ODJFS eManuals > Child Support Program > Child Support Program Manual > Forms

Child Support Program

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JFS 00592 Caretaker Notification of Administrative Adjustment Review JFS 00593 Child Support Financial Affidavit JFS 00594 Lump Sum Notification JFS 01132 Notice of Lien JFS 01132i Instructions for Notice of Lien JFS 01435 Referral of Title IV-E Foster Care Maintenance Recipient for Child Support Services JFS 01709 Confidentiality of Information Reference Guide JFS 01715 Waiver of Service of Notice of Order to Appear for Administrative Support Hearing JFS 01716 Waiver of Service of Notice and Order to Appear for Genetic Testing JFS 01728 Daily Time Sheet for Non-Dedicated Principle Staff JFS 01728I Instructions for JFS 01728, Daily Time Sheet for Non-Dedicated Principle Staff JFS 01729 Monthly Time Sheet for Non-Dedicated Principle Staff JFS 01729I Instructions for JFS 01729, Monthly Time Sheet for Non-Dedicated Principle Staff JFS 01730 Dedicated Principle Staff Exception Report JFS 01730I Instructions for JFS 01730, Dedicated Principle Staff Exception Report JFS 01731 Monthly Time Summary for Governmental Contractor JFS 01731I Instructions for JFS 01731, Monthly Time Summary for Governmental Contractor JFS 01772 IV-D Contract Cover Letter JFS 01834 Notice of Ohio Income Tax Refund Offset for Child Support Overpayment JFS 01835 Notice of Ohio Income Tax Refund Offset for Overdue Support JFS 01849 Request for an Administrative Review of the Support Order JFS 01850 Notice of Scheduled Income Tax Refund Offset Review JFS 01851 Notice of Denial of Request for Income Tax Refund Offset Review JFS 01852 Decision on Request for Collection of Child Support Overpayment JFS 01853 Notice Regarding Request to Reschedule Income Tax Refund Offset Review JFS 01854 Request for Collection of a Child Support Overpayment JFS 01856 Denial of Request to Reschedule Administrative Review & Adjustment Hearing JFS 01866 Administrative Review Pending Notice JFS 01867 Right to Request an Administrative Review of the Support Order JFS 01868 Dismissal of Administrative Request JFS 01871 Notice to Obligor's Income Withholding Regarding SETS Case Number Change JFS 01872 Notice to Obligor Regarding SETS Case Number Change JFS 01873 Notice to Obligee's Employer Regarding SETS Case Number Change JFS 01874 Notice to Obligee Regarding SETS Case Number Change JFS 01947 Notice Regarding Child Support Services JFS 01973 Notice to Obligee Regarding SETS Case Number Change JFS 01974 Contact Letter JFS 02015 IV-D Contract Time Study JFS 02015I Instructions for JFS 02015, IV-D Contract Time Study JFS 02151 IV-D Contract Evaluation JFS 02750 Child Support Administrative Fund Monthly Financial Statement JFS 02750 Instructions for Completing Child Support Administrative Fund Monthly Financial Statement JFS 03377 Employer/Health Plan Administrator Health Insurance Verification Request JFS 03399 Notice of Administrative Mistake of Fact Hearing JFS 04001 Request for Case Information JFS 04008 Request for Good Cause Waiver JFS 04009 Approval of Good Cause Waiver JFS 04010 Denial of Good Cause Waiver JFS 04011 Good Cause Waiver Renewal JFS 04012 Termination of Good Cause Waiver JFS 04017 Notice to Deduct Funds for Child and Spousal Support JFS 04031 Notice Regarding Cash Medical Support Order JFS 04032 Notice to Provide Cash Medical Support JFS 04033 Notice to Provide Private Health Insurance JFS 04034 Notice of Selection of Health Plan Options JFS 04035 Notice of Available Health Plan Options JFS 04036 Notice of Medical Support Enforcement Activity JFS 04037 Medical Support Enforcement Administrative Mistake of Fact Hearing Decision JFS 04038 Notice of Correction of a License Suspension JFS 04041 Notice to Suspend Professional, Motor Vehicle Opertaor and Recreational License JFS 04042 Notice to Reinstate/Reissue a License JFS 04043 Notice to Payor/Office of Unemployment Compensation/Financial Institution to Terminate the Withholding from Obligor's Income/Assets JFS 04045 Advance Notice to Obligor of Income Withholding Action JFS 04047 Income Withholding for Support JFS 04048 Addendum Withholding Notice to Parties to a Support Order JFS 04049 Notice to Obligor of Default and Potential Action JFS 04050 Financial Institution Account - Access Restriction JFS 04051 Financial Institution Account - Full or Partial Release of Access Restriction JFS 04052 Notice to Person, Other than Child Support Obligor, Having Ownership Interest in an Account JFS 04053 Notice of Administrative Hearing in Regard to Account Ownership JFS 04054 Notice of Determination on Amount of Ownership JFS 04055 Financial Institution Account Withdrawal Directive JFS 04056 Additional Income Withholding Instructions for Employers of Independent Contractors JFS 04057 Notice to Court or Administrative Case Record of a Reduction of Permanently Assigned Arrears JFS 04070 Addendum to the Administrative Order to Modify the Birth Record - Child's Surname JFS 04070-I Instructions for completing the JFS 04070, Addendum to the Administrative Order to Modify the Birth Record - Child's Surname JFS 04090 Notice of Erroneous Payment JFS 04098 Notice to Employer/Health Plan Administrator of Expiration or Termination of Withholding Requirements Under the National Medical Support Notice JFS 04234 Annual Full-Time Equivalent Report (FTE) JFS 04234-I Instructions for JFS 04234, Annual Full-Time Equivalent Report JFS 06419 Claims History Report JFS 07005 Child Support Enforcement Agency Lien on Real Property JFS 07006 Discharge of Lien JFS 07007 Child Support Enforcement Agency Lien on Personal Property JFS 07010 Request for Exception to Electronic Disbursement Enrollment JFS 07012 Rights and Responsibilities of Parents Receiving Child Support Services JFS 07014 Tax Information Safeguarding Authorization Agreement JFS 07015 Certification of Compliance with Competitive Sealed Bid Requirements JFS 07016 IV-D Contract Security Addendum JFS 07017 Update of Income Tax Refund Offset Submittal JFS 07017I Instructions for Completing JFS 07017 JFS 07018 IV-D Contract JFS 07018I Instructions for JFS 07018, IV-D Service Contract JFS 07019 Federal Tax Information Item Tracking Log JFS 07019-I Instructions for JFS 07019, Federal Tax Information Item Tracking Log JFS 07020 Governmental Contractor IV-D Contract Budget JFS 07020I Instructions for JFS 07020, Governmental Contractor IV-D Contract Budget JFS 07021 Authorization to Include Delinquent Obligor on Poster JFS 07022 Notice to Obligor: Inclusion on Poster JFS 07023 Selection for "Most Wanted List" JFS 07024 "Most Wanted List" Fact Sheet JFS 07026 Recoupment Account Maintenance Request JFS 07026-I Recoupment Account Maintenance Request Instructions JFS 07029 Request for Paternity Determination and Notification to Central Paternity Registry JFS 07031 Recoupment Account Creation Request JFS 07031-I Recoupment Account Creation Request Instructions JFS 07034 Governmental Contractor Monthly Expense Report JFS 07034I Instructions for JFS 07034, Governmental Contractor Monthly Expense Report JFS 07035 IV-D Contractor Invoice JFS 07035I Instructions for JFS 07035, IV-D Contractor Invoice JFS 07037 IV-D Contract Amendment JFS 07038 Acknowledgement of Paternity Affidavit JFS 07038-FRA Acknowledgement of Paternity Affidavit (French Version) JFS 07038-SOM Acknowledgement of Paternity Affidavit (Somali Version) JFS 07038-SPA Acknowledgement of Paternity Affidavit (Spanish Version) JFS 07046 Notice of Case Status JFS 07048 Ohio New Hire Reporting JFS 07049 Notice of Right to Request Administrative Review of Child and Medical Support Order JFS 07052 Notice of Administrative Mistake-of-Fact Hearing JFS 07053 Notice of Medical Support Mistake of Fact Hearing JFS 07058 Medical Support Mistake of Fact Hearing Decision JFS 07070 Notice to Terminate the State Lottery Prize Award Intercept Directive JFS 07071 State Lottery Prize Award Intercept Directive JFS 07072 Safeguarding of Internal Revenue Service (IRS), Ohio Department of Taxation (ODT), Federal Parent Locator Service (FPLS), and Unemployment Compensation (UC) Information JFS 07073 Request to Submit a Case to U.S. District Court JFS 07076 Application for Child Support Services, Non-Public Assistance Applicant JFS 07078 JFS Code of Responsibility JFS 07230 Notice to Obligor: Proposed Action to Suspend License to Practice Law JFS 07521 Notice to Continue Support JFS 07522 Findings and Recommendations to Terminate the Administrative Child Support Order JFS 07523 Administrative Order to Impound Support JFS 07524 Denial of Administrative Termination Hearing Request JFS 07525 Notice of Administrative Termination Hearing JFS 07526 Administrative Termination Hearing Decision JFS 07527 Administrative Order to Terminate the Administrative Child Support Order JFS 07543 Request for Cooperative Information JFS 07543 Request for Cooperative Information (2nd Request) JFS 07544 Administrative Review for Income Tax Refund Offset Review Results JFS 07606 Administrative Adjustment Review Notification JFS 07607 Case Continuation Notice JFS 07613 Administrative Adjustment Review Denial Notice JFS 07618 Employer Information Request JFS 07625 Health Insurance Disclosure Information JFS 07635 Notice to Income Provider to Terminate the Withholding of Obligor's Income/Assets JFS 07636 Verification of Imprisonment JFS 07642 Financial Institution Information Request JFS 07650 Scheduling Notice for Administrative Review for Income Tax Refund Offset JFS 07660 AP/CP Information Request Notice JFS 07699 Your Child Support Program Information JFS 07700 SETS User Access Application JFS 07707 Address Information Request JFS 07713 Child Welfare Agency Locate-Only Request JFS 07717 Determination Regarding Negotiation for a Reduction of Permanently Assigned Arrears JFS 07718 Administrative Agreed Entry for a Reduction of Permanently Assigned Arrears JFS 07719 Administrative Order for Child Support and Medical Support JFS 07724 Administrative Adjustment Recommendation JFS 07726 Administrative Order for Release or Transmittal of Lump Sum Payment JFS 07727 Administrative Order for Release of Lump Sum Payment JFS 07729 FTI Safeguarding Visit Workbook JFS 07738 Child Support Payment Central (CSPC) Check Pull Request JFS 07739 Child Support Payment Central Check Traveler JFS 07747 Forged Signature Affidavit JFS 07749 Child Support Payment Central (CSPC) Stop Payment Request JFS 07754 Notice of Request for Paternity Determination and Order to Appear for Genetic Tests JFS 07758 Notice of Withdrawal of Passport Denial JFS 07759 Ad Hoc Report Request JFS 07766 Child Support Guideline Manual JFS 07767 Basic Child Support Schedule JFS 07768 Sole/Shared Parenting Child Support Computation Worksheet JFS 07769 Split Parenting Child Support Computation Worksheet JFS 07770 Administrative Adjustment Hearing Decision JFS 07771 CSEA Administrative Order Non-Existence of Father and Child Relationship JFS 07773 CSEA Administrative Order Paternity Finding Inconclusive JFS 07774 CSEA Administrative Order Establishment of Paternity JFS 07780 Addendum to Court Child Support Order JFS 07782 Notice of Administrative Hearing to Establish a Support Order JFS 07782SPA Aviso De Audiencia Administrativa Para Establecer Una Orden De Manutencion De Menores JFS 07783 Payment History Report JFS 08020 Employer’s Resource Guide to Child Support JFS 08021 New Rules for Unemployed Parents Who Owe Child Support JFS 08058 Child Support Mobile Application – Payor JFS 08059 Child Support Orders: What You Should Know JFS 08079 Paternity and Acknowledgment of Paternity Affidavit JFS 08079-SPA Acknowledgment of Paternity Affidavit (Spanish version) JFS 08080 Electronic Disbursement Enrollment Authorization Notice to Obligor Regarding Default and 20% Payment on Arrears OMB 0970-0222 National Medical Support Notice