The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
Link to form
https://www.va.gov/vaforms/medical/pdf/10-10CG.pdf
Form number
10-10CG
Row ID
5040
Form title
Instructions for Completing Application for Comprehensive Assistance for Family Caregivers Program
Issue date
Revision date
Form administration
VHA
Number of pages
5
Deleted
False
Form name
Application for Comprehensive Assistance for Family Caregivers Program
Form Language
English
Related to
Benefits
VA benefits for spouses, dependents, survivors, and family caregivers
VA health care
When to use

Use VA Form 10-10CG to apply for the Program of Comprehensive Assistance for Family Caregivers. Each time a new caregiver is appointed, a new VA Form 10-10CG is required.

Online tool
You can apply online instead of filling out and sending us the paper form.
https://www.va.gov/family-member-benefits/apply-for-caregiver-assistance-form-1…
Related forms
About VA Form 10-10d
About VA Form 10-7959C
Helpful links
Comprehensive family caregiver assistance eligibility information
Find out if you may be eligible for the Program of Comprehensive Assistance for Family Caregivers. This program offers support and services for caregivers of eligible Veterans who have a serious injury caused or made worse by their active-duty service on or after September 11, 2001, and are in need of personal care services.
CHAMPVA benefits eligibility information
Find out if you qualify for health care through our CHAMPVA program, the Department of Defense's TRICARE program, or one of our programs related to a Veteran's service-connected disability.