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Respite Services and Resources

Photo of woman and caregiverThe Virginia Lifespan Respite Voucher Program was created to provide reimbursement vouchers to home-based family caregivers for the cost of temporary, short-term respite care provided to their family members with disabilities (children and adults, including elderly persons).

This project is supported by a grant, HHS-2014-ACL-AOA-LI-0078, from the Administration for Community Living, Department of Health and Human Services, Washington, DC 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living Policy.

Overview of the Program and Application Form:

Primary family caregivers MUST apply to the program first before requesting reimbursement under this program. The Overview and Application Form highlight how to apply. This program will be to use respite services for future days from the date your application is approved through July 31, 2016. This program cannot reimburse you for respite services you may have already used. This program has four (4) weeks to review your application.

To apply for the Virginia Lifespan Respite Voucher Program:

To apply for the Virginia Lifespan Respite Voucher Program:

Complete the two-part Virginia Lifespan Respite Voucher Application Form and attach proof of the individual's disability/special need see Application Form for a list of acceptable documents). We cannot review your application until both are received. You may apply for voucher funding up to $400 for reimbursement of respite care services, which must be used within 90 days of the date the application is approved. You do not have to use the $400 all at one time; it can be spread out over several periods of respite care (e.g., two or three weekends). For example, you may choose to use $200 to offset the cost of a week-long respite care program, and $200 to reimburse the cost of an individual providing in-home respite for a weekend while you travel out of town. Note that you will only be reimbursed for actual expenses that are documented and submitted to DARS (see below). The Application Form will be reviewed by DARS staff. * You will be contacted within four weeks to inform you of the status of your application. You may be notified by e-mail, phone, or regular U.S. mail.

Once you are approved for the program, you will receive a Virginia Lifespan Respite Voucher Reimbursement Form, a W-9 Form, and a Virginia Lifespan Respite Voucher Satisfaction Survey. These forms will be mailed either physically or electronically with notification of approval of the Application Form. The W-9 Form is required by the Commonwealth in order to issue the reimbursement check; it is not sent to the IRS or any other entity for tax purposes.

To have the forms mailed to you or for information regarding the application or reimbursement process, please contact Liz Havenner by phone toll free at (800) 552-3402 or email at

Respite* is planned or emergency care provided to a child or adult with a special need in order to provide temporary relief to the family caregiver of that child or adult. Respite services may be provided in a variety of settings, on a temporary basis, including the family home, adult day centers, respite centers or residential care facilities. Respite is a key component of family support and home and community based long-term services and supports. Respite services strengthen family systems while protecting the health and well-being of both caregivers and care recipients.

*As defined by the ARCH National Respite Network and Resource Center.

  1. Application and Reimbursement Procedures - Word version Open the file as a Word document   PDF version Open the file as a PDF document

  2. Application Form - Word version Open the file as a Word document   PDF version Open the file as a PDF document

  3. Program FAQ - Word version Open the file as a Word document   PDF version Open the file as a PDF document

  4. Voluntary Caregiver Burden Survey - Word version Open the file as a Word document   PDF version Open the file as a PDF document

Respite/Caregiver Resources

Respite/Caregiver Resource Websites


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Copyright © 2007, All Rights Reserved
Virginia Division for the Aging
of the Department for Aging and Rehabilitative Services
1610 Forest Avenue, Suite 100, Henrico, VA 23229
Phone (local): (804) 662-9333, Toll Free 1-800-552-3402 (Nationwide)
If you have a hearing or speech impairment, use the free Va Relay telephone relay service by dialing 7-1-1.
FAX: (804) 662-9354
WAI Level A Compliant