Champaign county ohio medicaid application

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AGENCY FORMS

To view or download forms and links, click the appropriate button below.

Helpful Links

Monday - Friday
8:00 AM - 4:30 PM

1512 S. US Highway 68
Suite N100
Urbana, OH 43078

1-800-837-4290
Phone: (937)484-1500
Fax: (937)484-1506
TDY: (937)484-1590

OhioMeansJobs Champaign County logo

Monday - Friday
8:30AM - 4:00 PM

Phone: (937)484-1581
Fax: (937)484-1584

1512 S. US Highway 68
​Suite J100
Urbana, Ohio 43078

The information through this site may include inaccuracies or errors. The Champaign County DJFS website should not be relied upon for personal, legal or financial decisions. Consult the appropriate CCDJFS personnel for advice relevant to your situation.

NON-DISCRIMINATION STATEMENT

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​Urbana, Ohio