Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 620. Regulations Governing Fees for Onsite Sewage Disposal Systems, Alternative Discharge Systems, and Private Wells
6/6/2020

12VAC5-620-100. Determining Eligibility for Waiver Based on Family Income.

A. An owner seeking a waiver of an application fee shall request the waiver on the application form. The department will require information as to income, family size, financial status and other related data. The department shall not process the application until final resolution of the eligibility determination for waiver.

B. It is the owner's responsibility to furnish the department with the correct financial data in order to be appropriately classified according to income level and to determine eligibility for a waiver of an application fee. The owner shall be required to provide written verification of any employment or nonemployment income such as check stubs, written letter from an employer, W-2 forms, or other documentation acceptable to the department in order to provide documentation for the application.

C. The proof of income must reflect current income that is expected to be available during the next 12-month period. Proof of income must include, where applicable, name of employer, amount of gross earnings, and pay period for stated earnings. If no pay stub is submitted, a written statement must include the name, address, telephone number, and title of person certifying the income.

Statutory Authority

§§ 32.1-12, 32.1-164, and 32.1-176.4 of the Code of Virginia.

Historical Notes

Derived from VR355-34-03 § 3.3, eff. July 1, 1989; amended, Volume 32, Issue 10, eff. February 12, 2016.

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