Information and frequently asked questions
Who fills it out, where to get help, what to do when finished, the mailing address, keeping a copy, and a note on answering VA requests for clarification within 60 days.
10-307
Notice of Disagreement (PCAFC Decisions)
- Agency
- VA
- Revision
- July 2022
- Fillable fields
- 24
- Pages
- 3
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 10-307: Notice of Disagreement (PCAFC Decisions)
VA Form 10-307 is the U.S. Department of Veterans Affairs Notice of Disagreement (NOD) for the Program of Comprehensive Assistance for Family Caregivers (PCAFC). The form says to use it only for a PCAFC decision issued prior to February 19, 2019, and not to use it to appeal a PCAFC decision issued on or after February 19, 2019.
The form says it is for people who applied for or participated in PCAFC, disagree with a decision VA issued before that date and would like to initiate an appeal. It names an initial VA Form 10-10CG application decision, a decision that someone is no longer eligible to participate, or any other PCAFC decision. For anyone who needs more information about their PCAFC decisions first, it points to VA Form 10-306.
The form is three pages: frequently asked questions, instructions for each part, then Parts I to IV for Veteran information, caregiver information, the specific issues of disagreement and the certification and signatures. You can fill out the PDF free in your browser on this page and download the result without an account.
What's on VA Form 10-307
Parts I and II: Veteran and caregiver
Names, the last 4 digits of each Social Security number, mailing addresses and telephone numbers for the Veteran and for the caregiver.
Part III: specific issues of disagreement
Box 9 is the date of the decision. Box 10 is the area of disagreement: Application Determination, Tier/Stipend Amount, Revocation/Discharge or Other. Box 11 explains why, and Box 12 counts any added pages.
Part IV: certification and signature
Veteran signature and date in 13A and 13B, caregiver signature and date in 14A and 14B, the names of anyone signing for them in 13C and 14C, and the reason in Box 15 if both signatures are not provided.
Penalty and privacy notices
The Paperwork Reduction Act and Privacy Act statements, an estimated 30 minutes to complete the form, and the penalty for the willful submission of any statement or evidence of a material fact knowing it to be false.
How to file VA Form 10-307
- 1
Check the decision date
The form is only for decisions issued prior to February 19, 2019. The instructions say not to enter today's date in Box 9, and to submit a different form for each decision date.
- 2
Fill in Parts I and II
Enter the identifying information for the Veteran and the caregiver.
- 3
List each disagreement
Select every area that applies in Box 10. Box 11, or separate pages, can briefly and clearly explain why VA's decision is seen as incorrect.
- 4
Sign Part IV
Sign in ink. If only one person signs, give the reason in Box 15. A representative or alternate signer prints a name and relationship.
- 5
Attach, copy and mail
Attach any materials that support and explain the NOD, keep a copy of everything, and mail it to the Veterans Affairs Evidence Intake Center in Janesville, WI.
Why fill Form 10-307 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the VA, not a copy someone retyped
- Works on a phone, tablet or computer
Where to send it and getting help
Mailing address
Veterans Affairs Evidence Intake Center, PO Box 5154, Janesville, WI 53547.
Help with the form
The form lists the Caregiver Support Line at 1-855-260-3274 for questions about the information being requested.
Clarification requests
The form asks for a response to any VA request for clarification within 60 days. Without a timely response, and if VA cannot identify the decision, the form will not be considered a NOD.
Edition
The PDF footer is dated JUL 2022, while VA's form page lists an October 2021 revision date. The form prints OMB Control Number 2900-0894 with an expiration date of 07/31/2025.
Related forms
10-306
Request for Information (PCAFC Decisions)
11 fields, 2 pages
10-10CG
Application for Comprehensive Assistance for Family Caregivers Program
87 fields, 6 pages
21-22
Appointment of Veterans Service Organization as Claimant’s Representative
63 fields, 4 pages
21-22a
Appointment of Individual As Claimant’s Representative
90 fields, 3 pages
21-0972
Alternate Signer Certification (VA Form 21-0972)
49 fields, 3 pages
Who uses VA Form 10-307?
The form and its instructions describe who files and who signs.
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Questions about Form 10-307
Can VA Form 10-307 be used for any PCAFC decision?
No. The form says to use it only for a PCAFC decision issued prior to February 19, 2019, and not to appeal a PCAFC decision issued on or after February 19, 2019.
Which areas of disagreement can be selected?
Box 10 lists Application Determination, Tier/Stipend Amount, Revocation/Discharge and Other, and the instructions give an example of when each one applies.
Do both the Veteran and caregiver need to sign?
The form says it is not necessary for both to sign, but doing so may help VA process the request faster. If only one person signs, Box 15 gives the reason.
What about decisions from different dates?
The instructions say to submit a different form for each decision date.
How can I find out which decisions VA made?
The form points to VA Form 10-306, Request for Information about PCAFC Decisions, and suggests submitting it before this NOD so you know what specific decisions you may want to appeal.
What if the form is not signed?
The form says VA will return it for a signature, and it may take longer to process.
Where do I mail VA Form 10-307?
Veterans Affairs Evidence Intake Center, PO Box 5154, Janesville, WI 53547.