Ohio Revised Code Title IX. Agriculture Animals Fences § 955.53

All claims against the money appropriated from the general revenue fund for the purposes of sections 955.51 to 955.53 of the Revised Code and all accompanying statements and testimony shall be upon claim forms prepared by the director of agriculture and furnished by the dog warden. The forms shall not require an affidavit, but shall contain lines for the signatures of the claimant and witnesses and, immediately above those lines, the sentence, “This statement is made subject to the criminal penalties for falsification provided for in section 2921.13 of the Revised Code.