Request for Name Reservation (Ohio)
This form is to reserve and register a name for the State of Ohio. The form provided here is simply a basic structure for what you may need to register a name.
Prescribed by J. Kenneth Blackwell
Please obtain fee amount and mailing instructions from the Forms Inventory List (using the 3 digit form # located at the bottom of this form). To obtain the Forms Inventory List or for assistance, please call Customer Service: Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)
REQUEST FOR NAME RESERVATION
(Check the appropriate item)
___ Please reserve the name listed below. (only one name per form)
___ Please reserve the first name available in the order of my preference.
I understand that I am not guaranteed the reservation UNTIL I RECEIVE WRITTEN CONFIRMATION FROM THE SECRETARY OF STATE'S OFFICE STATING THAT THE NAME HAS BEEN REGISTERED TO ME.
The name reservation is valid for a period of sixty (60) days.
__________________________________________________ (First Choice)
__________________________________________________ (Second Choice)
__________________________________________________ (Third Choice)
__________________________________________________ (Applicant Signature)
__________________________________________________ (Address)
__________________________________________________ (City, State, and Zip Code)
FOR AN AVAILABILITY CHECK BY TELEPHONE PLEASE CALL 1-877-767-3453.