBenefits portal, depending on your circumstances.
After submission, the VA will review your application. They may contact you for additional information or to schedule an interview. You will receive a decision regarding your eligibility for vocational rehabilitation services.
The processing time for the VBA VA 28-1902w form can vary. Generally, you can expect to wait several weeks for a decision. Factors that may affect processing time include the completeness of your application and the current workload of the VA.
Yes, if your application is denied, you have the right to appeal the decision. The VA will provide instructions on how to file an appeal, including deadlines and required documentation.
For additional help, consider reaching out to:
Incomplete Information: Many individuals fail to provide all necessary personal details. This includes missing out on social security numbers, addresses, or contact information.
Incorrect Dates: Some applicants mistakenly enter the wrong dates for service or other important milestones. This can lead to delays in processing.
Missing Signatures: Failing to sign the form is a common oversight. Without a signature, the application cannot be processed.
Not Following Instructions: Each section of the form has specific instructions. Ignoring these can result in incomplete or incorrect submissions.
Omitting Supporting Documents: Applicants sometimes forget to include necessary documents that support their claims. This can lead to requests for additional information and delays.
Incorrectly Reporting Income: Misreporting income or financial information can affect eligibility. Ensure that all financial details are accurate and up to date.
Failure to Review: Many individuals submit the form without reviewing it for errors. A quick review can catch mistakes before submission.
The VBA VA 28-1902w form is an important document for veterans seeking vocational rehabilitation and employment services. However, it is often accompanied by other forms and documents that help streamline the process and provide necessary information. Here’s a list of additional forms and documents that are commonly used alongside the VBA VA 28-1902w form:
Having these documents ready can greatly enhance the application process for veterans seeking support. Each form plays a vital role in ensuring that all relevant information is considered, helping veterans achieve their vocational goals more effectively.
The VBA VA 28-1902w form is a key document used by veterans seeking vocational rehabilitation and employment services. It shares similarities with the VA Form 21-526EZ, which is an application for disability compensation and related compensation benefits. Both forms require detailed personal information and documentation of service-related injuries or conditions. Each form is designed to ensure that veterans receive the benefits they are entitled to, focusing on their specific needs and circumstances.
Another similar document is the VA Form 22-1990, the Application for VA Education Benefits. Like the VBA VA 28-1902w, this form is aimed at assisting veterans in accessing benefits that can enhance their career prospects. Both forms require information about the veteran’s military service and personal background. They also necessitate supporting documents to substantiate the claims, ensuring that veterans can pursue education or training that aligns with their career goals.
The VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs, is also comparable. This form allows veterans to authorize the release of their medical records and other relevant information to the VA. Similar to the VBA VA 28-1902w, it emphasizes the importance of transparency and access to information in the claims process. Both documents are essential for the VA to accurately assess and process benefits claims.
Additionally, the VA Form 22-1995, Request for Change of Program or Place of Training, shares a focus on educational benefits. This form is used by veterans who wish to change their educational program or institution. Much like the VBA VA 28-1902w, it requires information about the veteran’s previous training and the reasons for the change. Both documents facilitate the transition and adaptation of veterans in their pursuit of education and employment.
The VA Form 21-534EZ, Application for DIC, Death Pension, and Accrued Benefits, is another related document. This form is used by dependents of veterans who have passed away, seeking benefits related to the veteran's service. While the VBA VA 28-1902w focuses on vocational rehabilitation for living veterans, both forms aim to ensure that those connected to veterans receive necessary support and benefits, highlighting the VA's commitment to serving all who have served.
Lastly, the VA Form 21-526, Application for Compensation and Pension, is similar in that it serves as a foundational document for veterans seeking various types of benefits. Like the VBA VA 28-1902w, this form requires comprehensive information about the veteran's service history and health conditions. Both forms are critical in the VA’s evaluation process, ensuring that veterans receive the appropriate support tailored to their unique situations.
When filling out the VBA VA 28-1902w form, attention to detail is crucial. Here are some important dos and don'ts to consider:
Following these guidelines can help ensure a smoother application process.
The VBA VA 28-1902w form is an important document for veterans seeking vocational rehabilitation and employment services. However, several misconceptions surround this form. Here are five common misunderstandings:
This is not true. While the form is designed to assist veterans with service-connected disabilities, it is also available for those with less severe impairments who may still benefit from vocational rehabilitation services.
Filling out the VBA VA 28-1902w form does not automatically mean that a veteran will receive services. Each application is reviewed on a case-by-case basis, and eligibility is determined by specific criteria.
Many veterans successfully complete the form on their own. While it is always helpful to seek guidance if needed, the form is designed to be user-friendly and straightforward.
Veterans can submit the VBA VA 28-1902w form online, by mail, or in person. This flexibility allows for easier access to the application process.
While there are timelines for certain programs, veterans generally have a reasonable amount of time to submit the form after their eligibility is established. It is advisable to apply as soon as possible to avoid delays in receiving services.
When filling out and using the VBA VA 28-1902w form, keep these key takeaways in mind: