Common use of Annual Affidavit Clause in Contracts

Annual Affidavit. 1. The adoptive parent(s) shall submit the Virginia Annual Affidavit for Adoption Assistance to the local department annually, within thirty 30 days of the anniversary date of the effective date for this executed agreement. The annual affidavit shall be signed by at least one of the adoptive parent(s). • When there is only a one-time payment on the adoption assistance agreement and no other payment or services will be received, an annual affidavit is not completed annually (e.g. non-recurring expenses only). • When there is a $0 payment and Medicaid, an annual affidavit is submitted to the local department. 2. The local department shall notify the adoptive parent(s) in writing two months before the annual affidavit is due.