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County City DSS - Virginia Department of Social Services

County City DSS - Virginia Department of Social Services 2025

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4.9 out of 5

56 votes

The document is an application form from the Commonwealth of Virginia's Department of Social Services, allowing individuals to apply for various assistance programs such as Auxiliary Grants, Refugee Cash Assistance, and Temporary Assistance for Needy Families (TANF). It provides detailed instructions on completing the application, including sections for personal information, household composition, income, resources, and specific program requests. The document emphasizes the importance of providing accurate information and outlines the consequences of providing false information. Additionally, it includes guidelines for reporting changes in circumstances and details about civil rights protections against discrimination.

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Click ‘Get Form’ to open the County City DSS application in the editor.
Begin by completing SECTION A: APPLICANT INFORMATION. Fill in your name, address, and contact details accurately.
Move to SECTION B: HOUSEHOLD COMPOSITION. List all individuals living in your home, including their relationship to you and relevant personal details.
In SECTION C: INCOME, provide information about any income sources for everyone applying. Be thorough to ensure eligibility.
Complete SECTION D: RESOURCES if not applying solely for TANF. Include details about assets like bank accounts and property.
Depending on the assistance requested, fill out the appropriate sections (E, F, G, or H) as indicated in the form.
Finally, review all sections for accuracy before signing and dating the application at the end.

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Versions	Form popularity	Fillable & printable
2022	4.9 Satisfied (56 Votes)
2009	4.7 Satisfied (38 Votes)

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What is the Virginia Department of Social Services?

The Virginia Department of Social Services (VDSS) is a state supervised and locally administered social services system. Providing oversight and guidance to 120 local offices across the state, VDSS delivers a wide variety of services and benefits to over 2.2 million Virginians each year.

What are the regions of the DSS in Virginia?

VIRGINIA DEPARTMENT OF SOCIAL SERVICES VDSS has five regional offices: the Northern Virginia Office in Warrenton; the Eastern Office in Norfolk; the Central Office in Henrico; the Piedmont Office in Roanoke; and the Western Office in Abingdon.

How can I check my Virginia Medicaid status?

To check your status, you can log in to your account at commonhelp.virginia.gov by clicking the Check My Benefits button or call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590).

Why would the Virginia Department of Health call me?

For a list of people you were with and places you have been within 48 hours of symptoms beginning. Note: The Department of Health will be persistent in attempting to contact you as they work to protect the health of all Virginians. You can expect multiple calls until you are docHubed.

What does the Virginia Department of Social Services do?

The Virginia Department of Social Services promotes the development of healthy families and protects the Commonwealths children from abuse and neglect with programs such as Child Protective Services and Domestic Violence Prevention.