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Security Application Form
You have finished the Security Wizard. Thank You!
Applications must be filled out completely and accurately. Incomplete/inaccurate affidavits will not be processed.
Once Completed, Please PRINT the Form and have it SIGNED:
You can Submit through Email to:
Ohio Dept. of Developmental Disabilities
Information Technology Services
Email:
itscallcenter@dodd.ohio.gov
(Building your form may take some time. Please allow it a few seconds.)
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