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Wanting to apply for services? Apply here!

After you download and fill out our application, please email it to our intake coordinator!
Intake Form
File Size: 1405 kb
File Type: pdf
Download File

Email Application
The 787 form is for those who have never had a payee before. If SSA is mandating someone HAS to have a payee, this form (787) is not needed.
787 Form
File Size: 1044 kb
File Type: docx
Download File

Authorization to Release Information
File Size: 443 kb
File Type: pdf
Download File

Client Copy of Policy and Procedures
File Size: 24 kb
File Type: docx
Download File

PayCo Columbus - 895 South High Street - Columbus, Oh 43206  
Call  614-297-6420    Fax  614-737-0518


PayCo Dayton - 10 N. Williams St - Dayton, OH  45402
Phone: 
937-949-7470​  Fax: 937-949-7471


PayCo BBB Business Review
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 Site last updated: November 9th 2020
  • Home
  • Columbus Office
  • Dayton Office
  • PayCards
  • Company Calender
  • Forms and FAQ
    • PayCo Policies
    • How to read a Printout
    • Forms
    • Billing Questions
    • Rent and Roommates
    • SSA questions
    • Monthly Printouts
    • Guardians - What to Expect
    • Requesting Funds
  • Contact
  • Consultations and Presentations
  • About
  • Resources
  • Feedback