Definitions of Services for State Agencies Serving Victims - Ohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Grant Number at the top of the form. This is essential for tracking and identification purposes.
3. Fill in the Subgrantee and Tax ID fields accurately to ensure proper funding allocation.
4. In the Implementing Agency section, provide the name of your organization responsible for delivering services.
5. List all applicable grant area codes from the provided codes (e.g., CA for Child Abuse) that correspond to your services.
6. Detail the core services being provided with grant funds, ensuring each service aligns with its respective code.
7. Finally, specify the primary county or counties receiving these services to complete your submission.

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