JACKSON-VINTON COMMUNITY ACTION, INC.
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  • Programs and Services >
    • Emergency Healthcare Assistance
    • Jackson County WIC Program
    • Energy Program
    • Head Start Program
    • Transportation Program
    • Infant Vitality Program
    • Early Childhood Safety Initiative
    • HEAP and PIPP Plus
    • Transportation Call Center
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​If you are unable to find information here, ​please give us a call ​at 740-384-3722. 
OR
Visit us at 118 South New York Avenue, Wellston, OH 45692
​AGENCY FORMS​
  • AGENCY SURVEY
  • AGENCY NEEDS SURVEY
  • AGENCY REPORT CARD (2018)
  • HEAP/PIPP APPLICATION 2020/2021
  • WIC INCOME GUIDELINES 2020/2021
  • Head Start Enrollment Application
EMERGENCY PROGRAM FORMS
  • REQUIRED DOCUMENTS FOR EMERGENCY PROGRAMS (SCP, WCP, PIPP, HEAP) *NEW
  • CUSTOMER DISPUTE AND APPEALS PROCEDURE
  • DOCUMENT OF RESPONSIBILITY (If utility bill is not in your name but you are responsible to pay it)
  • EMPLOYMENT VERIFICATION FORM Click Here
  • INCOME GUIDELINES FOR 2018/2019
  • 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 
  • 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          Cheryl Thiessen                        
Picture
  • Home
  • Information on JVCAI >
    • About
    • JVCAI in Action
    • Job Postings
    • Contact Us
  • Programs and Services >
    • Emergency Healthcare Assistance
    • Jackson County WIC Program
    • Energy Program
    • Head Start Program
    • Transportation Program
    • Infant Vitality Program
    • Early Childhood Safety Initiative
    • HEAP and PIPP Plus
    • Transportation Call Center
  • Forms
  • Links
  • Board Members
  • Surveys >
    • Needs Survey
    • Agency Survey