The Family Violence Option (FVO), a provision of the 1996 welfare legislation, allows states to waive certain program requirements for domestic violence (DV) survivors in order to protect them from danger or penalties. The absence of a standardized method for assessing risk and impact has been an impediment to states’ use of the FVO, particularly in the granting of waivers. The purpose of this study was to address this limitation by developing and testing a risk and impact assessment tool for DV survivors applying for waivers under the FVO. Therefore, a collaborative effort between state administrators and researchers was formed which included input from welfare staff and DV advocates. Background research included reviews of validated risk assessments and FVO policies, as well as primary data from focus groups and surveys with staff from the state human services organization, county welfare agencies, and DV organizations. A tool was then created with 131 questions covering demographics, abuse experiences, partner access and risk, perceptions of safety, and emotional health, and piloted in four counties. Two hundred and thirty-seven completed assessments were analyzed using descriptive statistics, principal component analysis, and feedback from assessors. The final tool (n= 95 items) was informed by validated evidence and frontline practice wisdom, recommended to improve FVO utilization and survivor outcomes. From this study, the authors recommend that other states seeking changes to their FVO risk assessment policy and practice explore collaborative partnerships between practitioners and researchers in order to make decisions informed by best practices and systematic research. They should also pursue cross departmental training of risk assessment tools to prevent a siloed approach to FVO implementation.