VA Form 10-306, Request for Information (PCAFC Decisions), is the form the U.S. Department of Veterans Affairs - Veterans Health Administration (VHA) uses to release information about decisions on applications to the Program of Comprehensive Assistance for Family Caregivers (PCAFC). Veterans and caregivers who applied for or took part in PCAFC use it to ask for their decisions, decision dates and decision letters. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by VA, and the request itself is mailed to VA.
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What is 10-306?
VA Form 10-306, Request for Information (PCAFC Decisions), is the Veterans Health Administration form a Veteran or family caregiver uses to ask VA for information about decisions made on their application to, or participation in, the Program of Comprehensive Assistance for Family Caregivers (PCAFC).
VA says the information may help you decide whether to file a Notice of Disagreement (NOD) or otherwise ask VA to review a decision, if you do not already have it. Use of the form is limited to requests for information about PCAFC decisions.
VA searches the Caregiver Application Record Management Application (CARMA) for decisions made about you. For every VA Form 10-10CG application VA has received from you, it provides, to the extent available, the decisions, their dates and copies of any decision letters issued to you. VA also searches the Patient Advocate Tracking System-Replacement (PATS-R) for appeals you filed, looks for letters from the Office of Community Care's Caregiver Stipend Program, and in some cases checks the electronic health record.
The dates in CARMA record when decisions were made, which may differ from the date VA notified you. The form carries OMB Control Number 2900-0894, and VA estimates 15 minutes to complete it.
Who needs to file 10-306?
Veterans and caregivers who have applied for or participated in PCAFC and want information about one or more previous PCAFC decisions use this form.
VA releases information only about decisions affecting the person named in Section I, who requests and authorizes the release. A Veteran's request therefore does not produce copies of decision letters sent to the Veteran's Family Caregiver(s). It can produce the names of the individuals the Veteran applied with, VA's decisions and their dates (including the stipend tier or level if approved, or the reason for a denial) and, for approved applications, discharges or revocations with their dates and reasons.
If several people want information, each must complete a separate VA Form 10-306 about themselves.
A personal representative may sign for the Veteran or caregiver. For this form that means a power of attorney with authority over health care privacy rights, or a legal guardian appointed by a court of competent jurisdiction to make decisions about the individual's personal welfare.
When to file 10-306
Submit VA Form 10-306 whenever you want information about earlier PCAFC decisions, for example before deciding whether to file a Notice of Disagreement or ask VA to review a decision. The form prints no deadline and no filing window of its own.
Complete every field before mailing: VA warns that missing information may delay processing of your request. The form gives no processing time. VA mails the information it finds to the mailing address you list in Section I.
Documents you need
- Documentation of your authority to sign, only if you sign as a personal representative: for example a power of attorney with authority over health care privacy rights, or a court appointment as legal guardian making decisions about personal welfare.
How to fill out 10-306
Read the instructions first
Read the "Please read before you start" section, which explains what VA will search and release. The form takes about 15 minutes on average.
Enter your name and birth date
In Section I, enter Last Name, First Name, Middle Name, and your Date of Birth in MM/DD/YYYY format. List only one individual.
Enter last 4 digits of your SSN
Enter only the last 4 digits of the individual's Social Security number in the field provided.
Enter mailing address and phone
Give a complete mailing address with number and street or rural route, P.O. Box, city, state, ZIP Code and country. VA mails the information here. Add a telephone number in case VA has questions.
Check how you applied for PCAFC
Check one option: Veteran, Family Caregiver or Both (at different times).
List VA medical centers
List each VA Medical Center name or location that has issued you a PCAFC decision.
Sign and date in Section II
Sign in ink (or sign the printed copy) and enter the date in MM/DD/YYYY format. The signature certifies the request is voluntary and the information is accurate and complete.
Add representative details if applicable
If you sign as a personal representative, print your name and your relationship to the individual, and include documentation of your authority to sign.
Review, download and mail
Check that every field is complete. Download or print the completed PDF from FillingPDF and mail it as described under How to submit.
How to submit 10-306
VA Form 10-306 is submitted by mail; the form lists no other channel.
- By mail: send the completed, signed form to Veterans Affairs Evidence Intake Center, PO Box 5154, Janesville, WI 53547. The form states that submission to this address is required for VA to process your request timely.
Before mailing, read the Paperwork Reduction Act Statement and Privacy Act Statement on the form and make sure all fields are completed. If you sign as a personal representative, include documentation of your authority to sign.
Do not send the form to [email protected]. That address is only for comments about the form's burden estimate. VA mails the requested information to the address in Section I. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Listing more than one individual in Section I; VA accepts only one person per form, and each person needs a separate VA Form 10-306.
- Expecting a Veteran's request to return decision letters sent to the Veteran's Family Caregiver(s); VA releases information only about the person named in Section I.
- Leaving fields blank; the form warns that missing information may delay processing.
- Signing as a personal representative without printing your name, your relationship to the individual and documentation of your authority.
- Sending the completed form to [email protected], which is only for burden-estimate comments, instead of mailing it to the Evidence Intake Center.
- Mailing the form somewhere other than Veterans Affairs Evidence Intake Center, PO Box 5154, Janesville, WI 53547, which VA requires for timely processing.
- Omitting the VA medical center name(s) or location(s) that issued your PCAFC decision, or the last 4 digits of your SSN, which VA uses to locate records.
Frequently asked questions
What is VA Form 10-306 used for?
VA Form 10-306 asks VA for information about decisions on your application for, or participation in, the Program of Comprehensive Assistance for Family Caregivers (PCAFC). The information may help you decide whether to file a Notice of Disagreement or ask VA to review a decision.
Who can submit the Request for Information (PCAFC Decisions)?
Veterans and caregivers who applied for or participated in PCAFC and want information about previous decisions. Each person completes their own form. A personal representative may sign, with documentation of authority.
What information will VA give me?
For each VA Form 10-10CG application received from you, VA provides decisions, decision dates and copies of decision letters issued to you, to the extent available in CARMA. VA also searches PATS-R for appeals and checks for Caregiver Stipend Program letters.
Can a Veteran get the caregiver's PCAFC decision letters?
No. VA releases information only about the person named in Section I who requests and authorizes it. A Veteran's request will not return letters sent to the Veteran's Family Caregiver(s); the caregiver must submit a separate form.
Where do I mail VA Form 10-306?
Mail it to Veterans Affairs Evidence Intake Center, PO Box 5154, Janesville, WI 53547. The form says submission to this address is required for VA to process your request timely. Do not send it to [email protected].
Is there a deadline to file VA Form 10-306?
The form prints no deadline. You can submit it when you want information about earlier PCAFC decisions, for example before deciding on a Notice of Disagreement. Incomplete forms may be delayed.
Can I fill out VA Form 10-306 online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent, is not affiliated with VA and does not submit the form; you mail it to VA yourself.
Who can sign VA Form 10-306 for someone else?
A personal representative: a power of attorney with authority over health care privacy rights, or a court-appointed legal guardian for personal welfare decisions. Print your name and relationship and include documentation of your authority.
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