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Submit a Reapplication

ACJFS can only approve benefits for a certain number of months at a time, also known as your certification period. At the end of your certification period, you will receive a letter in the mail at the address we have on record telling you it is time to reapply for benefits.

The following instructions only apply to individuals or families that are currently receiving assistance, and have received a reapplication letter. If you have had a lapse in your benefits, you will need to fill out a new application.

1
SUBMIT AN APPLICATION TO REAPPLY

Once you receive your appointment letter in the mail, you will need to submit JFS 07204 to reapply for benefits. This form is included with your appointment letter.

You can submit the JFS 07204 and verification documents in the following ways:

FAX

Fax your signed application to (419) 227-2448

DELIVER IN PERSON

Signed applications can be dropped off by using the DROP OFF BOX located at the main entrance of our Agency:

951 Commerce Pkwy., Lima, OH 45804

MAIL

Signed applications can also be mailed to:

951 Commerce Pkwy.
Lima, OH 45804

2
GATHER VERIFICATION DOCUMENTS

As part of your reapplication, you may be required to verify some of your information, particularly if you have had a change in circumstances since your last application. The caseworker will help you identify the specific documents needed, but in general we will need to verify:

  • The last 30 days of your income (two bi-weekly, or four weekly pay checks)
  • If there are additional household members or fewer household members
  • If your employment has changed (lost or new job)
  • If you have moved, you must re-verify your shelter costs (mortgage, rent and utilities)

Please write your name and case number or social security number on all verification documents.

3
THE INTERVIEW

You will receive an appointment letter in the mail with a date and approximate time of your phone interview. The letter will specify if you should call us or if we will be calling you. Although the letter may list a specific time, if ACDJFS is calling you, we cannot guarantee you will receive your call at that time. However, you should receive the call within the same day.

Most reapplication interviews are completed over the phone. The caseworker will ask you some questions and will identify the specific verification documents that are needed to continue your case.

Please note: Certain other Medicaid applications for benefits may be completed without an actual interview. If yours fits the criteria, you will be notified accordingly. If we have any questions, we will reach out via phone or mail. 

4
RETURN ANY ADDITIONAL VERIFICATION DOCUMENTS

During your interview, your caseworker will identify any additional verification documents we need to complete your case. The sooner you return the verification documents, the sooner your case can be completed.

Return those verification documents to us with your name and case number or social security number on ALL documents.

FAX

Fax your signed application to (419) 227-2448

DELIVER IN PERSON

Signed applications can be dropped off at:

951 Commerce Pkwy., Lima, OH 45804

MAIL

Signed applications can also be mailed to

951 Commerce Pkwy.
Lima, OH 45804

REAPPLY ONLINE NOW

PRINT A REAPPLICATION FORM 

 

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