5101:12-80-99. Chapter 5101:12-80 forms - collections and disbursements


Latest version.
  • The forms identified in this rule are referenced within various rules contained within division 5101:12 of the Administrative Code. The effective or revised effective dates of the forms are as follows:

    (A) JFS 04021, "Affidavit for stop payment" (rev. 12/2002);

    (B) JFS 04090, "Notice of Erroneous Payment" (rev. 04/2007);

    (C) JFS 07026, "Recoupment Account Maintenance Request" ( rev. 02/2020);

    (D) JFS 07027, "Single Order Distribution Record" (rev. 06/1993);

    (E) JFS 07028, "Multiple Order Distribution Record" (rev. 06/1993);

    (F) JFS 07031, "Recoupment Account Creation Request" ( rev. 02/2020);

    (G) JFS 07736, "Child Support Enforcement Agency Payment Processing Declaration" (02/2020)

    (H) JFS 07741, "Child Support Payment Central (CSPC) Check Void Request ( rev. 02/2020); and

    (I) JFS 07749, "Child Support Payment Central (CSPC) Stop Payment Request ( rev.7/2019).


Effective: 2/15/2020
Five Year Review (FYR) Dates: 2/1/2021
Promulgated Under: 119.03
Statutory Authority: 3125.25
Rule Amplifies: 3125.03, 3125.25
Prior Effective Dates: 02/01/2016