Lorain County Job & Family Services

Forms - Clients

  • Click on the form number to access the form you need.
  • If you are applying for Child Care, you must submit the following forms: CCU-37, CCU-40, and JFS 1138. 
  • Child care applications and forms can be submitted to the agency via U.S. Mail, Fax (440-323-3422, attention: Child Care Unit), or the agency lobby.


CCU-91 Withdrawal / Disenrollment Form
CCU-37  Child Care Application Information & Instructions (must also complete JFS 01138 below)
CCU-37 Spanish

Child Care Application Information & Instructions (must also complete JFS 01138 below) -Spanish

CCU-40 Family Household Income Statement (must also complete JFS 1138 below)
JFS 01138 Child Care Application (must also complete CCU-37 & CCU-40 above)
JFS 01138 Spanish

Child Care Application - Spanish

CCU-31 Confirmation of a Day Care Center Enrollment