(1) Print the form (click on
the link below)
Note: You will need to
print one form for each person you are applying for.
(2) Write your social security
number and name on the top right hand side.
(3) In the white spaces under
HCJFS Information, list the information
indicated in the left column from Person's
name at Birth through City/State.
(4) If you don't know your
caseworker's name, district number or fax number,
please call (513) 946-1000 and an Information and
Referral Specialist will assist you.
(5)You may return the form by
mailing it or dropping it off at one of our Document
Drop Off Centers located at 222 East Central Parkway
or 237 William H. Taft Road. You can also fax it to
us free of charge at any branch of the Public
Library of Cincinnati and Hamilton County. Or fax
from any other location to (513)
946-1076.
Click here for
Birth Verification Form (pdf)