The VA 10-10 Forms is a series of benefits-related forms issued by the U.S. Department of Veterans Affairs (VA). Fillable versions of the VA 10-10 Forms are available for download below. This series includes eight forms in total:
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive health care benefits program. With the help of this program, the VA shares the cost of covered health care services and supplies with eligible beneficiaries. An individual can apply for VA services and supplies using the CHAMPVA forms. The VA will determine whether the services were medically necessary and if they were received from an authorized provider.
The services under coverage include ambulance service, ambulatory surgery, durable medical equipment, family planning, and maternity, hospice, inpatient services, mental health service, outpatient services, pharmacy (prescription medicines), skilled nursing care, and transplants. To be considered eligible for the CHAMPVA benefits, an individual must be in one of the following categories:
The VA Program of Comprehensive Assistance for Family Caregivers is a clinical program focusing on the needs of both the veteran and the primary and secondary family caregivers. Participation in the program must be in the best interest of the veteran, including consideration of whether this participation contributes to the veteran's rehabilitation and well-being.
The Comprehensive Assistance for Family Caregivers Program is not a VA benefits program. Eligibility is reassessed annually or as needed. When appropriate, the long-term goal is for the veteran to be able to safely meet their own care needs. A person should fill out the Comprehensive Assistance for Family Caregivers Application (VA Caregiver Form 10-10CG) in the following cases:
Use this form to apply for certain health benefits program, shared by the Department of Veterans Affairs (VA) with eligible beneficiaries.
The information provided on this form is used by the VA to determine eligibility for certain medical benefits.
Download this form if you wish to apply for the Program of Comprehensive Assistance for Family Caregivers (PCAFC) maintained by the Department of Veterans Affairs (VA).