Please rate Va Form 10 10Cg Feb 2025
Each time a new Primary or Secondary Family Caregiver is requested, a new Form 10-10CG is required.
Primary only: If an eligible Veteran elects to only appoint a Primary Family Caregiver, then only Sections I and II must be completed.
Secondary only: If a Veteran elects to only appoint the Secondary Family Caregiver(s), only Sections I and III must be completed.
Apply online: You may apply for PCAFC online. This is the fastest way to submit your application.
Where to send: Complete the application and mail it to 10-10CG Evidence Intake Center, PO Box 5154, Janesville, WI 53547-5154.
Missing fields: If you do not complete all fields, it may result in a delay or denial of PCAFC benefits.
| Question | Answer |
|---|---|
| Form Name | VA Form 10-10CG |
| Form Length | 6 pages |
| Fillable? | Yes |
| Fillable fields | 92 |
| Avg. time to fill out | 16 min |
| Edition | FEB 2025 |
| Where to send | 10-10CG Evidence Intake Center, PO Box 5154, Janesville, WI 53547-5154 |
| Who signs | The Veteran or Representative, and each Family Caregiver applicant |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | VA Form 10-10CG, VA 10-10CG, 10-10CG, 10 10CG, PCAFC, VA caregiver application |
| Official source | VA Form 10-10CG (Rev FEB 2025), Department of Veterans Affairs |
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Please rate Va Form 10 10Cg Feb 2025
