GT IndependenceResources and ToolsResources10 Helpful Forms to Make Self-Direction in Ohio Easier for You

10 Helpful Forms to Make Self-Direction in Ohio Easier for You

October 14, 2022

We want you to have access to all the forms you need for self-direction in Ohio. Check the list of basic forms below, and access all forms through your GT Portal account.

Select the buttons to jump to the forms that are right for you.

Basic Ohio Forms

Participant Directed Goods and Services Request FormSubmit this form to request goods or servicesDownload Form
Participant Directed Referral FormSubmit this form to make a referral Download Form
Referral and Enrollment WorkflowOverview of how referrals work from start to finishDownload Workflow
Hourly Rate Sheet for 2024 (DODD)Approximate cost to your budget for employee pay starting 7-01-24Download Rate Sheet

Self-Directed Transportation Forms

Application and AttestationUse this form to apply for self-directed transportationDownload Form
Card Program AgreementUse this form to review and agree to the card programDownload Form
DODD Milage LogUse this form to log your trips or mileageDownload Form
Lost Receipt FormUse this form to report lost receiptsDownload Form
Modified Vehicle Daily Inspection LogUse this form whenever you use a modified vehicleDownload Form
Transportation Information SheetUse this to learn the ins and outs of SD TransportationDownload Form
Transportation Provider Certification and StepsUse this to learn the steps to be a certified provider of self-directed transportationDownload Form
Transportation Purchase Request FormUse this form to purchase transportation Download Form

Looking for more forms?

For a full list of forms, please sign in to your GT Portal account.

Don’t have access to a portal account? Get in Touch

Contact Us

Have questions? We’re here to support you.

Ohio Customer Service Team

Phone: 877.659.4500