Form 032-05-0800-04-ENG Sworn Statement or Affirmation for Applicants for Assisted Living Facility Licensure - Virginia

Form 032-05-0800-04-ENG Sworn Statement or Affirmation for Applicants for Assisted Living Facility Licensure - Virginia

What Is Form 032-05-0800-04-ENG?

This is a legal form that was released by the Virginia Department of Social Services - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 032-05-0800-04-ENG?
A: Form 032-05-0800-04-ENG is a Sworn Statement or Affirmation for Applicants for Assisted Living Facility Licensure in Virginia.

Q: Who needs to fill out this form?
A: Applicants for Assisted Living Facility Licensure in Virginia need to fill out this form.

Q: What is the purpose of this form?
A: The purpose of this form is to provide a sworn statement or affirmation from the applicant for assisted living facility licensure in Virginia.

Q: Is this form required for all applicants?
A: Yes, all applicants for assisted living facility licensure in Virginia are required to fill out this form.

Q: What information do I need to provide on this form?
A: You will need to provide information such as your name, contact information, criminal history, and relevant experience in the assisted living field.

Q: What happens after I submit this form?
A: After submitting this form, the Virginia Department of Social Services will review your application and determine whether to grant you a license for your assisted living facility.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Virginia Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 032-05-0800-04-ENG by clicking the link below or browse more documents and templates provided by the Virginia Department of Social Services.

Download Form 032-05-0800-04-ENG Sworn Statement or Affirmation for Applicants for Assisted Living Facility Licensure - Virginia

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