The Montgomery County Department of Job and Family Services has provided the Forms listed below for your easy access.  All Forms have been created in Adobe Acrobat PDF format for easy viewing and printing.

Once the form has been completed and signed, please drop off or mail all original forms to:

Montgomery County - DJFS
1111 S. Edwin C. Moses Blvd.
P.O. Box 972
Dayton, Ohio 45422

 Application for Child Care Benefits 
 Application for Child Care Benefits (Spanish) (SOLICITUD DE BENEFICIOS PARA EL CUIDADO NIOS) 
 MCDJFS Employment Verification 
 Statement of Residence, Household Composition, and Cost (Landlord Statement)
 Third Party Statement