Hamilton County Job & Family Services Forms

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

HCJFS 8018 - Child Care - New prospective Child Care Center Packet

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

HCJFS Services

Children's Services
Child Support
Family and Adult Assistance
Workforce Development
Other Services
- Adult Protective Services
- Supplemental Security Income

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222 E. Central Parkway, Cincinnati, Oh 45202 - (513) 946-1000