Rule 173-6-04 | Golden buckeye program: enrollment process for persons eighteen to fifty-nine years of age.
(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.
Last updated January 24, 2022 at 8:27 AM
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