Va form 22 6553d 1 2026

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Click ‘Get Form’ to open VA Form 22-6553d-1 in our editor.
In Items 1 and 2, enter the number of hours worked for each month. Ensure you include any related training hours during working hours.
For Item 3, check the appropriate box regarding your enrollment status. If training has been terminated, complete Items 4 and 5 with the reason for termination.
In Items 6A, 6B, and 6C, indicate if your wage rate aligns with your training agreement. If not, provide the new wage rate and its effective date.
Use Item 7 for any additional remarks about your wage or changes in dependents. This is crucial for accurate reporting.
Finally, sign and date the form in Items 8A and 8B before submitting it to your employer or authorized official for verification.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (114 Votes)
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2009	4.3 Satisfied (35 Votes)

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