28-1900

Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities

Agency
VA
Revision
December 2025
Fillable fields
41
Pages
3
Official source
VA form page
Checked
October 20, 2026
Fill 28-1900 online
Page 1 of form 28-1900

VA Form 28-1900: Application for Veteran Readiness and Employment

VA Form 28-1900 is the U.S. Department of Veterans Affairs Application for Veteran Readiness and Employment Benefits for Claimants with Service-Connected Disabilities, under Chapter 31, Title 38, U.S.C. VA's form page says to use it if you're a service member or Veteran with a service-connected disability and you want to apply for Veteran Readiness and Employment (VR&E) benefits. VA's page notes the program was formerly called Vocational Rehabilitation and Employment.

The PDF is three pages. Section I asks for the claimant's information, Section II is the Protection of Privacy Information Statement, Section III is the certification and signature, and page 3 holds the instructions. The form says not to use it to reapply for Chapter 31 benefits after an entitlement decision.

VA's page says you can apply online instead of filling out and sending the paper form. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 28-1900: Application for Veteran Readiness and Employment, as printed by VA

What's on VA Form 28-1900

Items 1 to 4: identification

The claimant's name, Social Security number, VA file number if different from the Social Security number, and date of birth.

Items 5 to 9: contact details

Mailing address or None, main and cell phone numbers with None boxes, email with consent to electronic correspondence, and a new address if you are moving within the next 30 days.

Item 10: education

The number of years of education.

Section II: privacy statement

Why the information is requested, that giving it is voluntary, what might happen if it is not given, and a box to acknowledge you read the statement.

Section III: certification and signature

A certification that the information is true and complete to the best of your knowledge and belief, with the claimant's signature in Item 11A and the date in Item 11B.

Page 3: instructions

Information and assistance, how the application is processed, reapplication for Chapter 31 benefits, and the Privacy Act and respondent burden notices.

How to apply with VA Form 28-1900

  1. 1

    Check it is the right form

    The form says not to use it to reapply after an entitlement decision for the Chapter 31 program, and points to www.va.gov/decision-reviews instead.

  2. 2

    Fill in Section I

    The form notes that if you created a VA.gov profile, the address in the profile matching the address on the form avoids delays in processing.

  3. 3

    Check the privacy box

    The instructions say to check the box in Section II. If it is not checked, they say a separate VA Form 28-8739a, Protection of Privacy Information Statement, is required.

  4. 4

    Sign and date it

    Sign Item 11A and enter the date in Item 11B.

  5. 5

    Mail it or apply online

    Mail it to the VR&E Intake Center in Janesville, Wisconsin, or apply online through VA's form page.

  6. 6

    Watch for VA's letter

    The form says a claimant found eligible receives an appointment letter for an initial evaluation to determine entitlement, and one found not eligible receives a notification letter.

Why fill Form 28-1900 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 getting help

By mail

Department of Veterans Affairs, Veteran Readiness and Employment (VR&E) Intake Center, P.O. Box 5210, Janesville, WI 53547-5210.

Online

VA's form page says you can apply online instead of filling out and sending the paper form.

Questions

The form points to www.va.gov/contact-us and the toll-free number 1-800-827-1000. For a Telecommunications Device for the Deaf (TDD), the Federal relay number is 711.

Edition

The PDF footer reads DEC 2026 and supersedes VA Form 28-1900, SEP 2024. VA's form page lists a revision date of December 2025. OMB Approved No. 2900-0009 expires 12/31/2028.

Related forms

Who uses VA Form 28-1900?

  • Service members with a service-connected disability

    VA's page says the form is for a service member with a service-connected disability who wants to apply for VR&E benefits.

  • Veterans with a service-connected disability

    VA's page names Veterans with a service-connected disability too. Page 3 lists the basic eligibility criteria VA checks when it processes the application.

  • Claimants without a mailing address

    The form says you will not be denied Chapter 31 benefits for having no mailing address. It asks you to write NONE in Item 5 and give another way to reach you, such as a shelter address, P.O. Box or phone number.

  • Not for past applicants with a decision

    The form says it will not be used when reapplying after an entitlement decision. It points to VA Forms 20-0995, 20-0996 and 10182 to request a decision review.

  • People who help with the application

    The instructions say information and assistance are available from any Veterans Benefits Administration office, at https://ask.va.gov, or from a VA-accredited representative or Veterans Service Organization.

VA's form page and the form's instructions describe who applies and who can help.

Official sources and the blank

Do it all with indox

View all 94 tools

Questions about Form 28-1900

Can I apply for VR&E online instead?

Yes. VA's form page says you can apply online instead of filling out and sending the paper form.

What happens after VA receives the form?

The form says the application is processed to determine if the basic eligibility criteria are met. If found eligible, you receive an appointment letter for an initial evaluation. If not, you receive a notification letter.

Which basic eligibility criteria does the form list?

A compensable service-connected disability rating of at least 10 percent granted by VA, qualifying military service with an honorable discharge or other than honorable conditions, and, only for Veterans discharged before September 11, 2013, being within the 12-year eligibility period.

Can I use VA Form 28-1900 to reapply?

No. The form says it will not be used when reapplying after an entitlement decision, and points to VA Forms 20-0995, 20-0996 and 10182 to request a decision review.

What if I have no mailing address?

The form says you will not be denied Chapter 31 benefits for that. Write NONE in Item 5 and give another means of contact, such as a homeless shelter address, P.O. Box or telephone number.

Where do I mail VA Form 28-1900?

The form lists Department of Veterans Affairs, Veteran Readiness and Employment (VR&E) Intake Center, P.O. Box 5210, Janesville, WI 53547-5210.