Columbus, OH · Franklin County
Statement of Claims and Judgments
This one-page statement lets a taxicab or livery business owner report claims and judgments from 2025 and 2026 as part of a Columbus licensing application.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form asks the owner to list claims and judgments rendered against the taxicab or livery business during 2025 and 2026, including claimant, amount, disposition, and accident description; owners with none are instructed to write “None.” It also includes a public-records acknowledgment and a sworn statement that the application answers are true to the signer’s knowledge and belief. The form identifies this statement as part of an application for licensing.
Who needs it
A taxicab or livery business owner completing the related Columbus licensing application uses this form to report claims and judgments from 2025 and 2026.
Why it needs a notary
The form has a State and County jurat; the individual making the application signs and swears to the statement before a notary or agent of the Director of Building and Zoning Services.
How to get this notarized
- 1
Download the Form
Get the Columbus Statement of Claims and Judgments from the city’s form page.
- 2
Fill In the Statement
Enter the owner and taxicab company details, list claims and judgments for 2025 and 2026, or write “None” if applicable.
- 3
Book an Online Notary
Arrange a remote appointment with a commissioned online notary before signing the jurat.
- 4
Sign on Video
Show identification and sign the statement during the online notarial session when instructed.
- 5
Submit to the City
Submit the completed statement with the related licensing application using the city’s instructions.
Preview the form
The blank PDF straight from Columbus. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Statement of Claims and Judgments?
- Enter the owner and taxicab company details, then list claims and judgments from 2025 and 2026. If there were none, write “None.” Complete the acknowledgment and sign the jurat before a notary or the named city agent.
- Do I need to sign this form before a notary?
- Yes. The form includes a State and County jurat stating that the application signer is sworn and signs in the notary’s presence. Do not sign the jurat section before your appointment.
- Can I use an online notary for this form?
- Ohio authorizes online notarization by a commissioned online notary under R.C. §§147.60–147.66, and recognizes notarial acts by officers authorized where performed under R.C. §§147.51–147.58. Confirm with the city or village if unsure.
- Where do I submit the completed statement?
- The form lists Columbus Building and Zoning Services contact information and identifies the statement as part of a licensing application. Check with the city for the current submission method and any additional application requirements.