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About VA Form 28-1900

Form name: Application for Vocational Rehabilitation for Claimants with Service-Connected Disabilities
Related to: Careers and employment
Form last updated: February 17, 2022

When to use this form

Use VA Form 28-1900 if you’re a service member or Veteran with a service-connected disability and you want to apply for Veteran Readiness and Employment (VR&E) benefits.

Downloadable PDF

Download VA Form 28-1900 (PDF)

Online tool

You can apply online instead of filling out and sending us the paper form.