Form VA Form 26-1800 (2 VA Form 26-1800 (2 Request for a Certificate of Eligibility

OMB Control No. 2900-0086
Respondent Burden: 15 minutes
Expiration Date: XXXX

FOR VA USE ONLY MAIL COMPLETED APPLICATION TO:

COE REF. NO.

REQUEST FOR A CERTIFICATE OF ELIGIBILITY

Department of Veterans Affairs
Eligibility Center
P. O. Box 20729
Winston-Salem, NC 27120

NOTE: Please read information on reverse before completing this form. If additional space is required, attach a separate sheet.
2. DATE OF BIRTH

1. NAME OF VETERAN (First, Middle, Last)
4A. DID YOU SERVE UNDER ANOTHER NAME?
YES
NO (If "Yes," complete Item 4B)

3. SOCIAL SECURITY NUMBER

4B. NAME(S) USED DURING MILITARY SERVICE (If different from name in Item 1)

5. DAYTIME TELEPHONE NUMBER

6. E-MAIL ADDRESS (If applicable)

7A. ADDRESS (Number and street or rural route, city or P.O., State and ZIP Code)

7B. MAIL CERTIFICATE OF ELIGIBILITY TO: (Complete ONLY if the Certificate is
to be mailed to an address different from the one listed in Item 7A.)

8B. VA CLAIM NUMBER (If known)

8A. WERE YOU DISCHARGED, RETIRED, OR SEPARATED FROM SERVICE BECAUSE OF DISABILITY?
YES

NO

MILITARY SERVICE (SEE INSTRUCTIONS FOR PROOF OF SERVICE ON THE NEXT PAGE)

9A. ARE YOU CURRENTLY ON ACTIVE DUTY? (If you currently serving on active duty, leave the "Date Separated" field blank.)
YES

NO

IMPORTANT: Please provide your dates of service. In
many cases eligibility can be established based on data in
VA systems. However, it is recommended that proof of
service be provided, if readily available. Proof of service
is required for persons who entered service after
September 7, 1980 and were discharged after serving less
than 2 years.
9B. ACTIVE SERVICE - Do not include any periods
of Active Duty for Training or Active Guard Reserve
service. Do include any activation for duty under
Title 10 U.S.C. (e.g. Reserve or Guard unit mobilized.)

BRANCH OF
SERVICE

DATE ENTERED

DATE
SEPARATED

OFFICER OR
ENLISTED

SERVICE NUMBER
(if different from
Social Security Number)

9C. RESERVE OR NATIONAL GUARD SERVICE
Include any periods of Active Duty for Training
(ADT) or Active Guard Reserve service. Do not
include any activation for duty under Title 10
U.S.C. (e.g. Reserve or Guard unit mobilized.)

PREVIOUS VA LOANS (SEE INSTRUCTIONS ON THE NEXT PAGE - Attach a separate sheet if information for all homes will not fit in Item 10)

10A. DO YOU NOW OWN ANY HOME(S) PURCHASED OR 10B. DATE OF LOAN 10C. STREET ADDRESS
REFINANCED WITH A VA-GUARANTEED LOAN?
(Month and Year)

10D. CITY AND STATE

YES (If "Yes," complete Items 10B through 10D)
NO (If "No," skip to Item 14)
NOT APPLICABLE (NA) - I HAVE NEVER OBTAINED A
VA-GUARANTEED HOME LOAN (If "NA," skip to Item 14)
11A. ARE YOU APPLYING FOR THE ONE-TIME ONLY
11B. DATE OF LOAN 11C. STREET ADDRESS
RESTORATION OF ENTITLEMENT TO PURCHASE
(Month and Year)
ANOTHER HOME?
YES
NO (If "Yes," complete Items 11B through 11D)
12A. ARE YOU APPLYING FOR A RESTORATION OF
12B. DATE OF LOAN 12C. STREET ADDRESS
ENTITLEMENT TO OBTAIN A REGULAR (CASH-OUT)
(Month and Year)
REFINANCE ON YOUR CURRENT HOME?
YES

12D. CITY AND STATE

NO (If "Yes," complete Items 12B through 12D)

13A. ARE YOU REFINANCING AN EXISTING VA LOAN TO
OBTAIN A LOWER INTEREST RATE WITHOUT
RECEIVING ANY CASH PROCEEDS (IRRRL)?
YES

11D. CITY AND STATE

13B. DATE OF LOAN 13C. STREET ADDRESS
(Month and Year)

13D. CITY AND STATE

NO (If "Yes," complete Items 13B through 13D)

I CERTIFY THAT the statements in this document are true and complete to the best of my knowledge.
14A. SIGNATURE OF VETERAN (Do NOT print)

14B. DATE SIGNED

FEDERAL STATUTES PROVIDE SEVERE PENALTIES FOR FRAUD, INTENTIONAL MISREPRESENTATION, CRIMINAL CONNIVANCE OR
CONSPIRACY PURPOSED TO INFLUENCE THE ISSUANCE OF ANY GUARANTY OR INSURANCE BY THE SECRETARY OF VETERANS AFFAIRS

FOR VA USE ONLY (Please do not write below this line)
REASON(S) FOR RETURN

VA FORM
XXXX

26-1880

SUPERSEDES VA FORM 26-1880, MAR 2011,
WHICH WILL NOT BE USED.

DATE RETURNED

INSTRUCTIONS FOR VA FORM 26-1880
PRIVACY ACT NOTICE - 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 (for example: the authorized release of information to Congress when requested for statistical
purposes) identified in the VA system of records, 55VA26, Loan Guaranty Home, Condominium and Manufactured Home Loan Applicant Records, Specially
Adapted Housing Applicant Records, and Vendee Loan Applicant Records - VA, and published in the Federal Register. Your obligation to respond is required in
order to determine the qualifications for a loan.
RESPONDENT BURDEN - This information is needed to help determine a veteran's qualifications for a VA guaranteed home loan. Title 38, U.S.C., section
3702, authorizes collection of this information. We estimate that you will need an average of 15 minutes 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.reginfo.gov/public/do/
PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
A. YOUR IDENTIFYING INFORMATION
Item 1 - Tell us your complete name, as you would like it to appear on your Certificate of Eligibility (COE).
Item 4B - If you served under another name, provide the name as it appears on your discharge certificate (DD Form 214).
Item 7 - You can have your Certiticate of Eligibility sent to you at your current mailing address, or directly to your lender, or to any mailing address you provide in
Item 7B.
Item 8B - In most cases, your VA claim number is the same as your Social Security Number. If you are not sure of your VA claim number, leave this field blank.
B. MILITARY SERVICE
Item 9 - NOTE - Cases involving other than honorable discharges will usually require further development by VA. This is necessary to determine if the service was
under other than dishonorable conditions.
Item 9A - If you are currently serving on regular active duty, eligibility can usually be established based on data in VA systems. However, in some situations you may
be asked to provide a statement of service signed by, or by direction of, the adjutant, personnel officer, or commander of your unit or higher headquarters. The
statement may be in any format; usually a standard or bulleted memo is sufficient. It should identify you by name and social security number, and provide: (1) your
date of entry on your current active duty period and (2) the duration of any time lost (or a statement noting there has been no lost time). Generally this should be on
military lettherhead.
Item 9B - Active Service (not including Active Duty Training or Active Guard Reserve service) - the best evidence to show your service is your discharge certificate
(DD Dorm 214) showing active duty dates and type of discharge. If you were separated after October 1, 1979, the DD214 was issued in several parts (copies). We are
required to have a copy showing the character of service (Item 24) and the narrative reason for separation (Item 28). We prefer the MEMBER-4 copy, however, we can
accept any copy that contains these items. The copy number is shown on the bottom right of the form. We don't need the original; a photocopy is acceptable. Any
Veterans Services Representative in the nearest Department of Veterans Affairs office or center will assist you in securing necessary proof of military service.
Item 9C - National Guard Service: You may submit NGB Form 22, Report of Separation and Record of Service, or NGB Form 23, Retirement Points Accounting, or
their equivalent. We are required to have a copy showing character of service.
Selected Reserve Service (Including Active Duty Training and Active Guard Reserve) - You may submit (Including Active Training and Active Guard Reserve) You may submit a copy of your latest annual retirement points statement and evidence of honorable service. There is no single form used by the Reserves similar to
the DD Form 214 or NGB Form 22. The following forms are commonly used, but others may be acceptable:
Army Reserve
Naval Reserve
Air Force Reserve
Marine Corps Reserve
Coast Guard Reserve

DARP FM 249-2E
NRPC 1070-124
AF 526
NA VMC 798
CG 4174 or 4175

If you are still serving in the Selected Reserves or the National Guard, you must include an original statement of service signed by, or by the direction of, the adjutant,
personnel officer, or commander of your unit or higher headquarters showing your date of entry and the length of time that you have been a member of the Selected
Reserves. At least 6 years of honorable service must be documented.
C. PREVIOUS LOANS
Items 10 through 14. Your eligibility is reusable depending on the circumstances. Normally, if you have paid off your prior VA loan and no longer own the home, you
can have your used eligibility restored for additional use. Also, on a one-time only basis, you may have your eligibility restored if your prior VA loan has been paid in
full but you still own the home. Normally VA receives notification that a loan has been paid. In some instances, it may be necessary to include evidence that a
previous VA loan has been paid in full. Evidence can be in the form of a paid-in-full statement from the former lender, a satisfaction of mortgage from the clerk of
court in the county where the home is located, or a copy of the HUD-1 settlement statement completed in connection with a sale of the home or refinance of the prior
loan. Many counties post public documents (like the satisfaction of mortgage) online.
Item 11A. One-Time Restoration. If you have paid off your VA loan, but still own the home purchased with that loan, you may apply for a one-time only restoration
of your entitlement in order to purchase another home that will be your primary residence. Once you have used your one-time restoration, you must sell all homes
before any other entitlement can be restored.
Item 12A. Regular (cash-out) Refinance. You may refinance your current VA or non-VA loan in order to pay off the mortgage and/or other liens of record on the
home. This type of refinance requires an appraisal and credit qualifying.
Item 13A. Interest Rate Reduction Refinancing Loan (IRRRL). You may refinance the balance of your current VA loan in order to obtain a lower interest rate, or
convert a VA adjustable rate mortgage to a fixed rate. The new loan may not exceed the sum of the outstanding balance on the existing VA loan, plus allowable fees
and closing costs, including VA funding fee and up to 2 discount points. You may also add up to $6,000 of energy efficiency improvements into the loan. A certificate
of eligibility is not required for IRRRL. Insteade, a Prior Loan Validation, obtained through our online system WebLGY can be used in lieu of COE. Presently, this
application is only available to lenders. In WebLGY, a lender can select Eligibility from the tollbar and then Prior Loan Validation. Enter the veteran's Social Security
Number and Last Name. The system will then, in most cases, pull up the veteran's active loan information. Print the prior Loan Validation screen and use it in lieu of
the COE.

VA FORM 26-1880, XXXX