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Va 22-1919 Form: What You Should Know

Conflicting Interests Certification for Proprietary — OMB. Report (2) ALL PROPRIETARY SCHOOLS VA Forms 22-1992 and 22-1994 must be completed by a member of the same household. VA Form 22-1992 must be completed by a member of the same household that is also a current or former member of the U.S. Armed Services, a military spouse or dependent child, with the following types or categories of benefits: Benefit Type Benefit Qualification Military Dependent Child, Single Military Service members Family, Single Survivor Benefit Application for Benefit (including certification of conflicting interests) A. Military Dependent Child, Single This form must be completed for each person the person receiving benefits is serving or has served under a qualifying command. Benefit Type Benefit Qualification The person receives benefits from the US Armed Services on behalf of, or as the sole beneficiary of, a spouse. The qualifying command is in the United States. Must show that the individual has a relationship with the person receiving benefits because that person lives, resides or for that person has a direct line of connection to the person whose person is receiving benefits. If you are unsure about this check the box next to person receiving benefits on behalf of, or as the sole beneficiary of, a spouse. B. Military Service members Family, Single This form must be completed as a joint application on behalf of 1 eligible veteran(s) to a member of the individual's Family Unit. Benefit Type Benefit Qualification The person receives benefits from the US Armed Services on behalf of, or as the sole beneficiary of, a spouse. The receiving military member is a member or member who, on or after June 20, 1990, resides in a state or territory that is a member of a consortium that receives federal financial assistance under: 1. The US Intergovernmental Panel on Homelessness C. Military Service members Family, Single This form must be completed as a joint application on behalf of 1 eligible veteran(s) to a member of the individual's Family Unit. Benefit Type Benefit Qualification The person receives benefits from the US Armed Services on behalf of, or as the sole beneficiary of, a spouse.

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