VA 10-10CG 2016 free printable template

What is VA Form 10-10CG used for To apply for VA s Program of Comprehensive Assistance for Family Caregivers. VA will use the information on this form to assist in determining your eligibility a clinical assessment will also be required. An eligible Veteran may appoint one 1 Primary Family Caregiver and up to two 2 Secondary Family Caregivers. Complete this form to apply Veterans and Servicemembers who do not meet the criteria for VA s Program of Comprehensive Assistance for Family Caregivers...

How to fill out VA 10-10CG

How to fill out VA 10-10CG

1. Obtain a copy of the VA 10-10CG form from the VA website or a local VA office.
2. Fill out your personal information, including name, address, and date of birth.
3. Provide your Social Security number or VA file number.
4. Indicate your health insurance information, including any current or previous coverage.
5. Answer questions related to your military service, including branch, service dates, and discharge status.
6. Complete the section on income information, providing details as required.
7. Review your application to ensure all information is accurate and complete.
8. Sign and date the form before submitting it.
9. Submit the VA 10-10CG form via mail or in person at your local VA facility.

Who needs VA 10-10CG?

1. Veterans seeking healthcare benefits through the Department of Veterans Affairs.
2. Active duty service members transitioning to veteran status.
3. Individuals who need to update their current VA health care enrollment.
4. Eligible family members of veterans who may want to access VA healthcare services.

• What is VA Form 10-10CG used for?
• Is the VA Form 10-10CG accompanied by any other documents?
• How long does it take to fill out the VA 10-10CG Form?
• • What information should be provided on VA Form 10-10CG?
  • Where to send the filled out VA Form 10-10CG?

What is VA Form 10-10CG used for?

The VA Form 10-10CG is the US Department of Veterans Affairs Form, officially called an Application For Comprehensive Assistance for Family Caregivers Program. Veterans or servicemembers should file this form when applying for VA's Program of Comprehensive Assistance for Family Caregivers. VA will require the information given on this form to consider the applicant’s eligibility. By filing this form, a Veteran may appoint one Primary Family Caregiver and up to two Secondary Family Caregivers. Each time it is necessary to appoint a new Caregiver, a new Form 10-10CG must be completed.

Is the VA Form 10-10CG accompanied by any other documents?

In case the applicant is not enrolled in the VA’s health care system or is currently undergoing a medical discharge, they should submit VA Form 10-10EZ "Application for Health Benefits" as a supporting document to the VA 10-10CG form. Enrolled Veterans may submit the Health Benefits Renewal Form (VA 10-10EZR) with their filled out VA Form 10-10CG in order to provide information updates.  

If the form is not being completed by the applicant themselves, it is mandatory that the Power of Attorney or equivalent Representation Documents be attached.

How long does it take to fill out the VA 10-10CG Form?

It should take about 20 minutes to complete the application including the time allotted for reading instructions, gathering the necessary facts and then filling out the form.

What information should be provided on VA Form 10-10CG?

• Personal details about the applying veteran or servicemember (full name, SSN, DOB, gender, place of last treatment, signature, date of completion),

• Information about the primary family caregiver (full name, SSN, DOB, gender, address, relationship to veteran, health insurance, signature)

• Information about the secondary family caregiver (the same details as for the primary caregiver).

Where to send the filled out VA Form 10-10CG?

When fully filled out, the Application Form should be delivered to the following address: Program of Comprehensive Assistance for Family Caregivers Health Eligibility Center

2957 Clairmont Road NE, Ste 200, Atlanta, GA 30329-1647, or it can be brought in person to the local VA Medical Center Caregiver Support Coordinator (CSC)

Instructions and Help about VA 10-10CG

— WE DO WHATEVER WE NEED TO FOR HER. I'D RATHER BE HOME WITH PEOPLE THAT LOVE AND CARE ABOUT HER. THEN I KNOW IF SHE'S GOING TO BE TREATED RIGHT. — JUST BEING AT HOME, HE'S IN A FAMILIAR SURROUNDING. I THINK THAT'S GOOD FOR HIS MENTAL HEALTH. — JUST KNOWING THAT HE'S HERE AND THAT WE CAN STILL SPEND OUR LIFE TOGETHER, I WOULD RATHER HAVE THIS CAREGIVER'S ROLE THAN NOT HAVE HIM AT ALL. — IT'S A BLESSING TO ME TO BE ABLE TO STAND UP AND WORK FOR MY DAUGHTER. — CAREGIVERS DO A WIDE RANGE OF DIFFERENT THINGS. IT CAN RANGE FROM ACTIVITIES OF DAILY LIVING TO SOMETIMES MORE COMPLEX, COGNITIVE TYPES OF ACTIVITIES, SO HELPING SOMEBODY MANAGE THEIR FINANCES, MAKE APPOINTMENTS, MANAGE MEDICATION REGIMENS, PREPARE FOOD, Go SHOPPING. — HEY RICK, LOOK. — OH, THAT'S AN AWARD CEREMONY WHERE WE GOT THE UNIT CITATION. WITH CATHY, I TRY TO PUT MYSELF IN HER PLACE, TOO. IF I WAS HER, YOU KNOW, WOULD I WANT HER TO DO THIS FOR ME? DO I NEED HER TO DO THIS FOR ME? WOULD I WANT TO BE A Little MORE INDEPENDENT? AND WE GET THE APPOINTMENTS, WE MAKE THE APPOINTMENTS, WE WALK HER FROM THE HOUSE OUT TO THE TRUCK, WE GET IN, WE GET TO THE HOSPITAL, AND WE GO TO HER APPOINTMENT. — WHEN YOU VISIT HER, WHAT PROGRESS YOU'RE HAVING, WHAT PROGRESS SHE'S HAVING-- WE HAVE TO REPORT THAT TO STAY LEGALLY HER GUARDIAN. AS FAR AS CONSERVATORSHIP, YOU HAVE TO DEAL WITH ALL BANK STATEMENTS. ALL ACCOUNTS GOT TO BE BALANCED. THAT'S VERY DIFFICULT WHEN YOU'RE DEALING WITH 3 OR 4 DIFFERENT ACCOUNTS. THIS IS A TYPICAL DAY IN MY LIFE: TRYING TO GET STUFF SITUATED AROUND FOR HIM, ESPECIALLY WITH PHARMACY. ONE OF THE BIGGEST CHALLENGES FOR ME IS TO KNOW WHEN TO PULL BACK. SOMETIMES BRIAN NEEDS HELP AND SOMETIMES BRIAN DOESN'T NEED HELP, AND JUST FIGURING OUT WHERE THAT EVEN KEEL IS, AND THAT'S NOT BECAUSE OF BRIAN. SOME OF THAT HAS TO DO WITH ME. YOU'VE GOT--SUNGLASSES ARE IN HERE. — HEY, GOOD MORNING, MR. EDDIE— — GOOD MORNING. — HOW ARE YOU? — PRETTY WOODROW are you Doing NG? — I'M ALL RIGHT. HOW WAS YOUR NIGHT— — IN ORDER TO ACCOMMODATE HIS IMMOBILITY, THE VA INSTALLED A TORCHER LIFT. WE PUT HIM IN A SLING, ATTACH IT TO THE HANGER, AND USE A REMOTE CONTROL TO GET HIM FROM BED TO HIS WHEELCHAIR, FROM HIS WHEELCHAIR TO THE TOILET, TO THE SHOWER. ONE OF THE WAYS THAT WE CAN PROVIDE A BREAK FOR A CAREGIVER IS TO SEND A HOMEMAKER/HOME HEALTH AIDE INTO THE HOME, AND WE PROVIDE 10 HOURS A WEEK OF HOMEMAKER/HOME HEALTH AIDE SERVICES FOR THIS VETERAN AND THE CAREGIVER. THESE ARE FOLKS WHO COME INTO THE HOME AND HELP THIS VETERAN WITH HIS BATH AND HELP DO HIS LAUNDRY AND CHANGE THE BED LINENS AND SO FORTH, WHICH REALLY CAN TAKE A SIGNIFICANT BURDEN OFF OF THE FAMILY CAREGIVER. WE SEND OUR HOME-BASED PRIMARY CARE TEAM INTO THE HOME, SO THE VETERAN HAS HOME VISITS BY PHYSICIAN, SOCIAL WORKER, NURSES, PHYSICAL THERAPIST. — WE TAKE ADVANTAGE OF ALL THESE PROGRAMS. THERE'S A PROGRAM FOR A MOTORIZED WHEELCHAIR, WHICH THEY GAVE US. IT'S AN EXPENSIVE WHEELCHAIR. IT'S ONE THAT SHE CAN ACTUALLY HIT A BUTTON AND...

People Also Ask about

What is the minimum wage for caregivers in California 2022?

If you employ someone in your home to care for yourself or another family member, you must follow California's minimum wage laws. As of 2022, the current minimum wage is $14 per hour for employers with 25 employees or less. The minimum wage increases to $15 per hour on January 1, 2023.

How to apply for caregiver benefits in California?

Visit the California Employment Development Department website to find out which programs you or your loved one qualify for and to file a claim. Decide what services your parents need. Determine what services and funding sources your parents are eligible to receive. Create a personal care agreement.

How does a caregiver get paid in VA?

The PCAFC is the VA's broadest program targeting family caregivers. The program provides family caregivers with a stipend of up to $2,750 per month, in addition to training, counseling, and respite care.

How much are caregivers paid in California?

California Caregivers pays an average hourly rate of $1,864 and hourly wages range from a low of $1,636 to a high of $2,128. Individual pay rates will, of course, vary depending on the job, department, location, as well as the individual skills and education of each employee.

How do I get paid for taking care of a family member in Virginia?

Veteran Aid & Attendance Pension Benefit in VA The A&A Pension can provide up to $3,261 per month to pay for care, including to caregiving family members. A&A is an add-on benefit that requires eligibility for the basic VA pension or survivor pension, as well as meeting a disability requirement.

How do I get paid for taking care of a disabled family member in California?

To be eligible for PFL benefit payments, you must: Be a caregiver for a seriously ill family member. Have paid into State Disability Insurance (noted as "CASDI" on most paystubs) in the past 5 to 18 months. Not have taken the maximum eight weeks of PFL in the past 12 months.

How do you qualify as a caregiver in California?

They also must meet Medi-Cal's tight financial eligibility criteria, which is a complex subject. In 2021, applicants must have a monthly income of less than $1,482, and the value of their “countable resources” cannot exceed $2,000 per individual. Many resources, such as a home and car, are not “countable”.

Can you get paid to take care of your parents in Virginia?

In Virginia, the program is called the Commonwealth Coordinated Care Waiver (CCC Waiver). This program is designed to help offset the costs of various elder care services by paying qualifying family members to do the work, preventing individuals from having to move to facility-based care.

How to become a paid caregiver for a family member in California?

5 Ways to Get Paid as a Family Caregiver in California 1) In-Home Supportive Services. 2) Veteran's Aid & Attendance Pension. 3) Veterans Directed Home and Community Based Services. 4) Long Term Care Insurance. 5) California's Paid Family Leave Act.

How do I become a caregiver for a family member in Virginia?

Call us at 855-488-8440 and ask for help filling out the form. Use the online Caregiver Support Coordinator locator to find a coordinator at your nearest VA health care facility. Contact the VA National Caregiver Support Line by calling 855-260-3274.

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What is VA 10-10CG?

VA 10-10CG is a form used by veterans to apply for and receive health benefits from the Department of Veterans Affairs (VA).

Who is required to file VA 10-10CG?

Veterans who are seeking to apply for health care services through the VA are required to file VA 10-10CG.

How to fill out VA 10-10CG?

To fill out VA 10-10CG, veterans must provide personal information, service details, income information, and any other required documentation as outlined in the form's instructions.

What is the purpose of VA 10-10CG?

The purpose of VA 10-10CG is to determine eligibility for VA health care programs and the level of benefits veterans may receive based on their financial situation.

What information must be reported on VA 10-10CG?

VA 10-10CG requires veterans to report personal identifying information, service information, financial status, and details of any existing health insurance.