Instructions
Emergency Substitute Caregiver (JFS 01923)

1.    Print 3 copies of the form.

2.    Complete and sign each copy. 

3.    Keep one copy for your records. 

4.    Give one copy to the
       emergency /substitute caregiver.

5.    Return one copy to your Home Provider
       Specialist by either:
       Mail:     Job and Family Services
                  222 East Central Parkway
                  Cincinnati, Ohio 45202
                  Attn: Child Care Provider Program

       Fax:      (513) 946-1102

Be sure to write your Home Provider Specialist's name on any forms you mail or fax. 

Click here for form