Documents and Forms
All Business Units
Form/Document Name/Title
Number
Description/ Key Word
Date
Business Unit
File Type
Drinking Water, Directory, 41, 46
07/25
DCLS
PDF
Drinking Water, Directory, 41, 46
07/24
DCLS
PDF
Drinking Water, Directory, 41, 46
04/25
DCLS
PDF
Drinking Water, Directory, 41, 46
07/25
DCLS
Excel Doc
Drinking Water, Directory, 41, 46
07/24
DCLS
Excel Doc
Drinking Water, Directory, 41, 46
04/25
DCLS
Excel Doc
Ch 45, Quality Manual, 6968
04/23
DCLS
Word Doc
Ch 45, Quality Manual, 6968
04/23
DCLS
PDF
Ch 45, Internal audit tool, Common findings
03/18
DCLS
PDF
Ch 46, Internet audit tool, Common findings
03/18
DCLS
PDF
Student’s t table with calculator for values >100, MDL, t table, statistics,
02/18
DCLS
Excel Doc
Ch 45, Management Qualifications, 23114
02/18
DCLS
PDF
Anonymous PERK Storage Notification Form (21482)
10/17
DCLS
PDF
Comprehensive PERK Legislation Summary for Health Care Providers (21497)
06/19
DCLS
PDF
Anonymous PERK Storage Extension Request Written Objection to Destruction (27568)
02/19
DCLS
PDF
Initial DOC, Demonstration of Capability
06/23
DCLS
PDF
Drinking Water Corrective Action Form, example, Ch 41
03/20
DCLS
PDF
Records of Temperature Monitoring, Technical Assistance
09/21
DCLS
PDF
MUR 2021 Early Transition Change In Scope Request Form pdf
09/22
DCLS
PDF
MUR 2021 Early Transition Change In Scope Request Form - Word Doc
09/22
DCLS
Word Doc
Internal Audit Tool: Chapter 46 Records Review List
03/23
DCLS
Word Doc
Internal Audit Tool: Chapter 45 Records Review List
03/23
DCLS
Word Doc
Applicability of Materials Specification Testing for Air Quality Compliance guidance
04/12
DCLS
PDF
1VAC30-45 and 1VAC30-46 Applicability of Geotechnical and Engineering Testing guidance
07/10
DCLS
PDF
Kustom Signals Service Bulletin 1765A: Eagle 3 Remote Control Certification Procedure Electronic Tuning Fork ETF
04/24
DCLS
PDF
Notice on Protocol Update for Eagle 3 Electronic Tuning Forks ETF
06/24
DCLS
PDF
Notice Concerning Change in Laboratory Ownership, Ch 46, Change in Ownership, 1VAC30-46-90 C
07/24
DCLS
PDF
Information on Standard Methods Naming, MUR, SM Naming
06/25
DCLS
PDF
MUR 2021 and MUR 2023 Implementation Date Notice
12/24
DCLS
PDF
VELAP, Ch 45, Ch 46, Certificate
07/25
DCLS
PDF
Instructions for Collecting and Submitting Lower Respiratory Specimens to DCLS for Legionella Screening
05/25
DCLS
PDF
Instructions for Collecting and Submitting Lower Respiratory Specimens to DCLS for Legionella Screening
08/24
DCLS
PDF
55083
Respiratory Illness Collection and Submission Instructions 55083
05/24
DCLS
Word Doc
Demonstration of Capability - Eagle 3 Electronic Tuning Fork 55131
06/24
DCLS
PDF
Demonstration of Capability - Eagle 3 Electronic Tuning Fork 55131
06/24
DCLS
Word Doc
DCLS SARS-CoV-2 Sequencing Submission Form 35889
12/21
DCLS
PDF
Vaccine Preventable Diseases (Measles, Mumps, Varicella Zoster Virus) Collection Instructions
11/22
DCLS
PDF
Bordetella pertussis PCR and Bacterial Culture Testing at DCLS - Specimen Collection Instructions
04/25
DCLS
PDF
Bordetella pertussis PCR and Bacterial Culture Testing at DCLS - Specimen Collection Instructions
11/22
DCLS
PDF
Instructions for Collecting and Submitting Sputum Specimens to DCLS
04/25
DCLS
PDF
Instructions for Collecting and Submitting Sputum Specimens to DCLS
11/22
DCLS
PDF
Instructions for Collecting and Submitting Sputum Specimens to DCLS
04/25
DCLS
PDF
Ebola and Marburg Virus Testing & Shipping Instructions
06/23
DCLS
PDF
DGS-30-214
Transmittal Form - Supplemental Construction Pool Funds
07/22
DEB
Excel Doc
DGS-30-600
EO 45 Existing Building/Structure Market Value Worksheet
10/24
DEB
Excel Doc
DGS-30-379
Supplemental General Conditions Requiring Project Labor Agreements
04/21
DEB
PDF
Control Charts; Control Limits, Technical Assistance
11/14
DCLS
PDF
Instructions for the Submission of Stool Specimens - Spanish
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Urdu
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Arabic
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Amharic
02/22
DCLS
PDF
17-Systems and Information Integrity Policy v2.1
01/01
DO
PDF
Instructions for Completing DCLS Test Request Form
09/22
DCLS
PDF
Drinking Water Corrective Action Form, Ch 41
11/19
DCLS
Word Doc
Newborn Screening Order Form (Midwives and Primary Care Providers Only)
07/25
DCLS
Word Doc
Newborn Screening Order Form (Midwives and Primary Care Providers Only)
06/23
DCLS
Word Doc
instructions for collecting drinking water samples
02/24
DCLS
Word Doc
DGS-30-907
Form to request permission to hold an event or fundraiser in the common area of a DGS facility.
04/25
DREFM-BFM
PDF
DGS-30-907
Form to request permission to hold an event or fundraiser in the common area of a DGS facility.
05/18
DREFM-BFM
PDF
DGS-30-907
Form to request permission to hold an event or fundraiser in the common area of a DGS facility.
10/18
DREFM-BFM
PDF
DGS-30-010
CO-2a
07/11
DEB
Word Doc
Instructions for the Submission of Stool Specimens
01/23
DCLS
Word Doc
Directory of Laboratories Certified to Perform Tuning Fork Certifications.
12/24
DCLS
PDF
Directory of Laboratories Certified to Perform Tuning Fork Certifications.
10/23
DCLS
PDF
DGS-30-378
─
07/20
DEB
PDF
DGS-30-378
─
06/17
DEB
PDF
DGS-30-128
CO-13.1c
10/24
DEB
Word Doc
DGS-30-124
CO-13.1b-TWR
12/17
DEB
Word Doc
DGS-30-132
CO-13.1-TWR
10/24
DEB
Word Doc
DGS-30-140
CO-13.2a
10/18
DEB
Word Doc
DGS-30-463
CO-9CM(ER)
02/22
DEB
Word Doc
DGS-30-463
CO-9CM(ER)
07/20
DEB
Word Doc
DGS-30-463
CO-9CM(ER)
04/15
DEB
Word Doc
DGS-30-461
CO-9CM(1)
07/22
DEB
Word Doc
DGS-30-461
CO-9CM(1)
07/20
DEB
Word Doc
DGS-30-461
CO-9CM(1)
04/15
DEB
Word Doc
DGS-30-370
─
04/15
DEB
Word Doc
OFMS-1
OFMS-1 Request to lease, purchase or change class of a state-owned vehicle.
03/19
OFMS
Excel Doc
OFMS-1
OFMS-1 Request to lease, purchase or change class of a state-owned vehicle.
11/15
OFMS
Excel Doc
OFMS-1
OFMS-1 Request to lease, purchase or change class of a state-owned vehicle.
03/18
OFMS
Excel Doc
DGS-30-299
─
07/14
DEB
Word Doc
DGS-50-TeleQ&A
Telecommunications Provider Questionnaire
01/20
DRES
PDF
Certification of Laboratories Testing for Cryptosporidium under 1VAC30-41
06/14
DCLS
PDF
Final Regulation Publication and Major Changes: Repeal of 1VAC30-40 and Addition of 1VAC30-41
03/14
DCLS
PDF
1VAC30-41
08/24
DCLS
PDF
Drinking Water Proficiency Testing Timeline Update
12/10
DCLS
PDF
Drinking Water Certification Application
03/23
DCLS
Word Doc
DGS-32-002
Parking Request Carpool Attachment
04/25
DREFM-BPBA
PDF
DGS-32-002
Parking Request Carpool Attachment
09/16
DREFM-BPBA
PDF
DGS-32-002
Parking Request Carpool Attachment
08/20
DREFM-BPBA
PDF
DGS-32-002
Parking Request Carpool Attachment
08/20
DREFM-BPBA
PDF
Chemistry Instrumentation and Equipment Form
02/15
DCLS
Word Doc
DGS-30-909
ID & Building Access Form for State Employees
02/25
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
09/12
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
02/20
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
10/20
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
06/21
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
12/19
DREFM-BPBA
PDF
DGS-30-909
ID & Building Access Form for State Employees
04/24
DREFM-BPBA
PDF
Chemistry Instrumentation and Equipment Form
02/15
DCLS
PDF
DGS-32-006
Non-State Employee ID & Building Access Application
04/25
DREFM-BPBA
PDF
DGS-32-006VITA
Identification and Building Access Card Application for VITA Employees & Contractors
04/25
DREFM-BPBA
PDF
DGS-32-006VITA
Identification and Building Access Card Application for VITA Employees & Contractors
11/11
DREFM-BPBA
PDF
DGS-32-006VITA
Identification and Building Access Card Application for VITA Employees & Contractors
08/20
DREFM-BPBA
PDF
DGS-32-006VITA
Identification and Building Access Card Application for VITA Employees & Contractors
08/20
DREFM-BPBA
PDF
DGS-32-006VITA
Identification and Building Access Card Application for VITA Employees & Contractors
04/24
DREFM-BPBA
PDF
DGS-32-009
Building Access Transactions Report Request
04/25
DREFM-BPBA
PDF
DGS-32-009
Building Access Transactions Report Request
04/11
DREFM-BPBA
PDF
DGS-32-009
Building Access Transactions Report Request
08/20
DREFM-BPBA
PDF
DGS-32-009
Building Access Transactions Report Request
08/20
DREFM-BPBA
PDF
Mail Security Contact Sheet - Properties not on Capitol Square
01/17
SMS
PDF
Mail Security Contact Sheet for Properties on Capitol Square
01/17
SMS
PDF
Repeat Findings Technical Assistance Document
07/16
DCLS
PDF
Standard Methods Naming Technical Assistance
04/13
DCLS
PDF
Distillation Variance Technical Assistance
03/14
DCLS
PDF
Information Notice - Drinking Water Certification and VELAP
07/16
DCLS
PDF
Reapplication for Certification or Accreditation Guidance Document
07/16
DCLS
PDF
Onsite Assessment Closure 1VAC30-45 and 1VAC30-46
04/19
DCLS
PDF
VELAP 40CFR136 Table 1B Fixed Limits Table
02/16
DCLS
PDF
Onsite Assessment Corrective Action Plan Form-word document
03/18
DCLS
Word Doc
Onsite Assessment Corrective Action Plan Form-pdf
03/18
DCLS
PDF
Onsite Assessment Corrective Action Plan Cap Form-Sample
10/18
DCLS
PDF
Information and Fees for Adding Fields of Cert, Change in Scope, FAQ
07/25
DCLS
PDF
Information and Fees for Adding Fields of Cert, Change in Scope, FAQ
07/24
DCLS
PDF
Chapter 46 Lab Management Qualifications Form-word document
04/22
DCLS
Word Doc
Chapter 46 Lab Management Qualifications Form
04/22
DCLS
PDF
DGS 44-012 (Annex B)
Surplus Property Transfer Document DGS-44-012 (Annex 12-B)
03/17
OSPM
PDF
Policies and Procedures for the Use of DGS-Maintained Facilities
02/17
DREFM-BFM
PDF