Proof of ohio residency-certified statement - Ohio Department of - publicsafety ohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your first name, middle name or initial, last name, and date of birth in the designated fields. Ensure all information is typed or printed legibly.
3. Fill in your Ohio street address, city, state, and ZIP code accurately. This information is crucial for confirming your residency.
4. In the certification section, read the statement carefully and then sign and date the form to confirm that you are a permanent resident without documentary proof.
5. If applicable, have a parent, guardian, or spouse complete their section by providing their details and signature to certify your residency.
6. If no family member can certify your address, an authorized agent from a social services agency must fill out their section with agency details and provide their signature.

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