JACKSON-VINTON COMMUNITY ACTION, INC.
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​       Agency Forms & Guidelines     
                        Program Forms & Information                               
                                                  Click on the bullets or "click here" for the information you are seeking:
  • 2022 Federal Poverty Guidelines
  • ​Head Start Application 
  • WIC Guidelines
  • REQUIRED DOCUMENTS FOR EMERGENCY PROGRAMS (SCP, WCP, PIPP, HEAP) *NEW
  • CUSTOMER DISPUTE AND APPEALS PROCEDURE - Click Here
  • DOCUMENT OF RESPONSIBILITY (If utility bill is not in your name but you are responsible to pay it)
  • EMPLOYMENT VERIFICATION FORM - Click Here
  • HEAP & PIPP INCOME GUIDELINES FOR 2021/2022 - Click Here
  • LETTER OF SUPPORT (If someone helps support you) - Click Here
  • SEASONAL EMPLOYMENT VERIFICATION - Click Here
  • SELF-DECLARATION OF INCOME FORM - Click Here
  • SELF-EMPLOYMENT FORM - Click Here 
  • IRS Form 4506-T Request for Transcript of Tax Return - Click Here
  • SUMMER CRISIS PROGRAM (SCP) MEDICAL ELIGIBILITY FORM (must have physician statement verifying CHRONIC illness) - Click Here

Jackson-Vinton Community Action, Inc.
118 S. New York Avenue
Wellston, Ohio 45692

PROVIDING SERVICES TO JACKSON AND VINTON COUNTIES


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Hours

Monday-Friday:
8:00 am - 4:30 pm

Telephone

740-384-3722
1-800-686-4339

  Email              Executive Director

info@jvcai.org          Megan Sowers                        
Picture
  • Home
  • Job Postings
  • Information on JVCAI >
    • About
    • JVCAI in Action
    • Contact Us
  • Programs and Services >
    • Head Start Program
    • Emergency Healthcare Assistance
    • Jackson County WIC Program
    • Pathway to a Healthy Pregnancy Program
    • Early Childhood Safety Initiative
    • Energy Program
    • HEAP and PIPP Plus
    • Community Services Program
    • Transportation Program
    • Transportation Call Center
  • Forms
  • Links
  • Board Members
  • Surveys >
    • Needs Survey
    • Agency Survey