STATE AGENCY DESIGNATION FOR COMPLIANCE WITH RULE 5003

 

Ohio Department of Medicaid
Office of Legal Counsel
P.O. Box 182709
Columbus, OH 43218-2709

(Use this designated address for any claims owed to Medicaid, including but not limited to medical providers.)

 

Ohio Dept of Taxation
(Insert TINS here)
Attn: Bankruptcy Division
P.O. Box 530
Columbus, Ohio 43216-0530

(This address should also be used for Section 505 tax determination requests for taxes assessed by the Ohio Department of Taxation)

 

Ohio Bureau of Workers' Compensation
(insert policy # or claim # here)
Attn: Law Section Bankruptcy Unit
P.O. Box 15567
Columbus, Ohio 43215-0567

(This address should also be used for Section 505 tax determination requests for premiums assessed by the Ohio Bureau of Workers' Compensation.)

 

Ohio Department of Job & Family Services
(insert employer # or claim # here)
Attn: Program Services / Revenue Recovery
P.O. Box 182404
Columbus, Ohio 43218-2404

(This address is to be used for any ODJFS debt, such as unemployment tax contributions or benefit overpayment claims. Medicaid debt has a separate address.)

 

Ohio Department of Job & Family Services
Attn: Contributions
P.O. Box 182404
Columbus, OH 43218-2404

(This address is only to be used for Section 505 tax determination requests for unemployment contributions.)

 

The Ohio State University Medical Center
P.O. Box 183102
660 Ackerman Road
Columbus, Ohio 43218

 

Ohio Development Services Agency (formerly Ohio Department of Development)
77 S. High Street, 29th floor
Columbus, Ohio 43215
Attn: Chief Legal Counsel

(Please use this address to notify of any debt (i.e. loans, grants) owed to Agency or former DOD.)

 

Miami University
Attn: M.W. Dale
301 S. Campus Avenue
Oxford, Ohio 45056-3439

Sinclair Community College
Bursar’s Office Room 10244
444 West Third Street
Dayton, Ohio 45402

Youngstown State University
c/o Office of Student Accounts
One University Plaza
Youngstown, Ohio 44555

Ohio Lottery Commission
615 West Superior Avenue, 4th floor
Attn: Legal/Bankruptcy
Cleveland, Ohio 44113

Eastern Gateway Community College
4000 Sunset Blvd
Steubenville, Ohio 43953

Rio Grande Community College
P.O. Box 326
Rio Grande, Ohio 45674

 

Because the provisions of Ohio Rev. Code § 131.02 require delinquent debt owed to State agencies, departments and bureaus be certified to the Ohio Attorney General's Office for collection, it is recommended that in addition to noticing the specific state entity, the following "also notify" listing should be included under each scheduled debt owed to the State of Ohio, including but not limited to Taxation, BWC, ODJFS, The Ohio State University Medical Center and Ohio Department of Development:

(insert name of creditor)
c/o Attorney General
Collection Enforcement Section
Attn: Bankruptcy Staff
150 E. Gay Street, 21st floor
Columbus, Ohio 43215

last updated: 12/16/2014