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Feel free to use to QR code, hard copy, or the following link:
https://forms.office.com/Pages/ResponsePage.aspx?id=qeUKYsFOoE-GQV2fOGxzCXrEncj3a-xLpGvRpv-AnBtUMFhIN0tVNjY5QkwzRUROQlVXTlBTUTYxUS4u
If you choose to complete the hard copy, please return the survey to the Department of Social Services no later than May 31, 2023.
6373 Northumberland Hwy, Suite A P.O. Box 399 Heathsville, VA 22473
Phone: (804) 580-3477 Fax: (804) 580-5815