VA Form 10-307: PCAFC Notice of Disagreement

VA Form 10-307: PCAFC Notice of Disagreement – If you or your family caregiver received a Program of Comprehensive Assistance for Family Caregivers (PCAFC) decision from the VA before February 19, 2019, and you disagree with it, VA Form 10-307 is the specific Notice of Disagreement (NOD) you need to file an appeal. This form allows eligible veterans and caregivers to challenge decisions related to PCAFC eligibility, applications, revocations, stipends, and more.

This comprehensive guide explains everything you need to know about VA Form 10-307, including how to complete it, where to send it, and your appeal options. Accurate information from official VA sources can help you protect your benefits.

Download VA Form 10-307 here: Download VA Form 10-307 (PDF) (Revised July 2022, OMB Control No. 2900-0894).

What is VA Form 10-307?

VA Form 10-307, officially titled Program of Comprehensive Assistance for Family Caregivers (PCAFC) Notice of Disagreement (NOD), is a specialized form used exclusively to appeal PCAFC decisions issued prior to February 19, 2019.

PCAFC provides stipends, health care, training, and support to eligible family caregivers of veterans with serious injuries or illnesses. Decisions can include initial application approvals/denials, tier/stipend levels, revocations, or discharges. If you disagree with any such pre-2019 decision, this form initiates the appeal process to the Board of Veterans’ Appeals.

Important note: Do not use this form for PCAFC decisions issued on or after February 19, 2019. Different processes and forms (such as VA Form 10182) apply for newer decisions.

Who Should Use VA Form 10-307?

You should complete VA Form 10-307 if:

  • You applied for or participated in PCAFC.
  • You received a PCAFC decision issued before February 19, 2019.
  • You disagree with that decision (e.g., denial of application, revocation of benefits, or disagreement with stipend tier).

This includes the veteran, the primary or secondary family caregiver, or their authorized representative. Both the veteran and caregiver signatures are encouraged but not always required.

If you need details about your specific PCAFC decisions before filing, request them using VA Form 10-306 (Request for Information About PCAFC Decisions).

PCAFC Appeal Options: Pre- vs. Post-February 19, 2019 Decisions

The appeal process changed significantly after February 19, 2019. Understanding the cutoff date is critical for using the correct form and route.

Pre-February 19, 2019 Decisions (Legacy Appeals)

  • Use VA Form 10-307 to file a Notice of Disagreement.
  • Submit to the Veterans Affairs Evidence Intake Center.
  • This leads to a Statement of the Case (SOC) and potential appeal to the Board of Veterans’ Appeals.

Post-February 19, 2019 Decisions

  • Options include: VHA Clinical Review Process, Supplemental Claim, Higher-Level Review, or direct Board Appeal using VA Form 10182.
  • One-year deadline typically applies from the date of the decision notice.

Always verify the exact date on your decision letter.

How to Fill Out VA Form 10-307 Step by Step?

Follow the form’s built-in instructions carefully. Estimated completion time is 30 minutes.

Part I – Veteran Information

Provide the veteran’s full name, last four digits of SSN, mailing address, and telephone number.

Part II – Caregiver Information

Provide the caregiver’s full name, last four digits of SSN, mailing address, and telephone number.

Part III – Specific Issues of Disagreement

  • Box 9: Enter the exact date (MM/DD/YYYY) of the PCAFC decision you disagree with. Use a separate form for each decision date.
  • Box 10: Select applicable areas (Application Determination, Revocation/Discharge, Tier/Stipend Amount, or Other).
  • Box 11: Explain clearly why you disagree. Attach supporting evidence or additional pages.
  • Box 12: Note if you attached extra pages.

Part IV – Certification and Signature

Sign and date the form. Veteran and/or caregiver (or authorized representative/alternate signer) should sign. Provide reasons if both signatures are not included. Include VA Form 21-0972 if an alternate signer is used.

Tips for Success:

  • Be specific and concise in your disagreement explanation.
  • Attach all supporting medical records, statements, or evidence.
  • Keep a copy of everything you submit.
  • Review for completeness to avoid delays.

Where to Submit VA Form 10-307?

Mail the completed form to:
Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547

You may also pursue the VHA Clinical Review Process as an additional or alternative option for review.

Deadlines, Common Questions, and Helpful Tips

  • There is generally a one-year deadline from the date VA mailed the decision notice to file the NOD.
  • Submit separate forms for decisions on different dates.
  • Contact the Caregiver Support Line at 1-855-260-3274 for questions.
  • Consider working with a Veterans Service Officer (VSO), accredited attorney, or claims agent for assistance. Search VA’s accreditation database for help.

Keep detailed records and respond promptly to any VA requests for clarification (within 60 days).

Additional Resources for PCAFC Appeals

Filing VA Form 10-307 correctly is an important step in seeking the benefits you deserve under the PCAFC program. If your situation involves a more recent decision or you need personalized advice, reach out to the Caregiver Support Line or a qualified veterans advocate promptly.

This article is for informational purposes only and is based on official VA resources. Always verify the latest information directly from va.gov, as rules and forms can be updated.