Report a change in circumstances

You can report a change in your circumstances to Allen County Job and Family Services by completing the form below or by visiting the Self-Service Portal HERE.

Another option, would be to report a change through the Self-Service Portal. To see how, WATCH HERE!

Type of change you are reporting*

Food Assistance
Medical Assistance
Cash Assistance
Social Services (Childcare, PRC, Transportation)

First Name*

Last Name*

Date of Birth

Last Four Digits of SSN OR Case Number*

Type of change you are reporting*

Address change

Phone number change

Name change

Change in household members (including newborn)

New employment

Employment that has ended

Change in household income (unearned income)

Change in household expenses (rent, utilities, day care, etc.)

Change in medical insurance/expenses

Explain Change*

Upload any related documents

How can we contact you if we need further information? *

Report a change

Employee Portal

Location

951 Commerce Parkway

Lima, OH 45804

Hours

Monday - Friday
8:00am - 4:30pm

Connect

Phone: (419) 228-2621
Fax: (419) 227-2448
Fraud Hotline: (419) 228-2120
Report Fraud

Disclaimer / privacy statement

Results