About VA Form 22-5495
- Form name: Dependents’ Request for Change of Program or Place of Training
- Related to: Education and training, Family member benefits
- Form last updated: May 2022
When to use this form
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
Downloadable PDF
Download VA Form 22-5495 (PDF)Online tool
You can submit your request online instead of filling out and sending us the paper form.
Go to the online toolHelpful links related to VA Form 22-5495
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GI Bill and other education benefit eligibility
Learn about eligibility requirements and how VA education benefits can help you pay for college or a training program, and get career counseling.
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How to apply for the GI Bill and related benefits
Find out how to apply for the GI Bill and other VA education benefits as a Veteran, service member, or qualified family member.
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VA education benefits for survivors and dependents
Find out if you’re eligible for education benefits for dependents and survivors (also called Chapter 35 benefits).