Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status

OMB28-1905 Change (7-15-09).doc

Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status

Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status

OMB: 2900-0014

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CHANGES TO VA FORM 28-1905 AUTHORIZATION AND CERTIFICATION OF ENTRANCE OR REENTRANCE INTO REHABILITATION AND CERTIFICATION OF STATUS


VA Form 28-1905 has been revised to include the VCR’s e-mail address.


The changes are noted in red:

8. NAME AND ADDRESS OF FACILITY OR SERVICE PROVIDER (Vendor)

9. SPECIFIC GUIDELINES (Restricted hours;

course approved/not approved;

restricted bookstore purchases;

tutoring approved; etc.)


10A. NAME OF CASE MANAGER OR DESIGNEE AND ADDRESS OF REGIONAL OFFICE

10B. E-MAIL ADDRESS OF CASE MANAGER

11A. SIGNATURE OF CASE MANAGER


11B. DATE SIGNED



Item #10 – Adding “A” to the Item Number and adding Item 10B

Item #10A is where the VRC name and the regional office or out based address is recorded. The additional Item 10B is for the VRC e-mail address.


The addition of this information will not have a significant impact on the workload of VRCs. The amount of time to add the information to VA Form 28-1905 is minimal. This information will however, greatly enhance the productivity of training facilities, making direct connection with VRCs easier and quicker. The receipt of e-mail alerts by VRCs will increase the productivity of award input and changes to awards already running.


File Typeapplication/msword
File TitlePROPOSED CHANGES TO VA FORM 28-1905
Authorvrelhorw
Last Modified ByDottie Bolyard
File Modified2009-07-15
File Created2009-06-23

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