Investigations & Compliance

Report a Conviction

EMS

Pursuant to OAC 4765-9-01, within 14 days of the final sentencing of any criminal offense, the certificate holder must provide written notification to the Division of EMS of such offense. The certificate holder may use the form below.

An EMS certificate holder shall, within 60 days of the final sentencing of any criminal offense, provide the division with the following:

  1. A certified copy of the judgment entry from the court in which the conviction occurred;
  2. A certified copy of the police or law enforcement agency report, if applicable; and
  3. A Bureau of Criminal Identification Civilian background check (also known as “Webcheck®”).

Fire

Pursuant to OAC 4765-22-01, within 14 days of the final sentencing of any misdemeanor involving moral turpitude, any misdemeanor committed in the course of practice, or any felony, provide written notification to the Division of EMS of such offense. The certificate holder may use the form below.

A person issued a fire service training certificate shall within 60 days of the final sentencing of any misdemeanor involving moral turpitude, any misdemeanor committed in the course of practice, or any felony, provide the division with the following:

  1. A certified copy of the judgment entry from the court in which the conviction occurred;
  2. A certified copy of the police or law enforcement agency report, if applicable; and
  3. A Bureau of Criminal Identification Civilian background check (also known as “Webcheck®”).

Declaration of Criminal History Form

Declaration of Criminal History EMS Certificates EMS 0095 PDF Word
Declaration of Criminal History Fire Certificates EMS 0101 PDF Word
Have Questions?

Email the Investigations, Hearings & Compliance Section

Or call (614) 466-9447 or (800) 233-0785

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