Logan County Job & Family Services
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  • OhioMeansJobs
    • For Employers >
      • Post a Job
      • Find a Candidate
      • Employee Recruitment
      • Tax Incentives
      • Prescreening Services
      • Labor Market Trends
    • Career and Training
    • Job Resources >
      • Job Search
      • Quick Tips
      • Interview/Resume Skills
      • Workshops
      • Partners
  • Public Assistance
    • Cash Assistance
    • Food Assistance
    • Medical Assistance
    • Emergency Aid: Prevention, Retention & Contingency (PRC)
    • Child Care Assistance
    • NET Transportation
    • Elder Care
  • Child Support
    • Child Support Terms
    • FAQs
    • Establishing Support
    • Forms Library
  • Social Services
    • PRC Application
    • Child Protective Services
    • Adult Protective Services
    • Child Care
    • At-Risk Pregnancy Services
  • Administration
    • Helpful Links
    • Nondiscrimination Statement
    • Privacy Policy
  • About
  • Contact
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YOUR CART

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
Logan County Jobs and Family Services logo
Logan County Job & Family Services
​211 E. Columbus Ave.
Bellefontaine, OH  43311

​Phone: 937-599-5165  Fax: 937-592-4395
Hours: M-F 8 am-4:30 pm
Logan County Ohio logo
Logan County Commissioners
John Bayliss - Paul Benedetti - Joe Antram
Logan County Ohio logo
Logan County Commissioners
John Bayliss - Paul Benedetti - Joe Antram
Website by Berry Digital Solutions, LLC
Website by Berry Digital Solutions, LLC