http://www.hcjfs.hamilton-co.org/

Forms

Send forms to:

Most forms can be mailed to:

Hamilton County Job and Family Services
222 E. Central Parkway
Cincinnati, OH 45202

or faxed to (513) 946-1076.
Forms can be faxed for free from any branch of the Public Library of Cincinnati and Hamilton County.

Commonly used forms:

HCJFS 0025 - Call 211
HCJFS 0025 - SPANISH VERSION - Call 211
HCJFS 0404 - Request for Withdrawal/Waiver of Application
HCJFS 0464 - Service Information
HCJFS 0464 - Service Information - SPANISH VERSION
HCJFS 0531 - Birth Verification
HCJFS 0552 - Emancipation Questionnaire
HCJFS 1553 - Student Verification
HCJFS 1618 - Absent Parent Questionnaire
HCJFS 1731 - Agreement for License Reinstatement
HCJFS 2326 - Affidavit for Identity of Children
SWOJFS 005 - Statement of Support
SWOJFS 006 - Self-Declaration of Circumstances
SWOJFS 2775 - Employment Verification
SWOJFS 2775 - Employment Verification - SPANISH VERSION
SWOJFS 3390 - Household Verification
SWOJFS 3390 - Household Verification - SPANISH VERSION
HCJFS 4429-F - Release of Information
HCJFS 4180-A - Authorized Representative Designation
HCJFS 4180-B - Authorized Representative Agreement Sheet
SWOJFS 8008 - Phone Interview Packet
SWOJFS 8008 - Phone Interview Packet - SPANISH VERSION
JFS 01849 - Request for Administrative Review
JFS 07200 - Application (for food assistance, cash assistance, Medicaid)
JFS 07216 - Application (for Healthy Start/Healthy Families)
Forms Central (all state forms)

Other Resources

• Online Service Center

• ODJFS Forms Central

• Apply for public assistance

HCJFS Services

• Children's Services

• Child Support

• Family and Adult Assistance

  • Cash Assistance

  • Food Assistance

  • Medicaid

  • Child Care

• Workforce Development

• Other Services

  • Adult Protective Services

  • Supplemental Security Income

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