85 North Grant Street Millersburg, Ohio | Mon-Fri: 8:00 am to 4:30 pm
Forms
The following is a list of forms used by Holmes County Department of Job and Family Services, listed by program. As a part of your interaction with Holmes County Department of Job and Family Services, you may be asked to complete a state form. To access state forms, use the Ohio Department of Job and Family Services Forms Central.
Cash Assistance
- Apply for Benefits: To apply for benefits, visit www.benefits.ohio.gov or contact our agency for a paper application.
- To Report Changes: Contact our call center at 844-640-6446.
*Call center hours are Monday, Tuesday and Wednesday from 8:00 am – 4:00 pm, Thursday 8:00 am – 12:00 pm and Friday 8:00 am – 3:00 pm.
Food Assistance
- Submit Online: Applications can be submitted by visiting Self Service Portal Home Page (ohio.gov) or www.benefits.ohio.gov
- Submit Paper Application: Applications can be obtained through our agency.
- To Report Changes: Contact our call center at 844-640-6446.
*Call center hours are Monday, Tuesday and Wednesday from 8:00 am – 4:00 pm, Thursday 8:00 am – 12:00 pm and Friday 8:00 am – 3:00 pm.
Medical Assistance
- Submit Online: Applications can be submitted by visiting Self Service Portal Home Page (ohio.gov) or www.benefits.ohio.gov
- Submit by Phone: Applications can be submitted by calling our call center at 844-640-6446 or by completing a paper application obtained by contacting the agency.
- Submit Paper Application: Applications can be submitted by completing a paper application obtained by contacting the agency.
- To Report Changes: Contact our call center at 844-640-6446.
*Call center hours are Monday, Tuesday and Wednesday from 8:00 am – 4:00 pm, Thursday 8:00 am – 12:00 pm and Friday 8:00 am – 3:00 pm.