REGULATIONS
Vol. 41 Iss. 3 - September 23, 2024

TITLE 22. SOCIAL SERVICES
DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES
Chapter 80
Forms

TITLE 22. SOCIAL SERVICES

DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES

Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, General Assembly Building, 201 North Ninth Street, Fourth Floor, Richmond, Virginia 23219.

Title of Regulation: 22VAC30-80. Auxiliary Grants Program.

Agency Contact: Charlotte Arbogast, Regulatory Coordinator, Department for Aging and Rehabilitative Services, 8004 Franklin Farms Drive, Henrico, VA 23229, telephone (804) 662-7093, FAX (804) 662-7663, or email charlotte.arbogast@dars.virginia.gov.

FORMS (22VAC30-80)

Auxiliary Grant Provider Agreement, 032-02-0747-08 (rev. 8/2019)

Auxiliary Grant Provider Agreement, 032-02-747-09 (rev. 8/2024)

Auxiliary Grant Certification, 032-02-0745-14-eng (rev. 6/2021)

Auxiliary Grant Program Statement of Virginia Residency and Intent to Remain in Virginia, 032-02-0749-01-eng (rev. 5/2018)

Auxiliary Grant Certification - Supportive Housing, 032-15-0012-04-eng (rev. 8/2021)

VA.R. Doc. No. R25-8061; Filed September 03, 2024