Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio

Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio

What Is Form ODM07405?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ODM07405?
A: Form ODM07405 is the Third Party Affidavit of Birthplace or Nationality specifically used in the state of Ohio.

Q: What is the purpose of Form ODM07405?
A: The purpose of Form ODM07405 is to provide a legal document that verifies a person's birthplace or nationality through a third party affidavit.

Q: Who needs to fill out Form ODM07405?
A: Form ODM07405 needs to be filled out by an individual who requires proof of their birthplace or nationality and cannot obtain a birth certificate or other supporting documents.

Q: Can anyone fill out Form ODM07405?
A: No, Form ODM07405 must be completed by a qualified individual who has personal knowledge of the person's birthplace or nationality.

Q: What documents are required to accompany Form ODM07405?
A: The specific documents required to accompany Form ODM07405 can vary. It is recommended to review the instructions provided with the form or consult with the Ohio Department of Public Safety for the necessary documentation.

ADVERTISEMENT

Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM07405 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio

4.4 of 5 (7 votes)
  • Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio

    1

  • Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio, Page 2

    2

  • Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio, Page 1
  • Form ODM07405 Third Party Affidavit of Birthplace or Nationality - Ohio, Page 2
Prev 1 2 Next
ADVERTISEMENT