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    Blank Forms

    For your convenience, we have provided these forms that are sometimes used when recording documents. When necessary, download a copy of the appropriate form, and return it completed in full.

  • Medicaid Estate Recovery -PDF
  • Medicaid Estate Recovery -MSWord

  • County Administration Building
    138 East Court Street
    Cincinnati, OH 45202

    Phone: (513) 946-4570
    Fax: (513) 946-4577
    Hours of operation: 7:30 am-4:30 pm Mon-Fri

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