Items 1 to 6: applicant details
Name of applicant, name of Veteran if other than the applicant, mailing address, VA file number or Social Security number, payee, sex and date of birth.
22-1990t
Application for Individualized Tutorial Assistance
VA Form 22-1990t is the U.S. Department of Veterans Affairs Application for Individualized Tutorial Assistance. The instructions say that if you are eligible for education benefits and need help in a subject, you can get supplemental payments for tutorial assistance, in addition to your regular monthly education benefits.
The form is filed after tutoring. The student fills in Items 1 to 13, the tutor certifies the sessions and charges, and the school's certifying official completes the school items. Under the Post-9/11 GI Bill, the course professor or instructor also signs.
The PDF has three pages: the application, the instructions and the regional office addresses. You can fill out the PDF free in your browser on this page and download the result without an account.

Name of applicant, name of Veteran if other than the applicant, mailing address, VA file number or Social Security number, payee, sex and date of birth.
The course or curriculum, credit or clock hour load, final educational, professional or vocational goal, the unit subjects that needed tutoring and the tutor's name, position and address.
Month and year, exact dates of sessions, hours of instruction this month, charge per hour, total charges this month and total payment due, in blocks A to F.
The applicant's signature, date and email address if applicable, then the tutor's certification, signature and date.
The school's name, address and type, the certifying official's certification and signature, and for chapter 33 the professor's or instructor's certification.
Page 2 says VA will pay up to $100 per month for tutorial assistance and gives the limit as $1,200 (12 times the maximum monthly rate of $100), with special entitlement provisions by chapter.
In Item 10, show each unit subject, such as Math 101. The instructions say to complete all blocks A through F in Item 12, or payment may be delayed.
The tutor signs and dates Items 14A and 14B and verifies the information you provided.
The certifying official for VA benefits at the school completes Items 15 and 16 and signs Items 17A and 17B.
For the Post-9/11 GI Bill, take the form to the professor or instructor of the course that needed tutoring, who signs Item 18A and completes Item 18B.
The instructions say to send it as soon as possible after tutoring is complete. VA will not pay for tutoring received more than one year before the day VA actually receives the claim.
Mail the completed form to the Regional Processing Office for your state, from the chart on page 3.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
VA Regional Office, P.O. Box 4616, Buffalo, NY 14240-4616. Serves CO, CT, DC, DE, IA, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NY, OH, PA, RI, SD, TN, VA, VT, WI, WV, WY, APO/FPO AA, foreign schools and the US Virgin Islands.
VA Regional Office, P.O. Box 8888, Muskogee, OK 74402-8888. Serves AK, AL, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NM, NV, OK, OR, PR, SC, TX, UT, WA, APO/FPO AP, Guam, the Philippines, American Samoa and the Mariana Islands.
The form lists www.benefits.va.gov/gibill/, VA's toll-free line 1-888-GIBILL1 (1-888-442-4551) and the Federal Relay number 711 for TDD users. It points to the school's financial aid office for other forms of assistance.
Under 38 U.S.C. Chapter 30 or 32, 10 U.S.C. Chapter 1606 or Section 903 of Public Law 96-342, the form says VA will not charge entitlement for the first $600. Under Chapter 33 or 35, it says VA will not charge any entitlement.
The form is dated JAN 2025 and supersedes VA Form 22-1990t, OCT 2024, which will not be used. OMB Approved No. 2900-0171 expires January 31, 2028.
The instructions say to mail the completed form to the Regional Processing Office for your state.
22-1990
155 fields, 7 pages
22-1990e
63 fields, 4 pages
22-1990n
75 fields, 4 pages
22-5490
79 fields, 7 pages
22-8691
45 fields, 2 pages
22-0803
21 fields, 2 pages
The applicant completes Items 1 to 13, including the course, the subjects that needed tutoring and the monthly schedule and charges. Item 2 names the Veteran if other than the applicant.
The tutor signs Items 14A and 14B, verifies the information and certifies being the person who gave the tutoring and not a close relative of the applicant.
The certifying official for VA benefits at the school completes Items 15 and 16 and signs Items 17A and 17B.
For tutorial assistance under the Post-9/11 GI Bill, the professor or instructor of the course signs Item 18A and completes Item 18B.
A For VA Use Only block holds the approval date, the adjudicator's and finance officer's signatures, a date and the station number.
The instructions name four people who complete parts of the form.
The agency’s own page for Form 22-1990t.
The official blank form, to print or fill by hand.
No tool matches that search.
The instructions say to fill it out after you have received tutoring, and to send it to VA as soon as possible after tutoring is complete.
Page 2 says VA will pay up to $100 per month for tutorial assistance and gives the limit as $1,200 (12 times the maximum monthly rate of $100).
The applicant, the tutor and the school's certifying official. For the Post-9/11 GI Bill, the professor or instructor of the course also signs Item 18A.
The tutor certifies not being a close relative of the applicant, which the form lists as spouse, parent, child, brother or sister.
The instructions say VA will not pay assistance for any tutoring received more than one year before the day VA actually receives your claim.
To the Regional Processing Office for your state. The form lists Buffalo, NY for the Eastern Region and Muskogee, OK for the Western Region.