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 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. 2/2009);
(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.
4/20183/2019);
(W)JFS 07078, "Code
of Responsibility" (rev. 7/20176/2018);
(X)JFS 07700, "SETS
User Access Application" (rev. 5/20083/2019);
(Y)JFS 07713, "Child
Welfare Agency Locate-Only Request" (rev. 4/2018);
(Z)JFS 07729, "FTI
Safeguarding Workbook" (4/2018); and
(AA) JFS 07766, "Child Support Guideline Manual"
(3/2019);
(BB) JFS 07767, "Ohio Basic Child Support Guideline
Schedule" (3/2019);
(CC) JFS 07768, "Sole/Shared Child Support
Computation Worksheet" (3/2019);
(DD) JFS 07769, "Split Parenting Child Support
Computation Worksheet" (3/2019); and
(AA)(EE)ODM 06613, "Accident/Injury Insurance
Information" (rev. 12/2016).
Effective: 3/28/2019
Five Year Review (FYR) Dates: 11/30/2018 and 03/28/2024
Certification: CERTIFIED ELECTRONICALLY
Date: 02/07/2019
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