OH Form 21.4 2000 free printable template
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PROBATE COURT OF COUNTY, OHIOAN RE: CHANGE OF NAME OF (Present Name)To (Name Requested)Case No. CONSENT TO CHANGE OF Namath undersigned check one of the following 3 capacities by which your consent
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How to fill out OH Form 214
How to fill out OH Form 21.4
01
Gather all necessary personal information including your name, address, and contact information.
02
Identify the purpose of the form and the specific information required.
03
Fill out the fields in the form accurately, ensuring that you follow any specific instructions provided.
04
Review the completed form for any errors or omissions.
05
Sign and date the form where required.
06
Submit the form to the appropriate authority or organization.
Who needs OH Form 21.4?
01
Individuals applying for specific benefits or services.
02
Employees seeking workers' compensation.
03
Claimants who need to report an injury or incident at work.
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People Also Ask about
Do you have to go to court to change your name in Ohio?
To change your name as an adult in Ohio, you will need to go through the probate court in your county. Each county's probate court will have specific paperwork. Once you fill out the forms accurately and completely, you will turn them in to your county clerk's office.
How much does it cost to legally change your name in the state of Ohio?
The court may choose to publish the name change application in the local newspaper. This may require the posting of additional funds with the court to cover the cost of publication. The filing fee is $83.60 for adult name changes. If publication is required, the filing fee is instead $153.60.
What are the requirements for a name change in Ohio?
You must be a resident of the county where you are requesting your name change for at least 60 days. Reason. You must have a valid reason to change your name (this can include personal preference). If your reason is to avoid debt or other obligations, you cannot change your name.
Can I change my child's last name without father's consent in Ohio?
The applicant for the name change of a minor should obtain the consent of both parents of the minor child. A signed and notarized Consent to Name Change should be obtained and filed by the consenting non-applicant parent(s).
How do I change my name legally in Ohio?
Filing the paperwork Get the forms. Use the Adult Name Change Form Assistant to find the forms for your county's Probate Court. Ask about the fees. Gather your identification and supporting documents. Complete the forms. Get the paperwork notarized. File your paperwork at the Probate Court.
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What is OH Form 21.4?
OH Form 21.4 is a specific form used within the Ohio workers' compensation system for reporting workplace injuries and illnesses.
Who is required to file OH Form 21.4?
Employers are required to file OH Form 21.4 when an employee experiences a work-related injury or illness that requires medical treatment or results in lost time from work.
How to fill out OH Form 21.4?
To fill out OH Form 21.4, employers must provide detailed information concerning the injured employee, the nature of the injury or illness, the circumstances surrounding the incident, and any medical treatment provided.
What is the purpose of OH Form 21.4?
The purpose of OH Form 21.4 is to officially document workplace injuries and illnesses to ensure appropriate workers' compensation claims are processed and tracked.
What information must be reported on OH Form 21.4?
The information that must be reported on OH Form 21.4 includes the employee's personal details, a description of the injury or illness, date and time of the incident, location, how the incident occurred, and details of medical treatment received.
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