OMB control number

Request for Retroactive Induction for a Period Previously Completed Under Chapter 33 (VA Form 28-10286)

OMB 2900-0933 · VA.

OMB 2900-0933

A service member or veteran will use VA Form 28-10286 to request a retroactive induction for a period previously completed under Chapter 33 benefits. The VR&E program subsequently uses the information on this form to determine if a service member or veteran qualifies for restoration of entitlement. Without the information gathered on this form, the VR&E program would be unable to verify that the service member or veteran meets the criteria for retroactive induction.

The latest form for Request for Retroactive Induction for a Period Previously Completed Under Chapter 33 (VA Form 28-10286) expires 2026-10-31 and can be found here.