R.C. 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. 11/2021 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. 7/2019 05/2025).

Notes

R.C. 5101:12-80-99

Effective: 5/1/2025
Five Year Review (FYR) Dates: 2/4/2025 and 05/01/2030
Promulgated Under: 119.03
Statutory Authority: 3125.25
Rule Amplifies: 3125.03, 3125.25
Prior Effective Dates: 02/01/2016, 02/15/2020, 06/01/2021, 12/15/2021, 06/01/2022