Blocks 1 to 4: institution and term
The institution name as listed on the WEAMS 22-1998 Report, the VA facility code with no spaces or hyphens, the term start date and the date the 85/15 calculation was performed.
22-10215
Statement of Assurance of Compliance with 85 Percent Enrollment Ratios (Fillable)
- Agency
- VA
- Revision
- January 2025
- Fillable fields
- 121
- Pages
- 5
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 22-10215: Statement of Assurance of Compliance with 85 Percent Enrollment Ratios
VA Form 22-10215 is the U.S. Department of Veterans Affairs Statement of Assurance of Compliance with 85 Percent Enrollment Ratios. It is a school form, not a student or Veteran application. VA's form page says school administrators use it to provide 85/15 calculations, and that only institutions of higher learning and non-college degree schools that charge tuition and fees should use it. The form cites 38 U.S.C. 3680A(d) and 38 CFR 21.4201.
The PDF has five pages: four pages of general information and block by block instructions, then the one page statement. The statement lists each approved program with its total enrollment, supported and non-supported students in full-time equivalents (FTE) and the supported student percentage, followed by a school official's certification and signature.
VA's page says the form can also be submitted online. You can fill out the PDF free in your browser on this page and download the result without an account.
What's on VA Form 22-10215
Blocks 5A and 5B: programs and enrollment
Every approved program from the most recent WEAMS 22-1998 Report, even one with 0 students, and the total number of students enrolled in each program.
Block 5C: supported students enrolled
The number of supported students in the program. The instructions define a supported student, for example one receiving any amount of VA education benefits or an institutionally funded scholarship or grant. Under ten supported students, no more is needed for that line.
Blocks 5D and 5E: FTE counts
Supported and non-supported students in full-time equivalents. The instructions give the example of dividing the number of one-half time students by two and adding the result to the full-time students.
Blocks 5F and 5G: total FTE and percentage
Total enrolled FTE is 5D plus 5E, and the supported student percentage is 5D divided by 5F. The form's example is 15 divided by 40, which equals 37.5%.
Blocks 6 to 9: certification
A certification that the calculations are true and correct in content and policy, with the school official's printed name, title, signature and date. A checkbox notes attached continuation sheets, VA Form 22-10215a.
How to complete VA Form 22-10215
- 1
Check whether the form applies
Read the general information on page 1. It explains the 35 percent exemption on VA Form 22-10216 and when an accredited school does not need this form.
- 2
Use one form per campus and start date
The instructions call for separate forms for the main campus and any branch campus with separate administrative capability, and a separate form for each term start date.
- 3
List every approved program
Enter each program and approved concentration from the WEAMS 22-1998 Report, then the enrollment and FTE counts for each line.
- 4
Calculate the percentages
Divide supported FTE by total enrolled FTE for each program and enter it as a percentage, as in the example on page 4.
- 5
Certify and sign
The school official enters a printed name, title, signature and date. Check the box if continuation sheets on VA Form 22-10215a are attached.
- 6
Upload it or submit online
The form says calculations go to the VA Education File Upload Portal. VA's page says the form can also be submitted online.
Why fill Form 22-10215 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the VA, not a copy someone retyped
- Works on a phone, tablet or computer
Where to send it and when
Upload portal
The form says calculations for the corresponding term are uploaded to the VA Education File Upload Portal at https://www.my.va.gov/EducationFileUploads.
Online
VA's form page says you can submit this form online instead of filling out and sending the paper form.
Standard-length terms
The form says: "No later than 30 days after the beginning of each regular school term (excluding summer sessions), or before the beginning date of the next term (whichever is earlier)".
Non-standard-length terms
The form says: "No later than 30 days after the beginning of each enrollment period if the school is organized on a non-standard-length term basis."
Help
For help calculating compliance or submitting routine reports, the form points to the Education Liaison Representative of jurisdiction and the School Certifying Official Handbook.
Edition
The current edition is dated JAN 2025. It carries OMB Control No. 2900-0897, which expires 01/31/2028, with an estimated burden of 1 hour per respondent, per year.
Related forms
22-10216
35% Exemption Request from 85/15 Reporting Requirement (Fillable)
11 fields, 2 pages
22-8794
Designation of Certifying Official(s)
68 fields, 3 pages
22-1919
Conflicting Interests Certification for Proprietary Schools (Fillable)
11 fields, 1 page
22-10275
Principles of Excellence for Educational Institutions
61 fields, 3 pages
Who uses VA Form 22-10215?
VA's form page and the form's general information describe which schools complete it. A school official signs it.
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Questions about Form 22-10215
What is VA Form 22-10215 used for?
VA's form page says school administrators use it to provide 85/15 calculations. The form says only institutions of higher learning and non-college degree schools that charge tuition and fees use it.
Do Veterans or students fill out VA Form 22-10215?
No. It is completed and signed by a school official. It asks for program level counts, not details about individual students.
Does an accredited school with the 35 percent exemption file it?
The form says that if a school is accredited and qualifies for the 35 percent exemption, it is not necessary to complete or submit VA Form 22-10215. Nonaccredited schools submit it with the exemption request.
Who counts as a supported student?
The instructions list, among others, any student receiving any amount of VA education benefits, any student granted a waiver of tuition or fees, and any student with an institutionally funded scholarship or grant.
How is the supported student percentage calculated?
Block 5G is supported students FTE (5D) divided by total enrolled FTE (5F). The form's example is 15 divided by 40, which equals .375, or 37.5%.
What if a school has more programs than rows?
The form says additional pages may be submitted using the 85/15 percent Calculation Continuation Sheet, VA Form 22-10215a, with the checkbox marked to show sheets are attached.
Can VA Form 22-10215 be submitted online?
Yes. VA's form page says you can submit this form online instead of filling out and sending the paper form.