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Preview - Ohio Hls 0037 Form

Ohio Department of Public Safety

Division of Homeland Security

http://www.homelandsecurity.ohio.gov

PUBLIC EMPLOYMENT

In accordance with section 2909.34 of the Ohio Revised Code

DECLARATION REGARDING MATERIAL ASSISTANCE/NONASSISTANCE TO A TERRORIST ORGANIZATION

This form serves as a declaration of the provision of material assistance to a terrorist organization or organization that supports terrorism as identified by the U.S. Department of State Terrorist Exclusion List (see the Ohio Homeland Security Division website for a reference copy of the Terrorist Exclusion List).

Any answer of “yes” to any question, or the failure to answer “no” to any question on this declaration shall serve as a disclosure that material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List has been provided. Failure to disclose the provision of material assistance to such an organization or knowingly making false statements regarding material assistance to such an organization is a felony of the fifth degree.

For the purposes of this declaration, “material support or resources” means currency, payment instruments, other financial securities, funds, transfer of funds, and financial services that are in excess of one hundred dollars, as well as communications, lodging, training, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.

LAST NAME

 

 

 

FIRST NAME

 

 

 

MIDDLE INITIAL

 

 

 

 

 

 

 

 

 

HOME ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

STATE

 

ZIP

COUNTY

 

 

 

 

 

 

 

 

HOME PHONE

 

 

WORK PHONE

 

 

(

)

 

(

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DECLARATION

In accordance with division (A)(2)(b) of section 2909.32 of the Ohio Revised Code

For each question, indicate either “yes,” or “no” in the space provided. Responses must be truthful to the best of your knowledge.

1.Are you a member of an organization on the U.S. Department of State Terrorist Exclusion List? Yes No

2.Have you used any position of prominence you have with any country to persuade others to support an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

3.Have you knowingly solicited funds or other things of value for an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

HLS 0037 2/06

PUBLIC EMPLOYMENT - CONTINUED

4.Have you solicited any individual for membership in an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

5.Have you committed an act that you know, or reasonably should have known, affords "material support or resources" to an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

6.Have you hired or compensated a person you knew to be a member of an organization on the U.S. Department of State Terrorist Exclusion List, or a person you knew to be engaged in planning, assisting, or carrying out an act of terrorism?

Yes No

In the event of a denial of public employment due to a positive indication that material assistance has been provided to a terrorist organization, or an organization that supports terrorism as identified by the U.S. Department of State Terrorist Exclusion List, a review of the denial may be requested. The request must be sent to the Ohio Department of Public Safety’s Division of Homeland Security. The request forms and instructions for filing can be found on the Ohio Homeland Security Division website.

CERTIFICATION

I hereby certify that the answers I have made to all of the questions on this declaration are true to the best of my knowledge. I understand that if this declaration is not completed in its entirety, it will not be processed and I will be automatically disqualified. I understand that I am responsible for the correctness of this declaration. I understand that failure to disclose the provision of material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List, or knowingly making false statements regarding material assistance to such an organization is a felony of the fifth degree. I understand that any answer of “yes” to any question, or the failure to answer “no” to any question on this declaration shall serve as a disclosure that material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List has been provided by myself or my organization.

X

Signature

Date

Document Properties

Fact Name Details
Governing Law The Ohio HLS 0037 form is governed by section 2909.34 of the Ohio Revised Code.
Purpose This form is used to declare any material assistance or non-assistance to terrorist organizations as identified by the U.S. Department of State.
Consequences of False Statements Providing false information or failing to disclose assistance to a terrorist organization is classified as a felony of the fifth degree.
Material Support Definition Material support includes financial resources, training, lodging, and other physical assets, excluding medicine or religious materials.
Review Process If public employment is denied due to positive indications of assistance to a terrorist organization, a review request can be submitted to the Ohio Department of Public Safety’s Division of Homeland Security.

Documents used along the form

The Ohio HLS 0037 form, which is a declaration regarding material assistance to terrorist organizations, is often accompanied by several other important documents. These forms help ensure compliance with state and federal regulations regarding public employment and security. Below is a list of related documents that may be required or useful in conjunction with the HLS 0037 form.

  • Ohio Public Employment Application: This form collects essential information about an applicant’s qualifications, work history, and personal details necessary for public employment consideration.
  • Georgia Quitclaim Deed form: This important legal document is utilized for transferring property ownership in Georgia without guaranteeing the title's clarity. It is often favored among family members or to resolve title discrepancies. More information can be found at smarttemplates.net.
  • Background Check Authorization Form: This document allows employers to conduct a background check on the applicant. It typically includes consent for criminal history checks and verification of employment history.
  • Federal Employment Eligibility Verification (Form I-9): This form is required for verifying the identity and employment authorization of individuals hired for employment in the United States. It must be completed by both the employee and employer.
  • Affidavit of Truthfulness: This affidavit is often required to affirm that all information provided in employment applications and declarations is accurate and truthful. It serves as a legal statement that can be used in case of discrepancies.
  • Request for Review of Denial: In the event of a denial of public employment, this form allows the individual to formally request a review of the decision. It typically includes instructions on how to submit the request and any supporting documentation needed.

These documents play a crucial role in the employment process and help maintain security and integrity within public service positions. Ensuring that all forms are completed accurately and submitted as required can help facilitate a smoother application process.

Guidelines on Filling in Ohio Hls 0037

Completing the Ohio HLS 0037 form is a crucial step for individuals seeking public employment in Ohio. Ensuring accuracy and honesty in your responses is essential, as any discrepancies may lead to serious legal consequences. Follow these steps carefully to fill out the form correctly.

  1. Obtain a copy of the Ohio HLS 0037 form from the Ohio Department of Public Safety's Division of Homeland Security website.
  2. Fill in your last name, first name, and middle initial in the designated spaces at the top of the form.
  3. Provide your home address, including city, state, and ZIP code.
  4. Enter your county of residence.
  5. List your home phone and work phone numbers.
  6. In the declaration section, answer each question by marking either “yes” or “no.” Be truthful in your responses.
  7. Review your answers carefully to ensure they are complete and accurate.
  8. Sign the form to certify that your answers are true to the best of your knowledge.
  9. Write the date next to your signature.
  10. Submit the completed form according to the instructions provided on the Ohio Department of Public Safety’s website.

Common mistakes

Completing the Ohio HLS 0037 form accurately is crucial for anyone seeking public employment. One common mistake is failing to read the instructions thoroughly. The form clearly states that each question must be answered truthfully. Skipping questions or providing vague answers can lead to automatic disqualification. Understanding the implications of each question is essential. Missing this step can result in significant consequences.

Another frequent error involves misunderstanding the definition of "material support or resources." Many individuals may not realize that this term encompasses a wide range of items, including financial support, training, and even transportation. Some might mistakenly believe that only direct financial contributions count, leading to incomplete or inaccurate responses. This misunderstanding can cause serious repercussions, including legal consequences.

People also often overlook the importance of providing complete personal information. The form requires specific details such as last name, first name, and contact information. Omitting any of this information can delay processing or result in rejection of the application. Ensuring that all personal data is accurate and complete is a straightforward yet critical step.

Additionally, individuals sometimes misinterpret the “yes” or “no” questions. Respondents may feel inclined to answer “no” to avoid scrutiny, even when they should answer “yes.” This can lead to legal issues, as any false statement can be considered a felony. It is vital to approach these questions with honesty and transparency.

Lastly, individuals frequently neglect to sign and date the form. The certification section emphasizes the importance of confirming that all answers are true. Without a signature, the form cannot be processed. This simple oversight can derail an entire application process, underscoring the need for careful review before submission.

FAQ

  1. What is the purpose of the Ohio HLS 0037 form?

    The Ohio HLS 0037 form is a declaration regarding material assistance or non-assistance to terrorist organizations. It is required for public employment in Ohio, as per section 2909.34 of the Ohio Revised Code. This form helps to identify any connections individuals may have with organizations listed on the U.S. Department of State Terrorist Exclusion List.

  2. What happens if I answer "yes" to any question on the form?

    Answering "yes" to any question indicates that you have provided material assistance to a terrorist organization or an organization supporting terrorism. This response serves as a disclosure and may lead to disqualification from public employment. Furthermore, failing to answer "no" to any question can also be interpreted as a disclosure.

  3. What constitutes "material support or resources"?

    "Material support or resources" includes various forms of assistance such as currency, financial securities, funds, and financial services exceeding one hundred dollars. It also encompasses communications, lodging, training, transportation, and other physical assets, excluding medicine or religious materials. Understanding this definition is crucial for accurately completing the form.

  4. What should I do if my application for public employment is denied?

    If your application is denied due to a positive indication of material assistance to a terrorist organization, you can request a review of the denial. This request must be submitted to the Ohio Department of Public Safety’s Division of Homeland Security. Detailed instructions and request forms are available on their official website.

  5. What are the consequences of providing false information on the form?

    Providing false information or failing to disclose material assistance to a terrorist organization is a serious offense. Such actions are classified as a felony of the fifth degree in Ohio. It is essential to complete the form truthfully to avoid legal repercussions and ensure the integrity of the application process.