DRC-3193 Ohio is a new form that has been released to the public by the Ohio Department of Taxation. This form is used for individuals and businesses required to file an Ohio income tax return, and it replaces the DRC-3192. The DRC-3193 should be used for all returns filed for taxable year 2019. Form instructions and additional information can be found on the Ohio Department of Taxation website. Thank you for your attention to this matter.
| Question | Answer |
|---|---|
| Form Name | Form Drc3193 Ohio |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | vinelink, DRC3193, DOB, Transitional |
*Registration: |
The Ohio Department of Rehabilitation and Correction |
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Office of Victim Services |
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VICTIM NOTIFICATION |
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(Please Print) |
I am requesting to be placed on the victim notification list. By registering with the Office of Victim Services I will receive notifications regarding the following events: Parole Board Hearings, Clemency Hearings, Full Board Hearings, Recommendation to the Transitional Control Program, Release Date, Escape and/or Death. I understand that I have a right to be notified per ORC 2930.16, provided the Office of Victim Services has received this notification form. I understand this information will remain confidential.
Offender Information: Please fill out this section with as much information as possible. If you are unaware of the offender number, please contact the Office of Victim Services at
Offender Name: |
*FIRST |
MI
*LAST
Offender Number:
Court Case #:
Offender Race: |
Offender DOB: |
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Sentencing County:
Victim Information: The victim or a designated representative may receive notification. The person to receive this notification must provide the following information:
Name of Person Requesting Notification:
Mr. |
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*FIRST |
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MI |
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*LAST |
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Ms. |
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*Street Address: |
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*City: |
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*State: |
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*Zip Code + 4: |
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May We Contact You by |
Yes |
No |
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No Phone |
Daytime Phone: |
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Ext.: |
Alternate Phone: |
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Ext.: |
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Cell Phone: |
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*Is the Victim A Minor: |
Yes |
No |
*What, if any, is your relationship to the offender: |
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(UNDER 18) |
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Relationship to Victim:
*What is your relationship to the Victim:
PLEASE MAIL THIS FORM TO: |
The Ohio Department of Rehabilitation & Correction |
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Office of Victim Services - Notification Section |
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770 West Broad Street |
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Columbus, Ohio |
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Or Fax To: (614) |
Upon Receipt of this form, the Office of Victim Services will process your request and you will receive a confirmation letter.
Note: If the Offender in your case sends a letter of apology to the Office of Victim Services, do you wish to be notified?
Yes No
If you would like to also be registered for the Victim Information and Notification Everyday (VINE) telephone system, please call
By completing the section below, I am requesting to be placed on the Victim Notification list. I understand that it is my responsibility to notify the Office of Victim Services in writing of any changes in the information provided on this form.
* Signature:
*Date:
DRC3193 (Rev. 09/11) |
* = Required Information |