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Jefferson County Ohio Dept. of Job and Family Services
  • Children Services
    • Adoption Services
  • Social Services
    • Adult Protective Services
    • Child Care Assistance
    • Child Care Licensing
    • Healthchek
    • Non-Emergency Transportation (NET)
    • Pregnancy-Related Services
    • Community Resources
  • Public Assistance
    • Food Assistance (SNAP)
    • Cash Assistance (TANF)
    • Medicaid
    • Prevention Retention Contingency
    • Fraud / Benefit Recovery
  • Child Support
  • MCH
    • Engagement Policy
  • About Us
    • 2023 Annual Report
    • Agency Forms
    • Contact Us
    • Employment Opportunities
    • FAQs
    • Helpful Links
    • Leadership Team
    • Employee-Only Access
  • Children Services
    • Adoption Services
  • Social Services
    • Adult Protective Services
    • Child Care Assistance
    • Child Care Licensing
    • Healthchek
    • Non-Emergency Transportation (NET)
    • Pregnancy-Related Services
    • Community Resources
  • Public Assistance
    • Food Assistance (SNAP)
    • Cash Assistance (TANF)
    • Medicaid
    • Prevention Retention Contingency
    • Fraud / Benefit Recovery
  • Child Support
  • MCH
    • Engagement Policy
  • About Us
    • 2023 Annual Report
    • Agency Forms
    • Contact Us
    • Employment Opportunities
    • FAQs
    • Helpful Links
    • Leadership Team
    • Employee-Only Access

Agency Forms

Children Services Forms

  • Early Start Program

Social Services Forms

  • Child Care Application
  • Applicant Recipient Authorization for Release of Information
  • HealthCheck and PRS Info Sheet

Public Assistance Forms

  • PRC Application Form
  • 7501 Form
  • Client Designation for Authorized Representative
  • Explaination of QMB Coverage

Child Support Forms

  • Guardianship Authorized Representative Form

Can't Find It?

The Ohio Dept of Jobs and Family Services provides a helpful online resource for all forms.
Visit ODJFS Forms Central

Employment Forms

  • Application for Employment at JCDJFS

Contact Us

  • 740-282-0961
  • Division Contacts
Jefferson County Ohio Dept. of Job and Family Services

Our Address

125 South 5th Street
Steubenville, Ohio 43952

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Jefferson County Department of Job and Family Services. All Rights Reserved.  |   Privacy Policy 

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