Virginia Department of Social Services Forms

This Form is used for creating a safety plan in the state of Virginia. It helps individuals and organizations outline measures to prevent accidents, ensure workplace safety, and protect public health and welfare.

This document is used for obtaining consent to release confidential information in the context of Family Group Conferencing in the City of Alexandria, Virginia.

This form is used for requesting a change in the method of issuance for certain documents or services in the state of Virginia.

This form is used for filing a public disclosure statement for religiously exempt child day centers in Virginia.

This form is used to authorize the settlement of vendor payments in the state of Virginia.

This document provides a report on the attendance of vendors at an event in Virginia. It helps track the participation of vendors and their presence at the event.

This form is used for certifying the value of donations made to the Neighborhood Assistance Program in Virginia.

This form is used for certifying or reporting the proceeds received from the Neighborhood Assistance Program in Virginia.

This Form is used for reporting pharmacist services contribution data for the Neighborhood Assistance Program in Virginia.

This Form is used for recording contribution data for medical and mediation services provided under the Neighborhood Assistance Program in Virginia.

This form is used for capturing contribution data for the Neighborhood Assistance Program in Virginia.

This form is used for participating in the Neighborhood Assistance Program in Virginia and determining the tax credit percentage agreement.

This document is a fingerprint card that is used in the state of Virginia for various purposes such as background checks, employment applications, and licensing requirements. It provides instructions on how to properly fill out the card and submit it to the appropriate authorities.

This Form is used for applying for a license to operate a Children's Residential Facility in Virginia.

This document provides a summary of your account activity and balances for a three-month period in Virginia. It includes details about your transactions, payments, and current account balance.

This document provides a suggested format for child day centers in Virginia to use when writing their asbestos statement. It helps them comply with regulations and ensure the safety of children in their care.

This document is a request for background check portability in Virginia. It is used to transfer central registry and criminal information for individuals.

This document provides a checklist for parents in Virginia to ensure compliance with ICPC Regulation 4, which pertains to the interstate placement of children.

This form is used for a Family Service Agreement in Virginia. It is written in Spanish.

This Form is used for applying for benefits in the state of Virginia.

This type of document is a Spanish language form used to apply for benefits in Virginia.

This document is a Title IV-E Foster Care and Medicaid Evaluation form specific to the state of Virginia. It is used to assess the effectiveness of the foster care and Medicaid programs in Virginia.

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

This form is used for applying to the Elderly Simplified Application Project (ESAP) in Virginia. It is specifically designed for elderly individuals to simplify the application process for benefits and services.

This document is used in Virginia to swear under oath that certain information will not be disclosed to others. It is often used in legal proceedings to protect sensitive or confidential information.

This Form is used for authorizing direct deposit in Virginia.

This Form is used for reporting the status of payments in the state of Virginia. It is available in English and is intended for Spanish speakers.

This document is for individuals and organizations interested in becoming vendors for the Child Care Subsidy Program in Virginia. It provides information on how to apply and become a registered vendor in order to provide childcare services to eligible families.

This document is a vendor agreement for child care centers participating in the Child Care Subsidy Program in the state of Virginia.

This Form is used for applying for fuel assistance in the state of Virginia. It helps eligible residents with their heating costs during the winter months.

This form is used for applying for crisis assistance in the state of Virginia. It is available in English.

This form is used for reporting changes in the state of Virginia.