Application Center

  1. Cash & Food Assistance
  2. Child Support Services
  3. Medicaid
  4. Other BenefitsPlus Forms
Click here for the Ohio online benefit application or access a Request for Cash Food and Medical Assistance (07200) (PDF)
  1. Print out and complete application
  2. Bring (or mail) to:
    Clark County Department of Job and Family Services
    1345 Lagonda Ave./PO Box 967A
    Springfield, OH 45501-1037

    Or you can fax it to: 937-521-3501
To ensure your application is processed as quickly as possible, we encourage you to bring the application into the office between 8 a.m. and 4:30 p.m. Monday through Friday. Delays may occur if mailed or faxed.
  1. PRC
  2. Reporting Changes
  3. Subsidized Child Care
  4. Transportation Services
Click here for the Ohio online benefit application or access a Request for Cash Food and Medical Assistance (07200) (PDF)
  1. Print out and complete application
  2. Bring (or mail) to:
    Clark County Department of Job and Family Services
    1345 Lagonda Ave./PO Box 967A
    Springfield, OH 45501-1037

    Or you can fax it to: 937-521-3501
To ensure your application is processed as quickly as possible, we encourage you to bring the application into the office between 8 a.m. and 4:30 p.m. Monday through Friday. Delays may occur if mailed or faxed.