Client Forms
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If you are applying for Child Care, you must submit the following form: JFS 7200.
- Child care applications and forms can be submitted to the agency via U.S. Mail, Fax (440-323-3422, attention: Child Care Unit), or agency email LorainJFS@jfs.ohio.gov
Click on the form name shown on the left side of the chart below to access form.
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JFS-7200 English |
English: Application for Cash, SNAP, Medical, and Child Care Assistance |
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JFS-7200 Spanish |
Spanish: Application for Cash, SNAP, Medical, and Child Care Assistance |
| CCU-91 | Withdrawal / Disenrollment Form |
| CCU-31 | Confirmation of a Day Care Center Enrollment |
| DCY 01115 | Early Care and Education Services Release of Information (DCY) |