To view or download agency forms and links, click the appropriate button below.

PRC Application and Budget

Application for Health Coverage and Help Paying Costs

Program Enrollment and Benefits Information

Request to Reapply for Cash and/or Food Assistance

Medicaid Estate Recovery

Food Assistance Reporting (reporting changes)

Child Care Application

Cash, Food or Medical Assistance

SNAP (Food Assistance) Interim Report

Your Rights & Responsibilities As a Consumer of Medicaid Health Coverage (required to be signed to complete Med Renewal)

HELPFUL LINKS

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Champaign County, Ohio

Seniors United Way 211

OhioKAN Website

Ohio Foster, Adoptions, and Kinship Care

OhioMeansJobs

Adoption

Urbana Champaign County Senior Center

Champaign Co. Board of Developmental Disabilities

County Agency Directory and Web Site

Ohio Department of Job and Family Services

PCSAO

Area Agency of Aging

Ohio Medicaid