Form 16 "Ohio Secretary of State Verification of Accessible Parking" - Ohio

What Is Form 16?

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

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Ohio Secretary of State;
  • 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 16 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 16 "Ohio Secretary of State Verification of Accessible Parking" - Ohio

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Form 16 Prescribed by Secretary of State (03-20)
Ohio Secretary of State Verification of Accessible Parking
print clearly
R.C. 3501.29(E)
This form must be completed and submitted prior to each election.
County Board of Elections
This verification is for the following election (select only one):
Primary Election to be held on (MM/DD/YYYY)
General Election to be held on (MM/DD/YYYY)
Special Election to be held on (MM/DD/YYYY)
Choose One:
I verify that in the aforementioned county the minimum number of special parking
locations for handicapped persons are designated at all polling places in accordance
with 28 C.F.R. Part 36, Appendix A and R.C. 3501.29(B)(1)(b) and 4511.69(E).
The aforementioned county is not in full compliance relative to the required minimum
number of special parking locations for handicapped persons at all polling places.
Attached is a plan for compliance.*
Director's Signature
Date (MM/DD/YYYY)
Deputy Director’s Signature or
Date (MM/DD/YYYY)
Board Chairperson’s Signature
Return this signed verification statement before Election Day to
swarren@ohiosos.gov.
Form 16 Prescribed by Secretary of State (03-20)
Ohio Secretary of State Verification of Accessible Parking
print clearly
R.C. 3501.29(E)
This form must be completed and submitted prior to each election.
County Board of Elections
This verification is for the following election (select only one):
Primary Election to be held on (MM/DD/YYYY)
General Election to be held on (MM/DD/YYYY)
Special Election to be held on (MM/DD/YYYY)
Choose One:
I verify that in the aforementioned county the minimum number of special parking
locations for handicapped persons are designated at all polling places in accordance
with 28 C.F.R. Part 36, Appendix A and R.C. 3501.29(B)(1)(b) and 4511.69(E).
The aforementioned county is not in full compliance relative to the required minimum
number of special parking locations for handicapped persons at all polling places.
Attached is a plan for compliance.*
Director's Signature
Date (MM/DD/YYYY)
Deputy Director’s Signature or
Date (MM/DD/YYYY)
Board Chairperson’s Signature
Return this signed verification statement before Election Day to
swarren@ohiosos.gov.