Forms

FORMS

Child Support Application for Services and Questionnaire

Request for Administrative Review and Adjustment

Financial Affidavit

Address and Name Change Request

Change of Employment

Request for Audit of Support Order

Mistake of Fact Hearing Request

Consent to Disclose Case Information

Request for Termination of Child Support Order

Request for the Recoupment of Over Paid Child Support

Individuals eligible for, receiving services from or benefiting from programs funded by or through the Ohio Department of Job and Family Services (ODJFS) are protected by various laws, regulations, rules, and policies against unlawful discrimination on the basis of race, color, religion, disability, political affiliation (food stamps only), age, sex, citizenship/ participant status (WIOA Programs only) and national origin. If you believe that you have been denied or delayed services for which you are eligible because of your race, color, national origin, religion, sex, political affiliation (food stamps only), disability or age, you must file your complaint within six months of the date on which the incident or treatment happened. You may call the Bureau of Civil Rights to submit your complaint, or you may submit your complaint in writing. If the complaint is submitted by telephone you can call (614) 644-2703 or Toll Free 1-866-227-6353.

General Information
Child Protection Unit
937-382-1165
Child Support Enforcement Agency
397-383-2400
OhioMeansJobs: Clinton County’s Employment and Training Center
937-383-2657
Phone Numbers
937-382-0963
Emergencies: Dial 911
Location
1025 S. South Street
Wilmington,
OH
45177

Monday - Friday
7:30am - 4:30pm