The Ohio Department of Commerce (“Department”) regulates dozens of certifications, licenses, permits, registrations, and other issuances that authorize applicants to engage in particular professions, occupations, and occupational activities (“Licenses”). What follows is a list of criminal offenses the conviction of which automatically prohibits applicants from receiving a License from the Department. If you have questions about this list, please contact the Department at 614-466-3636.

Prior to applying to the Department for a certificate, license, permit, or registration (“License”), you may ask the Department to predetermine whether the fact that you have been convicted of a criminal offense, by itself, disqualifies you from receiving a particular License. This form is meant to assist with that process.

Please note that, in some cases, the Department is not allowed to license you if you have been convicted of a certain criminal offense, regardless of the facts and circumstances of your conviction and/or your subsequent good behavior. 

Additionally, you should also note that any pre-determination that you receive from the Department does not guarantee that you will receive a License. Your licensure application or a subsequent Department investigation, for example, may reveal grounds to deny your application exclusive from or in addition to the criminal convictions for which you seek pre-determination, including providing misinformation on this form.

This form is not an application or part of an application for a License.

Instructions

Please complete this form and mail or deliver it and the $5.00 pre-determination request fee to the Department at the address below. Payment of the fee must be by check or money order made out to “Treasurer State of Ohio.”  No determination request is considered received until the Department receives payment of the $5.00 fee. If you have questions about this form or the fee, please call (614) 466-3636. If you seek a pre-determination for more than one conviction, please include each conviction on this form. If you do not have enough space in the spaces provided below, please attached additional sheets to this form.

Please mail or deliver all forms and pre-determination request fees to the Department at:
Ohio Department of Commerce
ATTN: Office of Legal Counsel
Pre-Determination Request Matters
77 South High Street, 23rd Floor
Columbus, Ohio 43215