{"data":{"id":"us-va/22vac40-191-110","jurisdiction":"us-va","citation":"22VAC40-191-110","heading":"Describing the contents of a waiver application","body":"A. The waiver application is a personally prepared application.\n\nB. The waiver application must be submitted in typewritten form or neatly printed and include:\n\n1. A statement that the request was solely and personally prepared by the requester and has not been edited or changed by anyone else. The document may be typed by another person;\n\n2. A statement that the requester understands that the waiver will be available for inspection by the public and that the facility will provide a copy of the waiver to every parent and guardian if the waiver is granted;\n\n3. A statement that the requester understands that information in the waiver application package will be made available by the commissioner to any person upon request if the waiver is granted;\n\n4. Personal and employment information;\n\n5. A factual account of the crime of the person with the disqualifying conviction;\n\n6. The current status and history with justice systems of the person with the disqualifying conviction;\n\n7. Other information the person with the disqualifying background wants the commissioner to consider in evaluating the waiver request;\n\n8. An explanation of why the waiver should be granted; and\n\n9. Seven attachments:\n\na. A nonrefundable check, made payable to the \"Treasurer of Virginia,\" for waiver application processing;\n\nb. For the person with the disqualifying conviction:\n\n(1) A \"Current Employment and Employment History Form\";\n\n(2) A copy of the current sworn statement or affirmation;\n\n(3) A copy of the current criminal history record report;\n\n(4) A copy of all necessary documents verifying the person's statements regarding past and current involvement with adult or juvenile justice systems within or outside the Commonwealth;\n\n(5) At least four references by disinterested individuals who will vouch for the \"good moral character and reputation\" of the person with the disqualifying conviction;\n\n(6) The Sponsoring Agency Statement; and\n\n(7) A notarized signature page.","path":["Title 22. Social Services","Agency 40. Department of Social Services","Chapter 191. Background Checks for Child Welfare Agencies"],"source_url":"https://law.lis.virginia.gov/admincode/title22/agency40/chapter191/section110/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:53:59Z","sha256":"96bc692ae977e1fdb5f2e2f8e46cc291bc671c89057eb8b785e19f52ce9112f4","source_id":"us-va-vac","stale":false,"prev":"us-va/22vac40-191-100","next":"us-va/22vac40-191-120"},"notice":"GroundRules: Original legal text. Not legal advice."}