VA Form 22-0989 Education Benefit Entitlement Restoration Request Due to

INFORMATION AND INSTRUCTIONS FOR COMPLETING THE
EDUCATION BENEFIT ENTITLEMENT RESTORATION REQUEST DUE TO SCHOOL CLOSURE,
PROGRAM SUSPENSION OR WITHDRAWAL
(VA FORM 22-0989)
HOW TO USE THIS FORM
Use this form to apply for restoration of entitlement for Department of Veterans Affairs (VA) education benefits used at a school that has permanently
closed or had its approval to receive VA benefits withdrawn or, due to COVID-19 and between March 1, 2020 and June 1, 2022 has closed temporarily
or suspended your program of study. For this form "school" is used interchangeably with "training facility", and "educational institution". Please respond
to all required questions regardless of the type of school you were attending.
With limited exception, the VA can restore entitlement only for the period of enrollment in which you did not receive credit (or in which you lost
training time). Generally, this means that entitlement can only be restored for the single term you were enrolled in when your program was suspended,
your school closed temporarily or permanently, or lost its approval to receive VA benefits, as described above.
NOTE: For any affected enrollment between August 1, 2021 to September 30, 2025, VA is able to restore entitlement for the entire program of
education, not just the last term, quarter or semester if you were not able to transfer at least 12 credits to a new school. (The date of this action is effective
August 1, 2021). Claims for this temporary provision must be received after enrollment at the new school and on or before September 30, 2023.
Entitlement restoration can only be granted for the benefits listed below. Additionally, Public Law 116-140 and Section 1021 of Public Law 116-315
authorized entitlement restoration as indicated.

• Post- 9/11 GI Bill (Chapter 33)
• Survivors' and Dependents' Educational Assistance (DEA) Program (Chapter 35)
• Montgomery GI Bill (MGIB) (Chapter 30)
• Montgomery GI Bill - Selected Reserve (Chapter 1606)

• Post-Vietnam Era Veterans' Educational Assistance Program (VEAP) (Chapter 32)
ENTITLEMENT RESTORATION REQUEST DUE TO SCHOOL CLOSURE, PROGRAM SUSPENSION OR WITHDRAWAL
Part II
In this section "closed", "disapproved", and "withdrawn" are used interchangeably. Respond to all required questions regardless of whether your
educational institution temporarily or permanently closed, suspended your program of education (aka program of study or college major) or had its
approval withdrawn.
Item 7B. Did your school provide you credit for the classes you were attending when it closed, was withdrawn, or suspended your program of education
(example: Your school closed one week before its normal end of term; however your transcript indicates you have received a letter grade for the term)?
Item 9D. You may be eligible for Restoration of Entitlement if after enrolling at a new school to complete your interrupted program, you lost credit
because your new school accepted fewer than 12 credit hours (or its equivalent, if the hours are reported in clock hours). If this applies, you may be
eligible to have your entitlement restored for your entire program of education due to the school closure or disapproval; (Effective August 1, 2021).
Claims for this temporary provision must be received after enrollment at the new school and on or before September 30, 2025.

HOW TO FILE YOUR CLAIM
After completing this form please send the completed form via mail to:

Muskogee Regional Processing Office
Restoration of Entitlement Team
P. O. Box 8888
Muskogee, OK 74402-8888
This form can also be submitted electronically through Ask VA at:

https://ask.va.gov/

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 VA system of records, 58VA21/22/28, Compensation, Pension, Education and Veteran Readiness and Employment Records - VA, published in
the Federal Register. An example of routine use allows VA to send educational forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1) 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. Your response is required to obtain or retain benefits. The requested information is considered relevant and necessary to determine the maximum benefits under
the law. Payment of education benefits cannot be made unless the information is furnished as required by existing law (38 U.S.C. 3471). The responses you submit are considered confidential (38
U.S.C. 5701). Information submitted is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB
control Number. The OMB control number for this project is 2900-0859, and it expires XX/XX/XXXX. Public reporting burden for this collection of information is estimated to
average 15 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing
the burden to VA Reports Clearance Officer at VACOPaperworkReduAct@VA.gov. Please refer to OMB Control No. 2900-0859 in any correspondence. Do not send your
completed VA Form 22-0989 to this email address.
VA FORM 22-0989, XXX XXXX

Page 1

OMB Approved No. 2900-0859
Respondent Burden: 15 Minutes
Expiration Date: XX/XX/XXXX

EDUCATION BENEFIT ENTITLEMENT RESTORATION REQUEST DUE
TO SCHOOL CLOSURE, PROGRAM SUSPENSION OR WITHDRAWAL

IMPORTANT - Please read Privacy Act Notice and Respondent Burden Information on Page 1 before completing form.

PART I - APPLICANT IDENTIFICATION AND PERSONAL INFORMATION

1. NAME OF APPLICANT (First, Middle Initial, Last)

2. VA FILE NUMBER (If unknown, provide your Social Security number)
3. CURRENT MAILING ADDRESS (Number and street or rural route, city or P.O., State and ZIP Code)

5. EMAIL ADDRESS

4. TELEPHONE NUMBER (Include Area Code)
HOME:

MOBILE:

PART II - INFORMATION NEEDED TO REVIEW FOR ENTITLEMENT RESTORATION

6A. DID YOUR SCHOOL CLOSE AND OR SUSPEND YOUR INDIVIDUAL PROGRAM
OR WAS YOUR PROGRAM WITHDRAWN?

YES
NO
(If "Yes", complete Item 6B)
7A. DID YOU COMPLETE A PROGRAM OF STUDY AT THE CLOSED/DISAPPROVED
SCHOOL?
YES

NO

6B. PROVIDE THE NAME AND ADDRESS OF YOUR SCHOOL THAT
CLOSED OR WHERE YOUR PROGRAM WAS WITHDRAWN OR
SUSPENDED (If more space is needed use Item 12, Remarks)

7B. DID YOU RECEIVE CREDIT FOR THE ENROLLED HOURS BEING
ATTEMPTED AT THE TIME OF THE CLOSURE, WITHDRAWAL OR
SUSPENSION?
YES

NO

8A. DID YOU WITHDRAW FROM THE SCHOOL PRIOR TO THE SCHOOL CLOSING?

7D. WERE YOU ON AN APPROVED LEAVE OF ABSENCE WHEN THE
SCHOOL WAS CLOSED/PROGRAM WAS SUSPENDED OR
WITHDRAWN?
YES
NO
8B. PROVIDE THE DATE OF WITHDRAWAL FROM THE SCHOOL

YES
NO
(If "Yes", complete Item 8B)
9A. ARE YOU ENROLLED IN A COURSE OF STUDY AT A NEW SCHOOL?

9B. PROVIDE THE FULL NAME OF YOUR NEW SCHOOL AND PROGRAM

7C. WERE YOU STILL ENROLLED IN THE PROGRAM OF STUDY WHEN THE SCHOOL
CLOSED WAS DISAPPROVED OR SUSPENDED YOUR PROGRAM?
YES

NO

YES
NO
(If "Yes", complete Item 9B)
9C. ARE YOU COMPLETING YOUR PROGRAM OF STUDY AT A NEW SCHOOL
THROUGH A TEACH-OUT AGREEMENT WITH THE CLOSED/DISAPPROVED
SCHOOL?
YES

NO

11. WHAT WAS YOUR LAST DATE OF ATTENDANCE AT THE CLOSED
OR DISAPPROVED SCHOOL OR IN THE SUSPENDED PROGRAM?

10. IF YOU ATTENDED A NON-COLLEGE DEGREE (NCD) SCHOOL THAT WAS
CLOSED, SUSPENDED YOUR PROGRAM OR WAS DISAPPROVED, DID
THAT SCHOOL TRANSFER ANY HOURS OR CREDITS?
YES

9D. IF YOU ARE ATTENDING A NEW SCHOOL, DID THEY GRANT
12 OR MORE CREDIT HOURS FOR COURSE(S) TAKEN FROM THE
CLOSED/DISAPPROVED SCHOOL? (Please see Item 9D on the
Instructions Page)
YES
NO (Or unsure)

NO

12. REMARKS (If any)

13. ATTESTATION OF HOURS TRANSFERRED
"By signing here, I acknowledge the following:
a. I have transferred fewer than 12 credits from my program at the closed/disapproved facility; and'
b. If I am transferred 12 or more credits from such program at a later date, the Secretary will rescind/revoke my restored entitlement."
SIGNATURE

DATE

PART III - CERTIFICATION AND SIGNATURE OF APPLICANT
I CERTIFY THAT all statements in my application are true and correct to the best of my knowledge and belief.
14A. SIGNATURE OF APPLICANT (DO NOT Print) (Sign in ink)

14B. DATE SIGNED (MM,DD,YYYY)

PENALTY - WILLFUL FALSE STATEMENTS AS TO A MATERIAL FACT IN A CLAIM FOR EDUCATION BENEFITS IS A PUNISHABLE OFFENSE AND
MAY RESULT IN THE FORFEITURE OF THESE OR OTHER BENEFITS AND IN CRIMINAL PENALTIES.
VA FORM
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SUPERSEDES VA FORM 22-0989, APR 2021, WHICH
XXX XXXX

22-0989

WILL NOT BE USED.