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Click ‘Get Form’ to open the Portage County Jobs and Family Services application form in the editor.
Begin by reviewing the purpose of the application, which is to determine eligibility for PRC funded services. Ensure you meet the criteria of being a resident of Portage County and having at least one minor child.
In the 'CHECK SERVICE(S) REQUESTED' section, select all applicable services by checking the corresponding boxes. This includes options like Rent Assistance, Utility Assistance, and more.
Fill out your personal information in the 'APPLICANT INFORMATION' section. Provide your name, Social Security Number (SSN), address, telephone number, and JFS case number.
List all household members along with their relationship to you, SSNs, dates of birth, ages, and monthly income in the designated fields.
Indicate whether you are currently receiving OWF Cash Assistance, Medicaid, or Food Stamps by selecting 'Yes' or 'No'.
Complete the 'STATEMENT OF UNDERSTANDING' section by signing and dating the application to consent to information exchange among agencies.
Once completed, submit your application via fax or deliver it to Portage County Department of Job and Family Services as instructed at the end of the form.
Start filling out your application today using our platform for free!
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