VA Form 22-8979 Student Verification Enrollment

OMB Control No. 2900-0465
Respondent Burden: 1 Minute
DEPARTMENT OF VETERANS AFFAIRS

STUDENT VERIFICATION OF
ENROLLMENT
SEE THE GENERAL INFORMATION ON REVERSE
PAYEE ADDRESS

VA RETURN ADDRESS

INSTRUCTIONS
You MUST complete Items 1 and 4.
ITEM 1. Shows your enrollment as reported by your school from the date of your last verification. If the information in this item is
correct, check "YES". If the information is not correct, check "NO" and complete Items 2A and 2B.
NOTE: The first date in Item 1 is the first date to be verified and may not be the beginning date of your enrollment period. Dates shown
may include normal breaks between school terms and within terms.
ITEMS 2A AND 2B. If you checked "NO" in Item 1, complete these items to show any changes in your hours during the dates shown
in Item 1. If you are no longer in school, show your last day of training in Item 2A and "ZERO" in Item 2B. Payment may be delayed
while VA confirms your status with the school.
ITEM 3. Shows the ending date as reported by your school. Notify you school if this information is not correct.
ITEMS 4A AND 4B. You must sign and date this form on or after the last date shown in Item 1.
1. I WAS ENROLLED FOR THE FOLLOWING SINCE THE LAST VERIFICATION:

YES

(If "No," complete Items 2A and 2B. Notify your school of the change.)

NO

2A. DATE OF CHANGE IN HOURS

2B. NUMBER OF HOURS AFTER CHANGE
(NOTIFY YOUR SCHOOL OFFICIAL OF THIS CHANGE)

3. Your school has reported that you will continue training until
(If this date is incorrect, immediately notify your school of the revised ending date.)
I CERTIFY THAT the information above is true and correct to the best of my knowledge and belief.
PENALTY - Willful false reports concerning benefits payable by VA may result in a fine, imprisonment, or both.
4A. SIGNATURE OF STUDENT

4B. DATE SIGNED

TYPE OF TRAINING

DATE ISSUED

FOR VA USE ONLY

FACILITY CODE

BENEFIT

IMPORTANT
PAYMENT CANNOT
BE MADE UNTIL THIS
FORM HAS BEEN
RECEIVED AND
PROCESSED BY VA.
VA FORM
OCT 2009

22-8979

SUPERSEDES VA FORM 22-8979, SEP 2006,
WHICH WILL NOT BE USED.

FILE NUMBER

FOR VA USE ONLY
NAME AND ADDRESS OF SCHOOL

VA RETURN ADDRESS

GENERAL INFORMATION
IF YOU HAVE ANY QUESTIONS OR CONCERNS ABOUT THE PROPER
COMPLETION OF THIS FORM:
CALL 1-888-GIBILL-1 (1-888-442-4551) BEFORE COMPLETING THIS FORM
FOR INFORMATION ON VERIFYING YOUR ENROLLMENT,
BY TELEPHONE OR INTERNET,
SEE OUR EDUCATION HOME PAGE (WWW.GIBILL.VA.GOV)
See the Instructions and Complete all necessary items on the other side of this form.
Mailing Instructions: Be sure to-Answer all necessary questions on the other side of this form.
Sign your name in item 4A.
Place the form in the enclosed envelope with the VA Return Address showing in the window.
Caution: Your payment may be delayed if-You submit a photocopy of this form, or
You send this form by fax (facsimile) machine.
To Report a Change of Address
Carefully line out your old address shown on the other side of this form.
Print your new address (with the zip code) beside the old one.
Direct Deposit of Education Funds
Direct deposit of your education benefits is now available for certain benefits. We should be adding direct deposit for
additional benefits later. If you want information on how receive your education benefits sent by electronic funds transfer
directly to your checking or saving account, call 1-877-838-2778 and get further information.

Privacy Act Notice: VA will not disclose information collected by this information collection 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 (e.g., VA sends educational forms or letters with a veteran's identifying information to the
veteran's school or training establishment (1) to assist the veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary
from the school for VA to properly process the veteran's education claim or to monitor his or her progress during training.) as identified in the VA system of records,
58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA, and published in the Federal Register. Your
obligation to respond is required to obtain or retain benefits. While you do not have to respond, payment of education benefits cannot be made unless the information is
furnished as required by existing law (38 U.S.C. 3680(g)). The responses you submit are considered confidential (38 U.S.C. 5701). Any information provided by
applicants, recipients, and others may be subject to verification through computer matching programs with other agencies.
Respondent Burden: We need this information to determine your eligibility to education benefits and the proper amount payable (38 U.S.C. 3684). Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 1 minute 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 www.whitehouse.gov/omb/library/OMBINV.VA.
EPA.html#VA. If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this information
collection.
VA FORM 22-8979, OCT 2009