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...Main office east central parkway cincinnati ohio general information tdd www hcjfs org child care co payment agreement form administrative code h requires providers to establish a written for of the and fees signed by provider caretaker must retain original in their records submit copy only when advising consumer s non address telephone i agree pay assigned weekly fee determined due date is failure agreed upon will result notifying delinquent possible termination services signatures below signify with statements above signature if more than ten calendar days from established this document fax or mail hamilton county job family department e oh rev...