Helpful Forms
- Actual or Suspected Abuse Assessment Tools
- Applicant Recipient Authorization for Release of Information
- Application for Child Care Benefits
- Application for Child Support Services Non-Public Assistance Applicant
- Application for Help with Medicare Expenses
- Application for Health Coverage & Help Paying Costs
- Cash and Food Assistance Interim Report
- Child Support - Explanation of State Hearing Procedures
- Child Support Enforcement Agency Administrative Adjustment Forms
- Child Support Enforcement Agency Questionnaire
- Combined Programs Application
- CSEA - Affidavit
- CSEA - Appointment of Authorized Person Form
- CSEA - Instruction for Obtaining Medical Verification of Reported Inability to be Gainfully Employed
- CSEA - Medical Information Release Authorization
- CSEA - PIN Request Form
- CSEA - Request for Medical Verification of Inability to be Gainfully Employed
- CSEA - Seek Work Form
- Designation of Authorized Representative
- Employment Information
- Food Assistance Change Reporting
- Healthcheck and Pregnancy Assessment
- Logan County Prevention, Retention, Contingency Application (PRC)
- Request for an Administrative Review of the Child Support Order
- Request for Cash, Food, and Medicare Assistance
- Request for Medicaid - Home and Community Based Services
- Request to Reapply for Cash and Food Assistance
- Uniform Report for Adult Abuse, Neglect, and Exploitation
