Ohio Department of Developmental Disabilities Certification Application Checklist
Homemaker/Personal Care, Shared Living, Informal Respite (non-family members), Residential Respite, Participant Directed Homemaker/Personal Care, and Transportation.
- If you are becoming a provider for someone for whom you are also a court-appointed guardian, you must obtain approval from the probate court prior to the services being authorized. Apply for Approval of Direct Services through the Delaware County Probate Court.
- Birth certificate
- Social Security card
- Government-issued photo ID (proof of Ohio residency will be required if the address on your government-issued ID is not current)
- High school diploma or GED, high school transcript showing graduation date, college degree or transcript
- W9 form
- First Aid training certificate (American Red Cross or equivalent training, must include in-person skills assessment)
- Initial Training for Independent Providers training certificate (also listed on the application as “MUI” training and “Client Rights” training. DODD MyLearning website)
- Electronic Visit Verification training certificate (Sandata Learn website, not required for shared living)
- Email confirmation of Payee number (this will be listed on the application as “OSS verification of payee ID number)
- Driver’s Abstract, only if you are applying for transportation certification (must be submitted within 14 days, may be obtained by your local BMV office)
- Auto Insurance, only if you are applying for transportation certification (must be current and have your name listed)
- $125.00 application fee, if application (fee may be waived depending on your services and application type. Fees are paid online at the time of application via credit card or electronic check)
Informal Respite (family member)
- Birth certificate
- Social Security card
- Government-issued photo ID (proof of Ohio residency will be required if the address on your government-issued ID is not current)
- High school diploma or GED
- W9 form (print and sign from your online application)
- Initial Training for Independent Providers training certificate (DODD MyLearning website)
- Email confirmation of Payee number
- $125.00 application fee, if application (fee may be waived depending on your services and application type. Fees are paid online at the time of application via credit card or electronic check)
REV 1.12.26