customer: _____________________________________ ohio historical society research services department address: __________________________

Customer: _____________________________________ Ohio Historical
Society
Research Services Department
Address: _______________________________________ 800 E. 17th Ave.
` Columbus, OH 43211-2474
City/State/Zip: ___________________________________ (614) 297-2510
Email: __________________________________________
Indexed Public Records Copy Request Form
DO NOT USE THIS FORM FOR DEATH CERTIFICATE COPY REQUESTS - DIFFERENT
FEES APPLY
COPY CHARGES:
The fee is $12.00 per name/record, which covers the search and up to 4
pages of copies and postage. The charge for each additional page is 25
cents. Ohio residents must pay 7.5% sales tax. (Multiply total order
by .075 to calculate tax. Copy requests must be PREPAID with check or
money order payable to the Ohio Historical Society. DO NOT SEND CASH.
No refund will be provided for records that are searched but not
found.
INSTRUCTIONS:
Use this form to request copies of specific INDEXED Ohio public
records. Other forms are available for requesting copies of Ohio death
certificates. Use our online catalog at www.ohiohistory.org/occ to
determine if we hold the specific records you want.
COPY REQUEST:
Full Name (individual documented by the record):
__________________________________________________
Type of Record (check ONE and provide as much detail as possible):
[ ] Probate Court Birth record. County ________________ Exact Year/Day
and month if known _______________
[ ] Probate Court Death record. County _________________ Exact
Year/Day and month if known _______________
[ ] Probate Court Marriage record. County ______________ Exact Year
__________ Spouse ____________________
[ ] Probate Court Will OR Estate record (circle ONE). County
______________ Exact Year_____________________
[ ] Military Roster Entry. War or Dates of Service _________________
Regiment ____________ Age _____________
[ ] Veteran's Grave Registration Entry. War or Dates of Service
_________________ County ____________________
[ ] Incarceration. Penal Institution ________________________________
Dates of Incarceration __________________
[ ] Tax. Date ______________ City __________________________________
County ___________________________
[ ] Naturalization. Date __________ Court _________________________
County ______________________________
[ ] Incorporation record. Name of corporation/municipality
__________________________ Exact Year ____________
Additional Information:
Rev. 1/1/2014

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