{"data":{"id":"us-va/22vac40-90-30","jurisdiction":"us-va","citation":"22VAC40-90-30","heading":"Sworn statement or affirmation","body":"A. The applicant for licensure shall complete a sworn statement or affirmation upon application for licensure as an assisted living facility.\n\nB. The sworn statement or affirmation shall be completed for all applicants for employment. A model form is available from the department upon request and on the department's website.\n\nC. Any person making a materially false statement on the sworn statement or affirmation shall be guilty of a Class 1 misdemeanor.\n\nD. Further dissemination of the sworn statement or affirmation information is prohibited other than to the Commissioner of the Department of Social Service's representative or a federal or state authority or court as may be required to comply with an express requirement of law for such further dissemination.","path":["Title 22. Social Services","Agency 40. Department of Social Services","Chapter 90. Regulation for Background Checks for Assisted Living Facilities and Adult Day Centers","Part II. The Sworn Statement or Affirmation"],"source_url":"https://law.lis.virginia.gov/admincode/title22/agency40/chapter90/section30/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:53:50Z","sha256":"e1349e1f62071324c2808ba2feb8355a3764d24cd46c18db988371a4b4ff9828","source_id":"us-va-vac","stale":false,"prev":"us-va/22vac40-90-20","next":"us-va/22vac40-90-40"},"notice":"GroundRules: Original legal text. Not legal advice."}