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Get OH FCDJFS 3800a 2013-2024

Erstand that the completion of this form is not a guarantee that funds will be paid. By signing, you grant permission for the FCDJFS to gather and report information as needed in the process. Signature of Applicant Date To obtain benefit information or FCDJFS program information, please go to https://communityportal.fcdjfs.franklincountyohio.gov CASE # SSN FCDJFS #3800a PRC Application CM/WORKER NAME (Revised 8/2013) DISTRICT # PHONE .

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