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This form is used for maintaining and recording staff information in Virginia.
This form is used for reviewing the appropriateness of continued residence in a special care unit in Virginia.
This Form is used for understanding the rights and responsibilities of residents living in assisted living facilities in Virginia. It provides important information about the rights and expectations of both the residents and the facility staff.
This document is an authorization form required by licensed child day centers in Virginia for the use of non-prescription over-the-counter skin products.
This document provides a suggested format for child day centers in Virginia to draft a written statement about the presence of asbestos in their facility. It is used to ensure compliance with regulations and protect the health and safety of children.
This document provides a suggested format for written statements that cover asbestos requirements in child day centers in Virginia.
This form is used for gathering information about staff members in the state of Virginia.
This Form is used for submitting an initial application to obtain a license to operate a Child Day Center (CDC) in the state of Virginia.
This Form is used for Child-Placing Agencies in Virginia to provide a sworn statement or affirmation.
This Form is used for foster and adoptive parents, as well as adult household members in Virginia, to provide a sworn statement or affirmation.
This form is used for collecting and storing staff information in the state of Virginia.
This Form is used for renewing a license to operate a child-placing agency in Virginia.
This form is used for submitting an initial application to obtain a license to operate a child-placing agency in the state of Virginia. It includes important information and requirements for starting a child-placement agency.
This form is used for contacting the local zoning administrator in Virginia. It helps individuals and businesses communicate with the zoning administrator regarding zoning regulations and permits.
This form is used for creating a checklist of adult members in a household in Virginia.
This form is used for renewing an application for a license to operate a Family Day Home (FDH) in Virginia.
This Form is used for applying for a license to operate a family day home in Virginia.
This form is used for a provider record checklist in Virginia. You can use it to ensure that all necessary information and documentation are included in a provider's record.
This form is used for providing information to parents about a voluntary registration program for family day homes in Virginia.
This form is used for applying for a license to operate a Family Day System (FDS) in Virginia.
This form is used for eligibility communication in Virginia.
This form is used for applying to become a healthcare provider in the state of Virginia.
This document is a communication form used by providers and the Department of Social Services (DSS) in Virginia. It is used to facilitate communication and exchange of information between these parties.
This form is used for applying for fuel assistance in Virginia. It is an application form that residents can fill out to request assistance with their fuel bills.
This form is used for applying for crisis assistance in Virginia.
This document is a formal agreement used in the state of Virginia for providers of auxiliary grants. It outlines the terms and conditions of the agreement between the provider and the state.
This document is for requesting crisis assistance in the state of Virginia. It is available in Spanish.
This type of document is used for adding new members with assistance to the Temporary Assistance for Needy Families (TANF) program in Virginia.
This Form is used for applying for health coverage and financial assistance in Virginia.
This document is used for requesting medical coverage and assistance with the payment of costs for individuals with medical needs in Virginia.
This form is used for renewing applications for Auxiliary Grant (AG), Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF) in Virginia.
This document is for applying for health coverage and financial assistance for medical costs in Virginia for individuals who meet the medically needy spenddown criteria. You can use Appendix E to seek help if you have high medical expenses but don't qualify for regular Medicaid.
This document is a Spanish version of Appendix D - Application for Health Coverage and Help Paying Costs in Virginia. It is used to apply for health coverage and financial assistance with healthcare costs in Virginia.
This form is used for applying for benefits in the state of Virginia. It is used to provide information and documentation to determine eligibility for various assistance programs.