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, "CFIS Local Agency Quarterly Financial Statement" (rev. 10/2011)

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

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

(L)       JFS 07013, "Federal Tax Information Safeguarding Questionnaire" (rev. 4/2008);

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

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

(O)(N) JFS 07016, "IV-D Contract Security Addendum" (rev. 2/2009);

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

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

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

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

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

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

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

(W)(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. 2/20064/2018);

(X)(W) JFS 07078, "Code of Responsibility" (rev. 6/20097/2017);

(Y)(X)  JFS 07700, "SETS User Access Application" (rev. 5/2008);

(Z)(Y)  JFS 07713, "Child Welfare Agency Locate-Only Request" (5/2008rev.4/2018); and

(Z)       JFS 07729, "FTI Safeguarding Workbook" (4/2018); and

(AA)    ODM 06613, "Accident/Injury Insurance Information" (7/2014rev. 12/2016).

Effective: 4/1/2018

Five Year Review (FYR) Dates: 5/1/2019

Certification: CERTIFIED ELECTRONICALLY

Date: 03/12/2018

Promulgated Under: 119.03

Statutory Authority: 3125.25

Rule Amplifies: 3125.03, 3125.25

Prior Effective Dates: 05/01/2014, 06/01/2015