Forms & Resources
Browse and download Allen County Job and Family Services forms and resources, organized by program area. Forms hosted by the agency open as downloadable documents; links to state and partner resources open in a new tab.
For instructions on filling out and signing these forms, see the “SIGN and SEND your Document Electronically” tutorial videos in the Resources section below.
- 7200 | Request for Cash, Food, Medical Assistance, or Child Care Application
- 7200-FRA | DEMANDE AU TITRE DU PROGRAMME SNAP, D’AIDE FINANCIÈRE EN ESPÈCES, D’AIDE MÉDICALE ET/OU À LA GARDE D’ENFANTS
- 7200-SPA | SOLICITUD PARA EL PROGRAMA DE ASISTENCIA NUTRICIONAL SUPLEMENTARIA (SNAP), Y ASISTENCIAS EN EFECTIVO, MÉDICA Y/O PARA EL CUIDADO INFANTIL
- 7200-HAT | APLIKASYON POU PWOGRAM ASISTANS NITRISYON SIPLEMANTÈ (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, SNAP), ASISTANS LAJAN KACH, ASISTANS MEDIKAL OSWA ASISTANS GADRI POU TIMOUN
- 7204 | Request to Reapply for Cash, Food Assistance and/or Child Care
- 7204-FRA | DEMANDE DE RENOUVELLEMENT DE CERTIFICATION POUR LE PROGRAMME D'AIDE NUTRITIONNELLE SUPPLÉMENTAIRE (SNAP), L'AIDE FINANCIÈRE ET/OU L'AIDE À LA GARDE D'ENFANTS
- 7204-SPA | SOLICITUD DE RECERTIFICACIÓN PARA EL PROGRAMA DE ASISTENCIA NUTRICIONAL SUPLEMENTARIA (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM SNAP), ASISTENCIA EN EFECTIVO Y/O ASISTENCIA PARA EL CUIDADO INFANTI
- 7204-HAT | DEMANN RESÈTIFIKASYON POU PWOGRAM ASISTANS NITRISYON SIPLEMANTÈ (SNAP), LAJAN KACH, AK/OUBYEN ASISTANS GADRI
- 7216 | Medicaid Application
- 7221 | Interim Report
- 3804 | Sanction Compliance
- 7341 | Release of Information
- 7222 | SNAP Benefits Replacement
- ACJFS | Authorized Rep
- ACJFS | Employment Verification - Single Employer
- ACJFS | Employment Verification - Multiple Employer
- ACJFS | Medicaid Renewal
- ACJFS | Residency Statement for Verification
- ACJFS | JFS-OMJ Partner Program Release of Information
- ACJFS | Medicaid Resource Questionnaire
- ACJFS | Local Food Pantry & Soup Kitchen Listing
- HOW TO | VIDEO: SIGN and SEND your Document Electronically for Agency Documents- Android Phones
- HOW TO | VIDEO: SIGN and SEND your Document Electronically for Agency Documents - Apple Phone
- HOW TO | VIDEO: SIGN and SEND your Document Electronically for Agency Documents - Windows Computer
- HOW TO | VIDEO: SNAP Recertification Pre-Interview Questionnarie
- ACJFS | Recertification Pre-Interview Questionnaire Flyer
- ACJFS | Proactive Client Communication
- ACJFS | Proactive Client Communication - Alerts you may receive