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BUTLER COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES - butlercountyohio 2026

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The document is a form from the Butler County Department of Job and Family Services that allows individuals to designate an authorized representative to act on their behalf regarding cash assistance, food assistance, and Medicaid. It outlines the responsibilities of the authorized representative, including potential liabilities for providing incorrect information. The form requires signatures from both the individual granting authority and the authorized representative.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Social Security Number (SSN) and Recipient Number at the top of the form.
Fill in your name and address details, including city, state (OH), and zip code.
In the section labeled 'I AUTHORIZE THE FOLLOWING PERSON OR COMPANY TO ACT AS MY REPRESENTATIVE', provide the representative's name, phone number, company, job title, work phone number, and address.
Indicate how long this authority will last by checking one of the options provided.
Select which benefits you authorize your representative to manage on your behalf: Cash Assistance, Food Assistance, or Medicaid.
Sign and date the form at the bottom to finalize your authorization.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does the Ohio Department of Job and Family Services do?

The Ohio Department of Job and Family Services promotes long-term self-sufficiency and provides a safety net for our most vulnerable citizens. It oversees Ohios public assistance, workforce development, unemployment insurance, child and adult protective services, adoption, child care, and child support programs.

What services does the Ohio Department of Job and Family Services offer?

Phone:1-844-640-OHIO (6446) Please see below for a list of phone options you will receive when you call our Customer Access Center.

Why would I get a letter from Ohio job and Family Services?

Did you get a letter from ODJFS about unemployment, but you never applied to get payments? It could be a sign that your personal info was compromised and used to file a fraudulent unemployment claim. Claimants: If you received a letter from us, but didnt apply for benefits, click here.

How to apply for unemployment in Butler County, Ohio?

How can we help you? Call the toll-free Enterprise Helpdesk Number at 1-844-640-OHIO (6446) for questions regarding a Medicaid, SNAP, or Cash Assistance, or Early Care Education Services application.

What programs does Ohio JFS offer for families?

Job and Family Services Medicaid / Medical Assistance. SNAP / Food Assistance. Child Care / PFCC. Emergency Assistance / PRC. Cash Assistance / Ohio Works First.

butler county job and family services forms

Butler County Job and Family Services portal Butler County Job and Family Services phone number Job and Family Services Hamilton ohio phone number Butler County Job and Family Services fax number Butler County food stamps Application Butler County Job and Family Services Food stamps Butler County Medicaid application Butler County child care Assistance

How does the state of Ohio help people who are unemployed?

If you live in Ohio and have lost your job, you may be able to receive cash assistance through Ohios unemployment insurance program. Read more to find out if you might be eligible and how to apply for unemployment.

How do I contact Ohio job and family services?

You may access the Job Family Services website 24 hours a day, 7 days a week, at . You may also file toll-free by calling (877) OHIOJOB (644-6562) or TTY at (888) 642-8203, Monday through Friday 7 a.m. - 6 p.m. (excluding holidays).