Summit County Department of Job and Family Services
SCDJFS 7002
Employment Wage Verification
SCDJFS 7029
Change Report (with Voter Registration)
Ohio Department of Job and Family Services
JFS 03804
OWF/SNAP Sanction Compliance Agreement
JFS 07011
Statement Requesting Replacement of Electronically Stolen Supplemental Nutrition Assistant Program (SNAP) Benefits
JFS 07200
Application for SNAP, Cash, Medical or Child Care Assistance (with Voter Registration)
• Food and Nutrition Service (FNS) Nondiscrimination Statement
JFS 07204
Request to Reapply for Cash Assistance, SNAP and/or Child Care (with Voter Registration)
JFS 07221
SNAP Assistance Interim Report
JFS 07501
Program Enrollment and Benefit Information
Ohio Department of Medicaid
ODM 02399
Request for Medicaid Home & Community-Based Services
ODM 03528
Healthchek and Pregnancy Related Services Information Sheet
ODM 06723
Designation of Authorized Representative
ODM 07216
Application for Health Coverage & Help Paying Costs
Terri Burns