Home»Residents»Relocation Grant Program»Relocation Grant Application Form» Relocation Grant Application FormPlease make sure the files you upload are less than 20MB in total.Grant Application for Resident EligibilityDo you work full-time hours as designated by the State of Ohio? * Yes No(Defined by the https://codes.ohio.gov/ohio-administrative-code/rule-3357:12-3-01 )2. Are you a permanent employee? (not seasonal, temporary or contract) * Yes No3. Are you paid a Medicare wage or salary as reported on a Federal Tax Form W-2 for employment in Ohio? * Yes No4. Was your employment start date on or after January 1, 2026? * Yes No5. Did you become a full-time employee of a Fremont business on or after January 2, 2026? * Yes No Start Date * Hourly Wage Rate * Employer Representative Name * (HR contact to verify employment/rate of pay) Employer Representative Email * Employer Representative Job Title * Employer Representative Address * Employer Representative Address Employer Representative Address Employer Representative Address City City State/Province State/Province Zip/Postal Zip/PostalApplicant InformationDid you relocate to Fremont and become a full-time resident of Fremont on or after January 1, 2026. * Yes NoAre you over 18? * Yes No Your Name * Your Email * Your Phone * Your SSN * Previous Address * Previous Address Previous Address Previous Address City City State/Province State/Province Zip/Postal Zip/PostalProof of Fremont ResidencyAddress * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Date applicant became resident of Fremont * Supporting documentation to include two of any: rental lease with address listed; mortgage documentation with address listed; property tax bill; utility bill; homeowner/renter insurance. * Drop a file here or click to upload Choose FileMaximum file size: 20MB(only jpg, png, gif, pdf, docx allowed) Documentation in support of each qualifying expense: (a:Invoice; b:Proof of payment) * Drop a file here or click to upload Choose FileMaximum file size: 20MB(only jpg, png, gif, pdf, docx allowed)Qualifying Relocation Expenses Qualifying expenses documentation to include closing costs on home mortgage; security deposit for rental; utility turn-ons; cable/wifi turn-ons; expenses for moving van/company * Drop a file here or click to upload Choose FileMaximum file size: 20MB(only jpg, png, gif, pdf, docx allowed) Submit and upload documentation and proof of payment * Drop a file here or click to upload Choose FileMaximum file size: 20MB(only jpg, png, gif, pdf, docx allowed)AttestationI hereby attest that I * am employed full-time as designated by State of OhioI hereby attest that I * live within Fremont city limitsI hereby attest that I * work for a Fremont business (any business with a 43420 zip code) or am a Remote Worker within Fremont city limitsI hereby attest that I * understand by signing the grant application and attesting to the truthfulness of my statements and documents that if it’s determined, I have been dishonest on my application this may result in legal action. If you are human, leave this field blank. NextΔ
