Rule 5101:12-80-99. Chapter 5101:12-80 forms - collections and disbursements

119.03 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. 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. 05/2025). Last updated May 1, 2025 at 7:54 AM Supplemental Information Authorized By: 3125.25 Amplifies: 3125.03 , 3125.25 5/1/2030 12/15/2021 Disclaimer Contact About