Blocks 1 to 3: institution and term
The institution name as listed on the WEAMS 22-1998 report, the VA facility code with no spaces or hyphens, and the term start date.
22-10216
35% Exemption Request from 85/15 Reporting Requirement (Fillable)
- Agency
- VA
- Revision
- January 2025
- Fillable fields
- 11
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 22-10216: 35% Exemption Request from 85/15 Reporting Requirement
VA Form 22-10216 is the U.S. Department of Veterans Affairs 35% Exemption Request from 85/15 Reporting Requirement. It is a school form, not a student or Veteran application. VA's form page says school administrators use it to request an exemption of the routine reporting requirements of the 85/15 rule. The form cites 38 U.S.C. 3680A(d) and 38 CFR 21.4201.
The form says the exemption is based on total student enrollment at the school versus enrollment of students receiving VA funding, with each enrolled student counted as one student. That differs from the 85/15 calculation on VA Form 22-10215, which uses full-time equivalency.
The PDF is two pages: general information and instructions on page 1, and the request with the calculation, certification and signature on page 2. VA's page says the exemption can also be requested 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 22-10216
Blocks 4A and 4B: student counts
The total number of VA beneficiary students and the total number of students. The form says each enrolled student is counted as one student, without regard to full-time equivalency.
Block 4C: VA beneficiary percentage
VA beneficiary students divided by total students. The form's example is 250 divided by 1,000, which equals .25, or 25%.
Block 4D: date of calculation
The date the 35% calculation was performed. The form says it is on or after, but not later than 30 days after, the start date of the term.
Attachment checkbox
A box for non-accredited schools to check when VA Form 22-10215 is attached.
Blocks 5 to 8: 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 signed in MM/DD/YYYY format.
How to complete VA Form 22-10216
- 1
Read the general information
Page 1 explains the 35% figure, how it differs from the 85/15 calculation and what accredited and nonaccredited schools send.
- 2
Use one request per campus
The instructions call for separate exemption requests and calculations for the main campus and any branch campus with separate administrative capability.
- 3
Count students and calculate
Enter the VA beneficiary total and the total enrollment, divide the first by the second, and enter the result as a percentage with the date of calculation.
- 4
Attach VA Form 22-10215 if nonaccredited
A nonaccredited school includes a completed VA Form 22-10215 for the same term and checks the attachment box.
- 5
Certify, sign and send
The school official signs and dates the form. Upload it to the VA Education File Upload Portal, or request the exemption online through VA's form page.
Why fill Form 22-10216 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 a copy is uploaded to the VA Education File Upload Portal at https://www.my.va.gov/EducationFileUploads/.
Online
VA's form page says you can request an exemption 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 the first term for which the school wants the exemption to apply if the school is organized on a standard-length term basis."
Non-standard-length terms
The form says: "No later than 30 days after the beginning of the first non-standard-length term for which the school wishes the exemption to apply if the school is organized on a non-standard-term basis."
Help
For help with the 35% calculation or the 85/15 rule, the form points to the Education Liaison Representative of jurisdiction and VA's 85/15 Rule webpages.
Edition
The current edition is dated JAN 2025. It carries OMB Control No. 2900-0896, which expires 01/31/2028, with an estimated burden of 30 minutes per respondent, per year.
Related forms
22-10215
Statement of Assurance of Compliance with 85 Percent Enrollment Ratios (Fillable)
121 fields, 5 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 22-10216?
VA's form page and the form's general information describe who completes it. A school official signs it.
Official sources and the blank
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Questions about Form 22-10216
What is VA Form 22-10216 used for?
VA's form page says school administrators use it to request an exemption of the routine reporting requirements of the 85/15 rule.
How is the 35% figure different from the 85/15 calculation?
The form says the 35% figure counts each enrolled student as one student, based on total enrollment versus students receiving VA funding. The 85/15 calculation compares supported and non-supported students using full-time equivalency.
What does a nonaccredited school send with it?
The form says nonaccredited schools upload this form and a completed VA Form 22-10215 for the corresponding term or enrollment period.
Does the exemption end 85/15 compliance for nonaccredited schools?
No. The form says the exemption applies only to routine reports, and the school still provides 85/15 calculations for any term requested by a VA employee or State Approving Agency representative.
Do students or Veterans fill out VA Form 22-10216?
No. It is completed and signed by a school official. It asks for enrollment totals, not details about individual students.
Can the exemption be requested online?
Yes. VA's form page says you can request an exemption online instead of filling out and sending the paper form.