Legislative Bills – Federal Senate
V.A.V.S. REPORT 2022-2023
Fill out in triplicate. Send two copies to
address listed at right:
Keep one copy for Unit files
Must be postmarked by:
PLEASE PRINT OR TYPE
|NAME OF UNIT | |UNIT NUMBER | |
|CITY | |STATE | |
|TOTAL NUMBER OF SENIOR MEMBERS | |
|LOCATION OF DVA MEDICAL CENTERS | |
|LOCATION OF DVA SATELLITE CLINICS | |
*DVA Certified
1. Certified VA Volunteer Hours ONLY NUMBER HOURS
|Regularly scheduled (R/S) volunteers (Senior members) | | | |
|Sponsored volunteers (non-members) | | | |
| | | | |
|Occasional volunteers (non R/S) | | | |
|TOTAL | | | |
|Number of NEW VA volunteers that were recruited this year | |
2. List and explain Unit Projects and Value of each (one project per line). If additional room is
needed, please use reverse side or attach additional sheet.
| |$ | |
| |$ | |
| |$ | |
|Total…. |$ | |
3. Donations (one project per line). If additional room is needed, please use reverse side or
attach additional sheet. (Examples: DAV Transportation Network, Veterans Writing Project, or Winter Sports Clinic).
| |$ | |
| |$ | |
| |$ | |
|Total…. |$ | |
|TOTAL VALUE OF 2 and 3…………………………………………………………………… |$ | |
|All expenditures must be itemized on back of report or on an attached sheet |
|4. Was a Special Fundraiser held to benefit VAVS? |Yes | |No | |
| Total number of volunteer hours for the program | |Total amount raised |$ | |
If more space is needed to complete this report, please continue on the reverse side or attach additional sheet.
*DVA includes VAMC, VA Outpatient Clinics, VA Hospice, VA Home-Health, VA Nursing Homes, VA Foster Care, VA Vet Centers, National VA Cemeteries, VA Regional Offices. State Veterans’ Homes and Cemeteries if a Memorandum of Understanding (MOU) is in place. Hours must be certified through VAMC.
Submitted by:
Signature of Commander and/or VAVS Chairman
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Briefly explain the program:
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