Rule 5101:12-80-99 | Chapter 5101:12-80 forms - collections and disbursements.
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 07010, "Request for Exception to Electronic Disbursement Enrollment" (rev. 06/2021)
(D) JFS 07026, "Recoupment Account Maintenance Request" (rev. 02/2020);
(E) JFS 07027, "Single Order Distribution Record" (rev. 06/1993);
(F) JFS 07028, "Multiple Order Distribution Record" (rev. 06/1993);
(G) JFS 07031, "Recoupment Account Creation Request" (rev. 02/2020);
(H) JFS 07736, "Child Support Enforcement Agency Payment Processing Declaration" (rev. 05/2025);
(I) JFS 07741, "Child Support Payment Central (CSPC) Check Void Request (rev. 4/2022); and
(J) JFS 07749, "Child Support Payment Central (CSPC) Stop Payment Request (rev. 05/2025).
Last updated May 1, 2025 at 7:54 AM
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