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Virginia Department of Social ServicesFinance and Administration Guidelines Manual For LESS (Local Departments of Social Services) May 16, 2002TABLE OF CONTENTS Revision Date 5/16/02 Revisions Summary
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To fill out the Virginia Department of Social Services form, follow these steps: 1. Begin by downloading the form from the official website of the Virginia Department of Social Services.
02
Read the instructions provided with the form carefully to understand the requirements and gather all the necessary information.
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Start filling out the form by entering your personal details such as name, address, contact information, and Social Security number.
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Provide information about your household members, including their names, ages, and relationships to you.
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Answer the questions regarding your income, employment status, and sources of financial support.
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Indicate any additional benefits or assistance programs you are currently receiving.
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If applicable, provide details about your health insurance coverage.
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Sign and date the form to certify the accuracy of the provided information.
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Make copies of all the supporting documents required by the form, such as identification papers, income verification, and proof of residency.
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Submit the completed form and supporting documents to the Virginia Department of Social Services either in person or by mail.
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Keep copies of all the submitted documents for your records.
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Follow up with the department to ensure that your application is processed and to address any additional requirements or requests for information.

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The Virginia Department of Social Services is needed by individuals and families who require assistance with their social and economic well-being. This may include individuals experiencing financial hardship, unemployment, disability, or those in need of child or adult protective services. The department provides various programs and services aimed at promoting self-sufficiency, ensuring child safety and well-being, and assisting vulnerable individuals and families in accessing necessary resources and support.

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