Forms and Waivers
JFS 07216 Healthy Start/Healthy Families Combined Program Application
JFS-07221 Supplemental Nutrition Assistance Program (SNAP) Interim Report
JFS-07200 Application for Cash, Food, or Medical Assistance
PRC Application For Vehicle Repairs and Job Related Supportive Services Checklist
Online benefit application tool for food assistance
When turning in applications or supporting documents for verifications:
- Email information to Gallia-documents@jfs.ohio.gov
- Fax information to 740-441-2108
- Mail information to: Gallia County Department of Job and Family Services, 848 Third Avenue, Gallipolis, Ohio 45631
- Drop off at our Drop Box outside the DJFS Building