(A) Enrollment:
(1) If an Ohio resident
who is eighteen to fifty-nine years of age who is also a person with a
permanent and total disability chooses to apply for the golden buckeye program,
the person shall apply at a sign-up site. Sign-up sites include most Ohio
senior centers and libraries.
(2) To apply, the person
shall do all of the following:
(a) Obtain an application from a sign-up site.
(b) Return the signed, completed application to the sign-up
site.
(c) Provide the sign-up site with evidence the person is eighteen
to fifty-nine years of age and a resident of Ohio (e.g., driver's license,
state identification card).
(d) Provide the sign-up site with evidence the person is a person
with a disability (e.g., declaration of total disability from the bureau of
workers' compensation or another state agency with authority to declare
disabilities, medicare card, or benefits verification letter from the social
security administration, benefits letter from the veterans'
administration, or a similar award letter from a public pension
program).
(3) After a sign-up site
receives an application, it shall do all of the following:
(a) The sign-up site shall verify the application has been
completed and signed.
(b) The sign-up site shall verify the person is eighteen to
fifty-nine years of age and a resident of Ohio by indicating the source of
evidence (e.g., driver's license, state identification card) on the
application.
(c) The sign-up site shall verify the person is a person with a
disability by indicating the source of evidence (e.g., declaration of total
disability from the bureau of workers' compensation or another state
agency with authority to declare disabilities, medicare card, or benefits
verification letter from the social security administration, benefits letter
from the veterans' administration, or a similar award letter from a public
pension program) on the application.
(d) The sign-up site shall identify itself on the
application.
(e) On the application, the sign-up site shall write the initials
of the staff person at the site who processed the application.
(f) The sign-up site shall mail, email, or fax the signed,
completed application to the processing location identified on the application
less than one week after it receives the application.
(4) After ODA receives
the application from a sign-up site, it shall do the following:
(a) Verify the sign-up site complied with paragraph (A)(3) of
this rule.
(b) Issue a golden buckeye card to the eligible
person.
(B) Card validation:
(1) After ODA issues a
golden buckeye card to a person, the cardholder shall sign the card. No card is
valid until the cardholder signs it.
(2) After the cardholder
signs his or her golden buckeye card, the card remains valid for the remaining
life of the cardholder, unless ODA revokes the card due to a fraudulent
application or fraudulent use of the card, or the program is
discontinued.
(C) Transferability: A cardholder shall
not transfer a golden buckeye card to any other person.
(D) Replacement card: If a golden buckeye
card is lost, stolen, or damaged, a cardholder who is eighteen to fifty-nine
years who is also a person with a permanent and total disability may contact
ODA for a replacement card.
