Bcdjfs 2026

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  1. Click ‘Get Form’ to open the bcdjfs document in the editor.
  2. Begin by entering the Case Name, Caseworker, and Case Number at the top of the form. This information is crucial for identifying your case.
  3. Fill in the Tenant's Name if it differs from the case name, along with the Worker Phone and Date Sent fields.
  4. In the RELEASE OF INFORMATION section, sign and date to authorize information sharing with Butler County Department of Job and Family Services.
  5. List all individuals residing at your address, including their Date of Birth, Relationship to you, and Social Security Number (last 4 digits only).
  6. Indicate whether rent is in arrears and provide details on any assistance received for rent or utilities.
  7. Complete utility payment responsibilities by checking off which utilities are paid by residents or property owners.
  8. Finally, ensure that the individual completing this verification signs and prints their name along with their contact information.

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