Va form 22 1919-2026

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The document is the U.S. DOD Form dod-va-22-1919, titled 'Conflicting Interests Certification for Proprietary Schools Only.' It outlines legal restrictions regarding conflicts of interest for employees of the Department of Veterans Affairs (VA) and State Approving Agency (SAA) in relation to proprietary educational institutions. The form requires institutions to disclose any potential conflicts involving VA and SAA employees, as well as certifying officials associated with the school who receive VA educational assistance. The purpose is to ensure compliance with laws that protect veterans and eligible persons from conflicts of interest.

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Click ‘Get Form’ to open VA Form 22 1919 in the editor.
Begin by entering the name and address of your institution in the designated fields at the top of the form.
In Section (1), list any VA and State Approving Agency employees who may have a potential conflict of interest. If there are none, simply write 'none'.
Proceed to Section (2) where you need to provide names and VA file numbers of certifying officials, owners, or officers associated with your school. Again, if there are none, enter 'none'.
Fill in the dates of enrollment for each individual listed in Section (2) using the provided fields.
Finally, ensure that the signature field is completed by the President or Chief Administrative Official of your school along with the date.

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Versions	Form popularity	Fillable & printable
2008	4.9 Satisfied (54 Votes)
1995	4.4 Satisfied (570 Votes)

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