TITLE 22. SOCIAL SERVICES
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, Department for Aging and Rehabilitative Services, 5620 Cox Road, Glen Allen, VA 23060, telephone (804) 662-7093, fax (804) 662-7663, or email charlotte.arbogast@dars.virginia.gov.
FORMS (22VAC30-80)
Auxiliary Grant Provider Agreement, 032-02-747-09 (rev. 8/2024)
Auxiliary Grant Certification, 032-02-0745-14-eng (rev. 6/2021)
Auxiliary Grant Provider Agreement, 032-02-747-09 (rev. 3/2026)
Auxiliary Grant Certification, 032-02-0745-14-eng (rev. 3/2026)
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. R26-8617; Filed March 19, 2026