Form VA FL 22-909 VA FL 22-909 Dependents' Educational Assistance (DEA) Election Reques

DEPARTMENT OF VETERANS AFFAIRS

Based on our review of your application and other information in your file, we recommend ______________
_______________ as your beginning date because_______________________________________________
_______________________________________________________________________________________
If you choose a different date, please give the chosen date below and explain on the reverse.
You may FAX this letter rather than mailing it to the address shown above. Use the FAX number
__________________________ or you can call the VA at 1-888-GIBILL-1 (1-888-442-4551). For the Hearing
Impaired use Federal Relay Number 711.
Sincerely,

Department of Veterans Affairs
Enclosure(s)
OMB Control No. 2900-0703
Respondent Burden: 15 minutes
Expiration Date: XX/XX/XXXX

DEPENDENTS' EDUCATIONAL ASSISTANCE (DEA)
ELECTION REQUEST
CLAIMANT'S NAME

CLAIMANT'S FILE NUMBER

IMPORTANT: If you choose to change your Beginning Date, please insert your "Requested Beginning Date"
below. Sign and date this form. If you choose to make this change, give an explanation in the space provided
on the reverse.

BEGINNING DATE ELECTION
I choose _________________________________ as the beginning date for my DEA benefits.
SIGNATURE OF CLAIMANT

DATE SIGNED
FL 22-909
XXX XXXX(RS)

EXPLANATION FOR DATE CHANGE:

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
as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education and Vocational
Rehabilitation and Employment Records - VA, published in the Federal Register. You obligation to respond is
voluntary. However, if you do not respond it may result in a less than a desirable beginning date for your benefits.
RESPONDENT BURDEN: We need this information to determine when your date of eligibility will start (38 U.S.C.
section 3512(a) & (b)). Title 38, United States Code, allows us to request 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 are
located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. 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 form.
FL 22-909, XXX XXXX(RS)