Virginia Department of Social Services Forms

This Form is used for recording the administration of medications in child day programs in Virginia. It is a model form provided by the Virginia Department of Social Services Division of Licensing Programs.

This form is used for appealing decisions made by the State Department of Social Services in Virginia.

This Form is used for requesting a modification to a license for a facility in Virginia when there is a change of location.

This Form is used for the permanent surrender of a child in the state of Virginia. It is an agreement that legally transfers the custody and responsibility of the child to another individual or agency.

This Form is used for voluntary registration of children's records under the Voluntary Registration Program in Virginia.

This document is used for reporting and documenting payments received in the state of Virginia. It is important for record-keeping and tax purposes.

This form is used for Medicaid applicants or recipients residing in an institution in Virginia to provide an affidavit of identity.

This form is used for designating a burial fund in the state of Virginia. It allows individuals to specify how their burial expenses should be paid and who will be responsible for managing the fund.

This form is used for documenting the decision to administer medication in the state of Virginia. It helps to ensure the safe and accurate administration of medication to patients.

This form is used for tracking medication administration in child day programs with multiple children in Virginia.

This Form is used for obtaining permission to participate in swimming and wading activities in the state of Virginia.

This Form is used for outlining the provisions of the Emergency Preparedness and Response Plan in the state of Virginia.

This form is used for recording annual training in the state of Virginia. It helps organizations keep track of the training sessions attended by employees.

This form is used for recording daily attendance in Virginia.

This document is a record used in Virginia to document emergency response drills that have taken place. It helps track and ensure preparedness in case of emergencies.

This form is used for obtaining special permission for a field trip in the state of Virginia.

This form is used for making staffing recommendations for a child with special needs in Virginia. It helps ensure that the child receives the necessary support and care in educational settings.

This Form is used for substitute providers in Virginia to submit their timesheets.

This Form is used for requesting the release of information from the central registry in Virginia. It helps individuals obtain certain records or documents held by the registry.

This form is used for the initial application to obtain a license for a child welfare agency, assisted living facility, or adult day care center in Virginia.

This Form is used for renewing the licensure of a child welfare agency, assisted living facility, or adult day care center in Virginia.

This form is used for obtaining authorization to apply a non-prescription topical skin product in the state of Virginia.

This form is used for obtaining a reference for a caregiver in the state of Virginia.

This form is used for recording and documenting information pertaining to a child in the state of Virginia.

This document provides the necessary paperwork for assistant and substitute providers to complete orientation training in Virginia.

This document is an Emergency Preparedness and Response Plan specific to the state of Virginia. It provides vital information and guidelines for handling and responding to various emergency situations.

This Form is used for obtaining general permission for regularly scheduled trips in the state of Virginia.

This form provides information for parents in Virginia. It covers various topics related to education and important resources for parents.

This Form is used for recording and reporting workplace injuries in the state of Virginia. It is a necessary document for employers to track and maintain accurate records of employee injuries.

This Form is used for declaring liability insurance in the state of Virginia.

This document for completing a waiver of full name and address in a parental placement adoption in Virginia.

This form is used for submitting a claim for the Foster Care Contingency Fund in Virginia.

This Form is used for filing an appeal request for family services in the state of Virginia. It allows individuals to formally request a review of decisions made by the Department of Social Services related to family assistance programs.

This document is used for providing a summary of facts related to family services in the state of Virginia. It provides important information regarding various family services and their key elements.

This Form is used for submitting a 90 Day Transition Plan under the Individualized Learning Program (ILP) in Virginia. It helps outline the steps and goals for a student's transition during the specified time period.

This form is used for creating an Independent Living Transition Plan in the state of Virginia.

This Form is used for determining the permanency planning indicator in Virginia's child welfare system. It helps to identify the best course of action for children in need of permanent homes.

This Form is used for documenting reasonable candidacy for a specific purpose in the state of Virginia.

This form is used for requesting Vemat administration in Virginia due to a change in a child's behaviors.

This form is used for applying for Title IV-E Foster Care and IV-E Medicaid in the state of Virginia.