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Family caregiver program decision reviews and appeals

If you disagree with our decision on your Program of Comprehensive Assistance for Family Caregivers (PCAFC) application, you have options to appeal or request a review of the decision. Your options depend on the date we issued your PCAFC decision. Read this page to understand your options and what to do next. 

Options for decisions made on or after February 19, 2019

If you disagree with a decision we made on your application on or after February 19, 2019, you can choose 1 of 4 options. 

Option 1: Supplemental Claim

File a Supplemental Claim if you have new and relevant evidence that we didn’t consider before. We can help you gather any new evidence you identify (such as medical records) to support your claim.

A reviewer will decide if this new evidence changes the decision.

Learn more about Supplemental Claims and how to file

Option 2: Higher-Level Review

Request a Higher-Level Review if you believe there’s an error with the decision on your claim. You can’t submit any new evidence. The deadline for submitting a Higher-Level Review is 1 year from the date on your original decision.

A higher-level reviewer will review your decision again. This reviewer will consider the same evidence that you already submitted.

Learn more about Higher-Level Reviews and how to request a review

Option 3: Board Appeal

Request a Board Appeal if you want a Veterans Law Judge at the Board of Veterans’ Appeals (Board) to review your case. The deadline for requesting a Board Appeal is 1 year from the date on your decision.

When you fill out the form, you’ll need to request the type of review you want from the Board:

  • Direct Review, if you don’t want to submit evidence or have a hearing
  • Evidence Submission, if you want to submit additional evidence without a hearing
  • Hearing, if you want to have a hearing with a Veterans Law Judge (with or without new evidence)

Learn more about Board Appeals and how to request a review

Option 4: Clinical Appeal

Request a Clinical Appeal if you want your VA health care facility’s chief of staff to review the decision. You can submit new medical evidence to support your case.

Learn more about Clinical Appeals and how to request a review 

Options for decisions made before February 19, 2019

Option 1: Board Appeal

Request a Board Appeal if you want a Veterans Law Judge at the Board of Veterans’ Appeals (Board) to review your case. To request a Board Appeal, you'll need to submit a completed Program of Comprehensive Assistance for Family Caregivers (PCAFC) Notice of Disagreement (NOD) (VA Form 10-307).

Get VA Form 10-307 to download

Send your completed form to us at this address:

Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547

Option 2: Clinical Appeal

Request a Clinical Appeal if you want your VA health care facility’s chief of staff to review the decision. You can submit new medical evidence to support your case.

Learn more about Clinical Appeals and how to request a review 

More questions you may have about decision reviews and appeals for the caregiver program

Fill out and submit a Request for Information about Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions (VA Form 10-306). We can provide information to help you decide whether you want to file an appeal or request a review of a past PCAFC decision.

Get VA Form 10-306 to download

A Veterans Service Organization or VA-accredited attorney or agent can help you request a decision review. 

Get help requesting a decision review

Call our Caregiver Support Line at 855-260-3274. We’re here Monday through Friday, 8:00 a.m. to 10:00 p.m. ET, and Saturday, 8:00 a.m. to 5:00 p.m. ET.