ON-LINE APPLICATION AND CHANGE REPORTING

The online application covers all public assistance and Medicaid programs.

Once the on-line application is received, applicants will be contacted to schedule an interview. Phone interviews are preferable, but a face to face interview is available upon request.

If it is discovered that you are applying only for Medicaid the interview requirement may be waived. Factsheet.

OR

To file an application for public assistance programs you may also come to:

Clermont County Department of Job and Family Services
Division of Public Assistance

2400 Clermont Center Drive
Batavia, Ohio 45103

South Entrance
Service Hours: Monday through Friday   8:00 AM to 4:00 PM

There are several different application processes based on the program(s) for which you want to apply.

(1) Food Assistance, Ohio Works First (family cash assistance), Medicaid for the elderly or disabled and Home and Community Based Waiver Services: JFS 07200 application – An interview is required. Once you file a new application, we will provide you with information regarding the phone interview process. A face to face interview is available only upon request. It is preferable that you complete your interview requirement within 5 days of your application file date; this will ensure that you have enough time to provide the required verifications before the 30 day application period expires.

(2) Child and Family Medicaid: JFS 07216 – An interview is not required. You may complete the application and attach your verifications. You will be contacted via mail for any additional documents needed to make an eligibility determination.  You may also apply for Medicaid by phone Monday – Friday 8am to 3pm by calling 1-844-640-6446.

Any application may be faxed (513-732-7216), emailed clermontcasebank3@jfs.ohio.gov or dropped off at the agency. The Income limits for state and federal programs change every year and we encourage anyone interested to submit an application. If you have questions or difficulty accessing our programs, please contact us at 513-732-7111 or clermontcasebank3@jfs.ohio.gov. We are proud to serve the citizens of Clermont County.

Click below for an application or apply online here. 

• Food Assistance, Cash Assistance and Medicaid – Interview required
• Food Assistance, Cash Assistance and Medicaid – Spanish – Interview required
• Child and Family Medicaid Application Only – No interview required.
• Child and Family Medicaid Application Only in Spanish (Comienzo Saludable y Familias Sanas)
• Child Care Application
• Emergency Assistance (PRC) Application – No interview required.  For families with minor children only.
• Medicaid Waiver Application – Interview required

Change Reporting: 

• SWO Employment Verification Form
• SWO Household/Shelter/Utility Verification Form
• Applicant / Recipient Authorization for Authorized Representative
• Cash and Food Assistance Interim Report
• Request to Reapply for Cash and Food Assistance