Joint PCAFC application; do not send medical records with the initial application
10-10CG Evidence Intake Center
PO Box 5154
Janesville, WI 53547-5154
VA Form 10-10CG — Apply for the family caregiver assistance program
Apply jointly for the Program of Comprehensive Assistance for Family Caregivers. General caregiver support has different access instructions.
Use the current official form
Revision: February 2025.
These are reviewed, scoped methods. Read the current official program and PDF instructions for conditions, signatures, additional methods and exceptions.
Submission instructions
In person
PCAFC application
Local VA caregiver support team
Official destination instructions