Erie County Department of 
Job & Family Services

221 W. Parish Street
Sandusky, OH 44870

Forms & Links

Administration & General Information

• Community Survey (PDF, 509KB)

Fiscal

• Title IV-E Adoption Assistance Form (PDF, 1MB) (ODHS 1451)
• Application for State Adoption For (PDF, 9MB) (ODHS 1613)
• Prevention, Retention, Contingency Screening Sheet (PDF, 1.6MB)
• Child Care Billing Form (PDF, 3.5MB)
• Foster Care Invoice (PDF, 269KB)
• Foster Care Progress Report Form (PDF, 118KB)
• Application / Agreement For Post Adoption Special Services Subsidy Form (PDF, 16MB) (ODHS 1050)
  
• Check Schedule

Children Services

• Foster Adopt Pamphlet (PDF, 1MB)
• Thinking About Becoming a Foster Parent (PDF, 1MB)
• Foster/Adoptive Parent Record Check Request (PDF, 55KB)
• Application For Child Placement (PDF, 584KB) (ODHS 1691 Rev. 5/99)
• Strengthening Erie County's Families (PDF, 752KB)

Child Support

• Change of Address / Name (PDF, 391KB) (CSEA-009)
• Request for Administrative Review of the Support Order (PDF, 70KB) (JFS 1849)
• Electronic Funds Transfer (PDF, 15MB) (EFT-CSP-09)

  LINKS

  • Application for Child Support Services
  • Non-Public Assistance Applicant (ODHS 7076)
  • UIFSA Forms Packet (Interstate Forms)
  • Employer Guide to Child Support
  • ODJFS

Family & Workforce Development

• Combined Programs Application (PDF, 100KB) (JFS 07216, 18, 36)
• Application For Training (PDF, 100KB)
• Prevention, Retention, and Contingency Program (PRC) Application For State Model (PDF, 138KB) (ODHS 3800)
• Ohio Works First - Up Front Appraisal For Adults And/Or Minor Heads of Households (PDF, 172KB) (ODHS 3802)
• Assets Form (PDF, 78KB)
• Retroactive Medicaid Coverage Application (PDF, 226KB) (ODHS 7110)
• Authorized Representative Form (PDF, 93KB) (IN-52)
• Home and Community-Based Services Waiver Referral Form (PDF, 172KB) (ODHS 2399)
• Child Care Application (PDF, 388KB) (ODJFS 01138)
• Application for Cash, Medical and Food Stamp Assistance (PDF, 786KB) (ODHS 7200)
• Application For Help With Medicare Expenses (PDF, 902KB) (DHS 7103)
• Medicaid Questions & Answers (PDF, 3MB) (JFS 08030)
• Your Rights & Responsibilities as a Consumer of Medicaid Health Coverage (PDF, 89KB) (JFS 08030)