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In the landscape of public safety and legal compliance within Ohio, the HLS 0037 form emerges as a critical document structured by the Ohio Department of Public Safety's Division of Homeland Security. Its primary function is to safeguard the public sector from inadvertently supporting terrorism through the employment process. By mandating a declaration regarding the provision or lack thereof of material assistance to terrorist organizations, it incorporates a layer of scrutiny in line with section 2909.34 of the Ohio Revised Code. The form meticulously defines "material support or resources" to include a wide array of contributions, from financial to logistical, exceeding a one hundred dollar threshold, yet with explicit exemptions for medicine or religious materials. It orchestrates a thorough vetting process, where potential employees must disclose any affiliations or support, knowingly or unknowingly provided, to entities on the U.S. Department of State Terrorist Exclusion List. This requirement extends beyond mere membership to encompass any acts of persuasion, solicitation of funds or membership, and the provision of material support, with a clear path for reviewing denials of public employment based on these grounds. The gravity of failing to accurately complete this declaration is underscored by its potential to result in felony charges, thus ensuring that candidates approach this disclosure with the utmost sincerity and attention to detail. Through this framework, the Ohio HLS 0037 form serves as a gatekeeper, aiming to prevent the flow of resources to organizations that threaten peace and security, while simultaneously guiding applicants through a process of self-reflection on their actions and associations.

Example - Ohio Hls 0037 Form

Ohio Department of Public Safety

Division of Homeland Security

http://www.homelandsecurity.ohio.gov

PUBLIC EMPLOYMENT

In accordance with section 2909.34 of the Ohio Revised Code

DECLARATION REGARDING MATERIAL ASSISTANCE/NONASSISTANCE TO A TERRORIST ORGANIZATION

This form serves as a declaration of the provision of material assistance to a terrorist organization or organization that supports terrorism as identified by the U.S. Department of State Terrorist Exclusion List (see the Ohio Homeland Security Division website for a reference copy of the Terrorist Exclusion List).

Any answer of “yes” to any question, or the failure to answer “no” to any question on this declaration shall serve as a disclosure that material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List has been provided. Failure to disclose the provision of material assistance to such an organization or knowingly making false statements regarding material assistance to such an organization is a felony of the fifth degree.

For the purposes of this declaration, “material support or resources” means currency, payment instruments, other financial securities, funds, transfer of funds, and financial services that are in excess of one hundred dollars, as well as communications, lodging, training, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.

LAST NAME

 

 

 

FIRST NAME

 

 

 

MIDDLE INITIAL

 

 

 

 

 

 

 

 

 

HOME ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

STATE

 

ZIP

COUNTY

 

 

 

 

 

 

 

 

HOME PHONE

 

 

WORK PHONE

 

 

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DECLARATION

In accordance with division (A)(2)(b) of section 2909.32 of the Ohio Revised Code

For each question, indicate either “yes,” or “no” in the space provided. Responses must be truthful to the best of your knowledge.

1.Are you a member of an organization on the U.S. Department of State Terrorist Exclusion List? Yes No

2.Have you used any position of prominence you have with any country to persuade others to support an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

3.Have you knowingly solicited funds or other things of value for an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

HLS 0037 2/06

PUBLIC EMPLOYMENT - CONTINUED

4.Have you solicited any individual for membership in an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

5.Have you committed an act that you know, or reasonably should have known, affords "material support or resources" to an organization on the U.S. Department of State Terrorist Exclusion List?

Yes No

6.Have you hired or compensated a person you knew to be a member of an organization on the U.S. Department of State Terrorist Exclusion List, or a person you knew to be engaged in planning, assisting, or carrying out an act of terrorism?

Yes No

In the event of a denial of public employment due to a positive indication that material assistance has been provided to a terrorist organization, or an organization that supports terrorism as identified by the U.S. Department of State Terrorist Exclusion List, a review of the denial may be requested. The request must be sent to the Ohio Department of Public Safety’s Division of Homeland Security. The request forms and instructions for filing can be found on the Ohio Homeland Security Division website.

CERTIFICATION

I hereby certify that the answers I have made to all of the questions on this declaration are true to the best of my knowledge. I understand that if this declaration is not completed in its entirety, it will not be processed and I will be automatically disqualified. I understand that I am responsible for the correctness of this declaration. I understand that failure to disclose the provision of material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List, or knowingly making false statements regarding material assistance to such an organization is a felony of the fifth degree. I understand that any answer of “yes” to any question, or the failure to answer “no” to any question on this declaration shall serve as a disclosure that material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List has been provided by myself or my organization.

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Signature

Date

Document Properties

Fact Description
Purpose The Ohio HLS 0037 form is used to declare whether an individual has provided material assistance to a terrorist organization, as identified by the U.S. Department of State Terrorist Exclusion List.
Governing Law This form is governed by section 2909.34 of the Ohio Revised Code, which makes failure to disclose or falsely disclosing material assistance to such organizations a felony of the fifth degree.
Material Assistance Definition Material assistance includes a wide range of support such as currency, financial services, lodging, training, false documentation, transportation, and more, excluding medicine and religious materials.
Disclosure Requirement Answering "yes" to any question or failing to answer "no" indicates the provision of material assistance to an organization on the U.S. Department of State Terrorist Exclusion List.
Consequences of False Declaration Falsely declaring or failing to disclose material assistance is a felony of the fifth degree under Ohio law.
Review Process Individuals denied public employment due to a positive indication of material assistance can request a review of the denial through the Ohio Department of Public Safety’s Division of Homeland Security.

Detailed Instructions for Using Ohio Hls 0037

After completing the Ohio HLS 0037 form, it serves as a straightforward yet crucial component in ensuring public employment suitability within the state. This document helps in affirming an individual's stance regarding providing material assistance or support to a terrorist organization, as outlined by the U.S. Department of State Terrorist Exclusion List. It's important to answer every question truthfully to avoid legal repercussions or disqualification from public employment. Should there be any issue or denial of employment based on the responses provided, one has the right to request a review of the decision through the Ohio Department of Public Safety's Division of Homeland Security. Here are the steps needed to correctly fill out the form:

  1. Start by visiting the Ohio Homeland Security Division website to access a copy of the Terrorist Exclusion List for reference.
  2. Enter your last, first, and middle initial in the spaces provided at the top of the form.
  3. Fill in your home address, including city, state, zip code, and county.
  4. Provide your home and work phone numbers in the designated spaces.
  5. Read each declaration statement carefully and mark either “yes” or “no” to each question based on your personal situation and to the best of your knowledge.
  6. Review your answers thoroughly to ensure they are truthful and complete.
  7. Read the certification at the bottom of the form carefully, which outlines the importance of the declaration’s accuracy and the legal implications of providing false information.
  8. Sign and date the form at the bottom where indicated to certify that your responses are accurate.
  9. Before submitting the form, double-check all the information for completeness and accuracy to prevent automatic disqualification or legal issues.
  10. Follow any additional instructions provided by the employing agency or the Ohio Department of Public Safety regarding submission of the form.

Once the form is completely filled out and submitted, it will be processed, and you'll be further informed about the status of your public employment eligibility. Remember, this form is a critical step in the employment process, ensuring the security and integrity of Ohio's public employment sector.

What You Should Know About Ohio Hls 0037

What is the Ohio HLS 0037 form?

The Ohio HLS 0037 form is a declaration required for individuals seeking public employment in the state of Ohio. It is used to disclose whether or not the applicant has provided material assistance to a terrorist organization or an organization that supports terrorism, as defined by the U.S. Department of State Terrorist Exclusion List.

Why do I need to complete the Ohio HLS 0037 form?

Completion of the form is mandatory under section 2909.34 of the Ohio Revised Code for all individuals applying for public employment. It serves as a precondition to employment, ensuring that the public sector does not employ individuals who have supported terrorist activities.

What is considered "material assistance" for the purposes of this declaration?

For this declaration, material assistance includes providing currency, payment instruments, other financial securities, funds, transfers of funds, financial services over one hundred dollars, communications, lodging, training, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, excluding medicine or religious materials.

What happens if I answer "yes" to any of the questions on the HLS 0037 form?

Answering "yes" to any question, or failing to answer "no" to any question, discloses that you or your organization has provided material assistance to a terrorist organization. This may disqualify you from public employment in Ohio, subject to verification and review.

What are the consequences of failing to disclose or falsely disclosing information on the HLS 0037 form?

Failing to disclose material assistance to a terrorist organization, or knowingly making false statements on this form, is classified as a felony of the fifth degree under Ohio law. This carries serious legal implications, including potential criminal charges.

Can I request a review if I am denied employment based on my responses?

Yes, individuals who are denied public employment due to their responses on the HLS 0037 form can request a review of the decision. The request for review must be submitted to the Ohio Department of Public Safety’s Division of Homeland Security, following the procedures outlined on their website.

Where can I find the U.S. Department of State Terrorist Exclusion List?

The Terrorist Exclusion List is available on the Ohio Homeland Security Division website. It outlines the organizations identified as terrorist groups, against which material assistance is prohibited.

How do I certify my HLS 0037 form?

The form is certified by signing and dating the bottom of the document. By signing, you attest that all answers are true to the best of your knowledge and understand the implications of failing to truthfully complete the document.

What should I do if I am unsure how to answer a question on the HLS 0037 form?

If you are unsure about how to answer a question, it is recommended that you seek clarification or legal advice before submitting the form. Providing accurate and truthful responses is essential to avoid legal consequences.

Common mistakes

Filling out the Ohio HLS 0037 form, a vital document for public employment in the State of Ohio, requires meticulous attention to detail. This form, designed to declare the provision or non-provision of material assistance to terrorist organizations, is a crucial step in the hiring process for public positions. Unfortunately, applicants often make mistakes that can lead to unnecessary delays or even disqualification from public employment eligibility. Here are five common pitfalls to avoid:

  1. Incomplete Responses: One of the most common errors is leaving questions unanswered. Each question on the form is designed to be answered with a simple "yes" or "no." Failing to provide an answer to any question automatically raises a red flag and can serve as a declaration that material assistance has been provided to a terrorist organization, as indicated in the form’s instructions.

  2. Overlooking the Definition of Material Support: Applicants often misinterpret what constitutes "material support or resources." As stated, it includes a wide range of assistance types—from financial contributions exceeding one hundred dollars to providing transportation or false documentation. Not fully understanding this definition can lead to inadvertently incorrect answers.

  3. Failure to Check the Terrorist Exclusion List: The U.S. Department of State Terrorist Exclusion List is referenced in the document for a crucial reason. Applicants must review this list to accurately answer the questions. Ignorance of which organizations are on this list can lead to inaccuracies in the declaration, potentially amounting to a felony of the fifth degree if material support has been unknowingly provided.

  4. Not Requesting a Review When Necessary: In cases where public employment is denied based on the information provided in the HLS 0037 form, applicants have the right to request a review of the denial. Overlooking this step can mean missing out on a potential opportunity to clarify misunderstandings or provide additional context to the answers given.

  5. Misunderstanding the Certification Section: The final part of the form requires a signature, certifying that all answers given are true to the best of the applicant’s knowledge. Some applicants might not fully grasp the seriousness of this certification. Providing misleading or false information, whether by mistake or intentionally, is a felony offense. Additionally, failing to complete the declaration in its entirety will not only prevent processing but will also result in automatic disqualification.

By steering clear of these mistakes, applicants can ensure their HLS 0037 forms are submitted correctly, thereby supporting a smoother public employment process. A careful review of the form’s instructions, along with a thoughtful and accurate completion of each section, is not just beneficial—it's essential.

Documents used along the form

Completing the Ohio HLS 0037 form, which is a declaration regarding the provision or non-provision of material assistance to terrorist organizations, is a significant step for public employment in Ohio. This document is crucial for ensuring that individuals seeking public employment do not support or have not supported terrorist organizations. Alongside the HLS 0037 form, several other forms and documents may be required to complete the application process or to provide additional verification and information. Understanding these documents can help applicants prepare for the employment process.

  • Background Check Authorization Form: This document authorizes the Ohio Department of Public Safety to conduct a thorough background check on the applicant, including criminal history and any ties to organizations on the Terrorist Exclusion List. It is essential for verifying the information provided on the HLS 0037 form.
  • Ohio Civil Service Application: For positions within the state civil service, this application form is necessary. It gathers comprehensive information about the applicant's employment history, education, and qualifications. It may be used alongside the HLS 0037 form to assess the suitability of an applicant for public employment.
  • Fingerprinting Submission Form: Often required for a thorough background check, this form accompanies the process of fingerprinting. It ensures that the fingerprints are correctly matched to the applicant and checked against criminal databases and the FBI's database for any records that would disqualify the applicant from public employment.
  • Proof of Identity and Work Authorization: Documents such as a passport, driver's license, or Social Security card that verify the applicant's identity and eligibility to work in the United States. These are crucial for the employment process to ensure that all potential public employees are legally permitted to work.

Together with the Ohio HLS 0037 form, these documents create a comprehensive applicant profile that assists the Ohio Department of Public Safety and potential employers in determining the suitability of an applicant for public employment. Each document serves its unique purpose, from verifying identity and qualifications to ensuring that the applicant upholds the security standards necessary for public service. Understanding and preparing these documents can significantly streamline the application process for public employment in Ohio.

Similar forms

The U.S. Federal Employment Eligibility Verification Form I-9 is akin to the Ohio HLS 0037 form in its fundamental purpose of preventing unlawful activities through essential declarations. The I-9 form focuses on verifying the identity and legal authorization to work of employees in the U.S., aiming to prevent the employment of unauthorized immigrants. Similar to the HLS 0037 form, it requires truthful responses from the applicant, where providing false information can lead to penalties under law.

Another document with resemblances to the Ohio HLS 0037 is the Security Clearance Form used by federal agencies, including the Department of Defense. This form assesses an individual’s suitability for accessing classified information, paralleling the HLS 0037's goal of identifying any connections to terrorist organizations. Both documents scrutinize the background of the applicant to protect national security and require honest disclosures, under the penalty of law.

The Foreign Assets Control Regulations Reporting Form, under the administration of the U.S. Department of the Treasury, also shares similarities with the Ohio HLS 0037 form. This form demands entities and individuals to report transactions or relationships with sanctioned countries, groups, or persons. Like the HLS 0037, it serves a security function, ensuring compliance with national regulations designed to block financial support to terrorist or other sanctioned entities.

The Visa Application Forms for Entry into the United States have elements in common with the Ohio HLS 0037 form, particularly in their rigorous background checks and questions pertaining to any affiliations with organizations deemed dangerous by the U.S. government. Applicants must provide truthful answers regarding their history and intentions, mirroring the HLS 0037’s requirement for honest disclosure regarding connections to terrorism-supporting organizations.

The Employee Conflict of Interest Declaration forms found in many sectors are structured to uncover any conflicts between an employee’s professional responsibilities and personal interests, including any that might compromise national security. Similarly, the Ohio HLS 0037 form is designed to identify conflicts related to national security, specifically connections to acknowledged terrorist organizations, and requires a clear declaration of such conflicts.

Grant Application Forms for government funding often include sections that require the applicant to disclose any support or association with terrorist activities or organizations, akin to the HLS 0037 form. These forms aim to prevent government funds from inadvertently supporting terrorism or other prohibited activities, emphasizing the need for accurate and honest reporting.

The Export Control Declaration forms, which regulate the export of goods, software, and technology as a measure of national security, share a common ground with the Ohio HLS 0037 form. Applicants must disclose whether their export has the potential to support terrorist activities, ensuring compliance with U.S. laws designed to prevent technological or material support to terrorist groups.

The Financial Disclosure Report required from certain public employees and officials to identify potential conflicts of interest or improper financial dealings also parallels the Ohio HLS 0037 form. Both forms seek to uncover information critical to ensuring the integrity and security of operations, though one focuses on financial integrity while the other addresses security concerns related to terrorism.

The Firearms Transaction Record Form 4473 from the Bureau of Alcohol, Tobacco, Firearms and Explosives requires buyers to declare their eligibility to purchase firearms, including any criminal history or prohibited status that would disallow them. Like the HLS 0037, it aims to prevent the provision of resources (in this case, firearms) to individuals who might pose a threat to public safety or national security.

The Politically Exposed Persons (PEP) Screening Form used by financial institutions mirrors the goal of the Ohio HLS 0037 form by aiming to prevent money laundering and the financing of terrorism. It requires clients to declare any political positions they or their immediate family members hold or have held, which could increase risks of illegal activity, including terrorism financing, showing a strong commitment to legality and safety similar to the HLS 0037's objectives.

Dos and Don'ts

Filling out the Ohio HLS 0037 form requires your utmost attention and accuracy. This form is critical for individuals seeking public employment in Ohio, acting as a declaration regarding any possible assistance provided to terrorist organizations. To ensure your application is received positively and processed efficiently, here are some essential dos and don'ts:

  • Do read the form and accompanying instructions thoroughly before beginning. Understanding every requirement is crucial for a correct submission.
  • Do verify the U.S. Department of State Terrorist Exclusion List, readily available on the Ohio Homeland Security Division website, to ensure accurate responses to the declaration questions.
  • Do answer each question truthfully to the best of your knowledge. Your responses should reflect honesty and transparency regarding any connections or assistance provided to organizations on the Terrorist Exclusion List.
  • Do ensure that your contact information is current and accurate. This includes your home address, and both your home and work phone numbers.
  • Do sign and date the certification section, affirming the truthfulness and completeness of your declaration. This act is a commitment to the accuracy of the information provided.
  • Don't leave any question unanswered. A failure to answer "no" to any question is considered a positive indication of providing material assistance to a terrorist organization.
  • Don't attempt to conceal any information or provide false statements. Remember, knowingly offering false information on this form is a felony of the fifth degree.
  • Don't overlook the requirement to disclose any material support or resources, as defined, in excess of one hundred dollars. This part is fundamental and must be considered carefully while answering questions.
  • Don't hesitate to request a review of your application if it’s denied based on your responses. Understand that there is a procedure in place for appealing denials, and appropriate request forms can be found on the Ohio Homeland Security Division website.

Remember, correctly completing the Ohio HLS 0037 form is not only about securing a potential employment opportunity. It is also about your contribution to maintaining safety and security standards within the state of Ohio. By providing honest and accurate information, you play part in the wider effort to combat terrorism.

Misconceptions

When examining the Ohio HLS 0037 form, a number of misconceptions can arise due to its complexity and the sensitive nature of the information it requests. Demystifying these misconceptions is crucial for individuals completing the form or those assisting others in the process.

  • It's only for law enforcement or public safety employees: A common misconception is that the Ohio HLS 0037 form is exclusively for individuals seeking employment in law enforcement or public safety roles. However, the form is actually used for various types of public employment within the state of Ohio, in accordance with section 2909.34 of the Ohio Revised Code. It's designed to assess the suitability of individuals for public employment by screening for connections to terrorist organizations.

  • Answering “yes” automatically disqualifies you: While it may seem that answering “yes” to any of the questions indicates automatic disqualification for public employment, this is not entirely accurate. Yes responses require further context and evaluation. What is critical is the truthful disclosure of any material assistance to organizations identified on the U.S. Department of State Terrorist Exclusion List. The process includes a mechanism for reviewing denials where candidates can explain their circumstances in more detail.

  • Material support only means financial contributions: Another misunderstanding is the definition of “material support or resources.” Some individuals assume this refers solely to financial contributions. However, the form specifies that it encompasses a wide range of supports such as lodging, training, transportation, and communications equipment, among others. This broader definition is important for accurately determining the nature and extent of any assistance provided to terrorist organizations.

  • The form is a one-time screening tool: There’s a tendency to view the Ohio HLS 0037 form as a static screening tool used only at the time of employment application. In reality, the obligations and declarations made on the form can have ongoing implications. Employees should be aware that any future activities that contradict their declarations can result in repercussions, including legal action for providing false statements.

  • Completing the form guarantees employment: Some individuals might think that successfully completing the Ohio HLS 0037 form without disclosing any connections to terrorist organizations guarantees their employment. While passing this screening is a necessary step, employment decisions are based on a comprehensive evaluation of all application materials and qualifications. The form is one component of a broader vetting process.

  • Personal information is shared widely: Concerns often arise regarding the confidentiality of the personal information provided on the form. Applicants may worry that their responses will be widely shared with various agencies. It’s important to understand that the information submitted is subject to privacy laws and is only used for the purpose of determining eligibility for public employment under the specific legal framework set out in the form instructions.

Clarifying these misconceptions is crucial for ensuring the Ohio HLS 0037 form is completed accurately and with the necessary understanding of its implications. By demystifying these aspects, individuals can approach the form with confidence and transparency, facilitating a smoother employment process. Despite the form's focus on connections to terrorism, its goal is to safeguard public employment and services while respecting individuals' rights and privacy.

Key takeaways

When filling out the Ohio HLS 0037 form, it's crucial to understand its purpose and implications. This form plays a pivotal role in ensuring that public employment candidates do not have connections to, or have not provided material assistance to, terrorist organizations. Here are key takeaways to consider:

  • The Ohio HLS 0037 form is designed to comply with section 2909.34 of the Ohio Revised Code, emphasizing the importance of declaring any material support provided to terrorist organizations.
  • Material assistance or support is broadly defined and includes various forms of support such as currency, financial services, communication equipment, lodging, transportation, and more, with the exclusion of medicine and religious materials.
  • Answering “yes” to any question, or failing to answer “no”, serves as an admission of providing material support to a terrorist organization, as defined by the U.S. Department of State Terrorist Exclusion List.
  • Providing false statements or failing to disclose material assistance to such organizations is considered a felony of the fifth degree, highlighting the legal ramifications of misinformation on this form.
  • Individuals who are denied public employment based on their responses on the HLS 0037 form have the right to request a review of the decision. This process is facilitated by the Ohio Department of Public Safety’s Division of Homeland Security, and the necessary forms and instructions are available on their website.
  • Completion and truthfulness of the form are mandatory for processing; incomplete or incorrect forms lead to automatic disqualification, stressing the applicant's responsibility for the accuracy of their declarations.

Understanding these key points ensures that candidates are well-informed about the seriousness of the form, the broad definition of material support, and the implications of their answers. It is a critical step in the vetative process for public employment within Ohio, underscoring the state's commitment to national security and public safety.

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