Re-enrollment Form
We encourage you to use the re-enrollment form available online, as this could result in streamlined data entry and processing.
Mail, Fax, or Email Re-enrollment Form
A PDF of the re-enrollment form is also available.
Helpful Links
Navigate OHIO
Connect With Us
We encourage you to use the re-enrollment form available online, as this could result in streamlined data entry and processing.
A PDF of the re-enrollment form is also available.