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Collects applicant identity details, contact information, and direct deposit data including routing and account numbers. Captures qualifying individual (parent or spouse) information and service/death eligibility questions with relevant dates. Also records the applicant’s relationship type and marriage or remarrying status, then selects the requested benefit option for Chapter 35-DEA or Chapter 33-Fry Scholarship.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dependents-application-for-va-education-benefits-under-provisions-of-chapters-33-and-35-title-38-usc/264837/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/dependents-application-for-va-education-benefits-under-provisions-of-chapters-33-and-35-title-38-usc/264837.png","ImageObject",300,407,{"name":92,"@type":93},"Aurelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-14",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What information is required from the applicant?","Question",{"text":112,"@type":113},"The form requests the applicant’s Social Security number, sex, date of birth, full name, mailing address, phone numbers, and email (if applicable). 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 \u003Cbr>□YES□NO(f\"Yes,\"is checked complete ltem 13D   |  |  |  |  |  |  |  |  |\n| 13C.DID PARENTOR SPOUSE DIE FROM ASERVICE-CONNECTED DISABILITY AFTER SEPTEMBER 10,2001,WHILEA  \u003Cbr>MEMBER OF THE SELECTED RESERVE?  \u003Cbr>□YES□NO (If\"Yes,\"is checked complete Item 13D)   |  |  |  |  |  |  |  | 13D.DATE OF DEATH (MM/DD/YYYY)   |\n| 14.IS QUALIFYING INDIVIDUAL(PARENT OR SPOUSE)CURRENTLY ON ACTIVE DUTY?  \u003Cbr>□YES□NO   |  |  |  |  |  | 15.DATE LISTED AS MISSING INACTION OR P.OW.(MM/DD/YYYY)  \u003Cbr>(If applicable)   |  |  |\n| PARTⅢ-RELATIONSHIP AND BENEFIT INFORMATION   |  |  |  |  |  |  |  |  |\n| 16.YOUR RELATIONSHIP TO QUALIFYING INDIVIDUAL(Check only one)  \u003Cbr>STEPCHILD  \u003Cbr>□SPOUSE  \u003Cbr>ADOPTED CHILD  \u003Cbr>BIOLOGICAL CHILD  \u003Cbr>(NOTE:Afier making your selection,also complete Section Ior Section ll on page 2 and then proceed to complete Pant IV)   |  |  |  |  |  |  |  |  |\n| SECTIONI-SPOUSE/SURVIVING SPOUSE   |  |  |  |  |  |  |  |  |\n| 17A.DATE OF MARRIAGE TO THE QUALIFYING INDIVIDUAL?(NOTE:Date will be verified against information  \u003Cbr>entered on VAForm 21-686c,Application Request to Add and/or Remove Dependents)  \u003Cbr>(MMDD/YYYY)   |  |  |  |  |  |  | 17B.IS ADIVORCE OR ANNULMENT PENDING  \u003Cbr>TO THE QUALIFYING INDIVIDUAL?  \u003Cbr>YES      NO   |  |\n| 18.IF YOU ARE THE SURVIVING SPOUSE,HAVE YOU REMARRIED?  \u003Cbr>YES    NO  \u003Cbr>(1f\"Yes,\"please provide date of remarriage)(MM/DD/YYYY)   |  |  |  |  |  |  |  |  |\n\nSUPERSEDES VA FORM 22-5490,JAN 2024,  \nVAFORM  \n22-5490  \nPage 1  \nJAN 2025WHICH WILL NOT BE USED.  \n\n| SECTIONI-SPOUSE/SURVIVING SPOUSE(Continued)   |  |  |  |\n| --- | --- | --- | --- |\n| 19.SPOUSE/SURVIVING SPOUSE SELECT THE BENEFIT THAT YOU ARE APPLYING FOR BELOW:   |  |  |  |\n| IMPORTANT   | PLEASE CAREFULLY READ THE INFORMATIONAND INSTRUCTIONS ONPAGE4,ITEM19BEFORE SELECTING BOX\"A\"  \u003Cbr>OR\"B\"BELOW REGARDINGTHE BENEFITFOR WHICHYOU ARE APPLYING.THE INFORMATIONAND INSTRUCTIONS  \u003Cbr>ON PAGE6 PROVIDE LINKS TO VAWEBSI","cbCaispAqiGs10nO","https://ap.wps.com/l/cbCaispAqiGs10nO","pdf",1659413,"English","# PART I - APPLICANT INFORMATION\n## Social security, sex, birth date, name\n## Address, telephone, email\n## Direct deposit details\n# PART II - QUALIFYING INDIVIDUAL INFORMATION\n## Parent or spouse identity and service/death eligibility\n## Missing status and active duty status\n# PART III - RELATIONSHIP AND BENEFIT INFORMATION\n## Relationship to qualifying individual\n# SECTION I - SPOUSE / SURVIVING SPOUSE\n## Marriage date and divorce/remarriage questions\n## Benefit selection: Chapter 35-DEA or Chapter 33-Fry Scholarship\n# SECTION II - BIOLOGICAL CHILD / STEPCHILD / ADOPTED CHILD\n## Benefit selection: Chapter 35-DEA or Chapter 33-Fry Scholarship","[{\"question\":\"What information is required from the applicant?\",\"answer\":\"The form requests the applicant’s Social Security number, sex, date of birth, full name, mailing address, phone numbers, and email (if applicable). It also requires direct deposit information including routing number, account number, and account type.\"},{\"question\":\"What qualifying individual details must be provided?\",\"answer\":\"It asks for the qualifying individual’s name and Social Security number or VA file number, plus branch of service and date of birth. It also includes eligibility questions about service-connected disability and the timing of death, when applicable.\"},{\"question\":\"How does the form determine which benefit to apply for?\",\"answer\":\"After the relationship and eligibility details, the applicant selects the benefit option by checking the relevant box for Chapter 35-DEA or Chapter 33-Fry Scholarship, with notes that the election is irrevocable.\"}]","DEPENDENTS' APPLICATION FOR VA EDUCATION BENEFITS - Under Provisions of Chapters 33 and 35, Title 38, U.S.C. | PDF",18]