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5101:12-1 Ohio Support Enforcement Program
5101:12-1-99 Chapter 5101:12-1 forms - Ohio support enforcement program.
Effective Date: November 1, 2022
Most Current Prior Effective Date: December 15, 2021

The forms identified in this rule are referenced within various rules contained within division 5101:12 of the Administrative Code. The effective or revised effective dates of the forms are as follows:

(A)JFS 01709, "Confidentiality of Information Reference Guide" (11/2011);

(B)JFS 01728, "Daily Time Sheet for Non-Dedicated Principal Staff" (2/2009);

(C)JFS 01729, "Monthly Time Sheet Summary for Non-Dedicated Principal Staff" (2/2009);

(D)JFS 01730, "Dedicated Principal Staff Exception Report" (2/2009);

(E)JFS 01731, "Monthly Time Summary for Governmental Contractor" (2/2009);

(F)JFS 01772, "IV-D Contract Cover Letter" (rev. 5/2013);

(G)JFS 02015, "IV-D Contract Time Study" (rev. 2/2009);

(H)JFS 02151, "IV-D Contract Evaluation" (rev. 5/2013);

(I)JFS 02750, "Child Support Enforcement Agency Quarterly Financial Certification" (rev. 6/2020)

(J)JFS 04001, "Request for Case Information" (11/2011);

(K)JFS 04234, "Annual Full-Time Equivalent Report" (rev. 1/2008);

(L)JFS 07014, "Tax Information Safeguarding Authorization Agreement" (rev. 4/2008);

(M)JFS 07015, "Certification of Compliance with Competitive Sealed Bid Requirements" (rev. 2/2009);

(N)JFS 07016, "IV-D Contract Security Addendum" (rev. 2/202011/2022);

(O)JFS 07018; "IV-D Contract" (rev. 12/2013);

(P)JFS 07019, "Federal Tax Information Item Tracking Log" (4/2008);

(Q)JFS 07020, "Governmental Contractor IV-D Contract Budget" (rev. 2/2009);

(R)JFS 07034, "Governmental Contractor Monthly Expense Report" (rev. 2/2009);

(S)JFS 07035, "IV-D Contract Invoice" (rev. 2/2009);

(T)JFS 07037, "IV-D Contract Amendment" (rev. 12/2013);

(U)JFS 07038, "Acknowledgment of Paternity Affidavit" (5/2014);

(V)JFS 07072, "Safeguarding of Internal Revenue Service (IRS), Ohio Department Of Taxation (ODT), Federal Parent Locator Service (FPLS), and Unemployment Compensation (UC) Information" (rev. 12/201911/2022);

(W)JFS 07078, "Code of Responsibility" (rev. 3/2020);

(X)JFS 07713, "Child Welfare Agency Locate-Only Request" (rev. 4/2018);

(Y)JFS 07729, "FTI Safeguarding Workbook" (4/201811/2022);

(Z)JFS 07766, "Child Support Guideline Manual" (3/2019);

(AA)JFS 07767, "Ohio Basic Child Support Guideline Schedule" (3/2019);

(BB)JFS 07768, "Sole/Shared Child Support Computation Worksheet" (3/2019);and

(CC)JFS 07769, "Split Parenting Child Support Computation Worksheet" (3/2019); and.

(DD)ODM 06613, "Accident/Injury Insurance Information" (rev. 12/2016).

Effective: 11/1/2022

Five Year Review (FYR) Dates: 3/28/2024

Certification: CERTIFIED ELECTRONICALLY

Date: 10/20/2022

Promulgated Under: 119.03

Statutory Authority: 3125.25

Rule Amplifies: 3125.03,3125.25

Prior Effective Dates: 05/01/2014, 06/01/2015, 04/01/2018, 03/28/2019, 12/15/2021