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Forms

Find and download the JFS forms you need.

JFS Forms

  • 7200 - Food Assistance and/or OWF Cash Assistance Application
  • 7216- Medicaid Only Application
  • 2399- Request for Medicaid Home and Community Based Services
  • 7204 - Reapply for Food Assistance and / or Cash Assistance Application
  • Authorized Representative Form
  • Explanation of State Hearing Procedures (4059)
  • Interim Report 7221
  • Program Enrollment & Benefit Information
  • Release of Information​
  • Sanction Compliance Form
  • State Hearing Request Form (4069)
  • Tax filing status form
  • Prevention, Retention & Contingency Plan
  • Vendor W9
    • Instructions
  • Ohio New Hire Reporting
  • New Vendor Packet
    • View New Vendor Packet (text version and original PDF)