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Va sworn statement form

Va sworn statement form 2026

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The document is a sworn statement or affirmation form required by the Department of Social Services for individuals involved in child day programs in Virginia. It collects personal information and requires disclosure of any criminal convictions or founded complaints of child abuse or neglect, both within and outside Virginia. The form emphasizes the legal obligation to provide truthful information, outlines who must comply with this requirement, and details the consequences of failing to submit the statement or providing false information.

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Click ‘Get Form’ to open the VA Sworn Statement form in the editor.
Begin by filling in your personal information, including your last name, first name, middle name, and maiden name. Ensure that you provide your current mailing address accurately.
Indicate whether you have lived outside of Virginia in the past five years by selecting 'Yes' or 'No.' If 'Yes,' specify the state(s) where you resided.
Answer the four questions regarding any criminal convictions or founded complaints of child abuse or neglect. For each question, select the appropriate response and provide details if applicable.
Affirm that the information provided is true and complete by signing and dating the form at the bottom.

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2017	4.8 Satisfied (50 Votes)

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What is VA form 3288 used for?

You can use VA Form 3288 to request a copy of your claims file. You can also use Form 3288 to request other medical records not in your claims file.

What is the VA form for making a statement?

If you would like to submit an additional statement on your own behalf or if you have more than one witness writing on your behalf, use a separate form (VA Form 21-10210) for each statement.

What is VA Form 21 10210 used for?

When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claimor the claim of another Veteran or eligible family member. People also sometimes call this statement a buddy statement.

What is VA form 2237 used for?

What form is used when turning in excess furniture or equipment? Excess is processed via VA Form 2237 (Request, Turn-In and Receipt for Property or Services) which can be found on VA Forms.

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