VA Form 10-10CG Instructions - Program of Comprehensive Assistance for Family Caregivers Application

Sep 3, 2026

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Instructions guide applicants in completing VA Form 10-10CG to apply for VA’s Program of Comprehensive Assistance for Family Caregivers (PCAFC). The material explains eligibility and roles for eligible Veterans, primary and secondary family caregiver applicants, and representatives authorized to sign with required supporting evidence. Guidance covers required fields, signatures and dates for each applicant, time to complete, when a new form is needed, and submission options including online, in person, or by mail, plus where to obtain help from VA resources and caregiver support teams.

LanguageEnglish

CategoryForms

FormatPDF

Pages6

Reading Time2 min

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Instructions for Completing Application for the Program of Comprehensive Assistance for Family Caregivers

Where can I get help filling out the form and answers to questions?

Definitions

Getting Started

Eligible Veteran

Submitting your application

INSTRUCTIONS FOR COMPLETING APPLICATION FOR THE PROGRAMOF COMPREHENSIVE ASSISTANCE FOR FAMILY CAREGIVERS Please Read Before You Start... What is VA Form 10-10CG used for? This form is used to apply for VA's Program of Comprehensive Assistance for Family Caregivers(PCAFC).VA will use the information on this formto assist in detemining your eligibility.A Veteran,as defined herein,may appoint one(1)Pimary FamilyCaregiver aplicant and up to two(2)Secondary Family Caregiver applicants.On average,it will take 15 minutes to complete the application,including the time it will take you to read theinstructions,gather the necessary facts and fill out the form.Each time a new Primary or Secondary Family Caregiver is requested,a new Form10-10CG is required.This includes a caregiver who is already approved and designated as a Primary Family Caregiver and wishes to be designatedas a Secondary Family Caregiver,or a caregiver who iis already approved and designated as a Secondary Family Caregiver who wishes to apply asa Primary Family Caregiver # Where can I get help filling out the form and answers to questions? You may use ANY of the following to request assistance: ·Ask VA to help you fill out the form by calling the Caregiver Support Line at 1-855-260-3274. ·Access VA's website at http://www.va.gov and select "Contact Us". ·Locate and contact the Caregiver Support Team at your nearest VA health care facility using the team locator available athttp://www.caregiver.va.govl. ·Contact a Veterans Service Organization. Definitions -For purposes of this form,the following apply: Facility Caregiver Support Program(CSP)Staff: VA medical facility CSP Program Manager and all PCAFC and Program of General Caregiver Support Services(PGCSS)Staff at the VA medicalfacility.Facility CSP Staff connect caregivers of Veterans with VA and community resources offering supportive programs and services.Facility CSPStaff are located at every VA medical center and are designated specialists in caregiving issues. # Eligible Veteran: A Veteran found eligible for PCAFC under 38 CFR 71.20. Family Caregiver: An individual who is approved and designated by VA as a Primary Family Caregiver or Secondary Family Caregiver. Representative: A person who has authority to act on behalf of the Veteran or who is legally vested with the responsibility or care of the Veteran.Evidence should besubmited with this form to establish a person's status as Representative.Such evidence may be a valid power ofattorney,legal guardianship order,or similar legal documentation;or VA Form 21-0972,VA Form 21-22 or VA Form 21-22a. Veteran: An individual who meets the definion of Veteran in 38 US.C.101(2),or a qualifying service member undergoing medical discharge from theAmed Forces for whom a date of medical discharge has been issued,who applies for or participates in PCAFC. | Getting Started: | | --- | | Please complete allfields on the form for each applicant,including signatures and dates.If you do not complete all felds,it may result in a delay or
denial of PCAFC benefts.If the Veteran applicant is not enrolled in VA's health care system or is currentlya service member undergoing medical | | | | discharge,the Veteran can submit VA Form 10-10EZ"Application for Health Benefts"with this fom.Enoled Veterans may submit VA Fom
10-10EZR "Health Benefits Update Form"with this form to provide information updates. | | | | A Representative may sign this application on behalf of a Veteran or Family Caregiver applicant;however,supporting documentation should be
provided with this application reflecting the Representative's authority to do so. | | | | SECTIONI-VETERAN | | Directions for Sectionl-Veteran,please complete all ields,including signature and date.Use the Veteran's lega/name,such as what is on a driver's
license or social security card. | | SECTIONIⅡ-PRIMARY FAMILY CAREGIVER APPLICANT | | Directions for SectionII-Primary

FAQs

What is VA Form 10-10CG used for in the PCAFC program?

VA Form 10-10CG is used to apply for VA’s Program of Comprehensive Assistance for Family Caregivers (PCAFC), and VA uses the information to determine eligibility.

Who can be listed as a primary or secondary family caregiver on the application?

An eligible Veteran may appoint one (1) primary family caregiver and up to two (2) secondary family caregiver applicants. Each time a new primary or secondary caregiver is requested, a new Form 10-10CG is required.

How should the completed form be submitted, and what happens if required fields are missing?

Applicants can submit online as the fastest option, or submit a paper form in person or by mail. All required fields (marked with an asterisk) must be completed with signatures and dates; missing information may result in a delay or denial of PCAFC benefits.

Sep 3, 2026

Upload by Angel