Pre-Determination Request Form

Introduction. Prior to applying to the Ohio Department of Commerce (“Department”) for a

certificate, license, permit, or registration (“License”), you may ask the Department to pre-
determine whether the fact that you have been convicted of a criminal offense, by itself,
disqualifies you from receiving a particular License. This form is meant to assist with that
process.
Please note that, in some cases, the Department is not allowed to license you if you have been
convicted of a certain criminal offense, regardless of the facts and circumstances of your
conviction and/or your subsequent good behavior. For a list of automatically disqualifying
criminal offenses, please visit https://www.com.ohio.gov/documents/admn_DisqualOffenses.pdf.
Additionally, you should also note that any pre-determination that you receive from the
Department does not guarantee that you will receive a License. Your licensure application or a
subsequent Department investigation, for example, may reveal grounds to deny your application
exclusive from or in addition to the criminal convictions for which you seek pre-determination,
including providing misinformation on this form.
This form is not an application or part of an application for a License.
Instructions. Please complete this form and mail or deliver it and the $5.00 pre-determination
request fee to the Department at the address below. Payment of the fee must be by check or
money order. (Please make out all checks and/or money orders to “Treasurer State of Ohio.”)
No determination request is considered received until the Department receives payment of the
$5.00 fee. If you have questions about this form or the fee, please call (614) 466-3636. If you
seek a pre-determination for more than one conviction, please include each conviction on this
form. If you do not have enough space in the spaces provided below, please attached
additional sheets to this form.
Please mail or deliver all forms and pre-determination request fees to the Department at:

Ohio Department of Commerce

ATTN: Office of Legal Counsel
Pre-Determination Request Matters
77 South High Street, 23rd Floor
Columbus, Ohio 43215

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/4/19
An Equal Opportunity Employer and Service Provider
Ohio Department of Commerce Disqualification Determination Request

Requestor Information
Tong Wang
Your Full Legal Name: _________________________________________________________
Tong Wang
Any Name(s) under which You Were Convicted: _________________________________
07/08/1991
Date of Birth: _______________________ 973-718-0608
Telephone Number: _________________________
3097 Cranston Dr, Dublin, OH, 43017
Mailing Address: ______________________________________________________________

_______________________________________________________________
faye.wang0608@gmail.com
Email Address: ______________________________________________

Preferred Means of Determination Notification (check one): ‰by e-mail ‰

✔ by regular mail

Real Estate Agent

Type of License for which You Seek a Pre-Determination: ______________________________

What are the criminal offenses that you have been convicted of? Provide the applicable statutes
if able. ______________________________________________________________________
Misdemeanor Theft Offenses

Around August 2019

Date(s) of Conviction(s): ________________________________________________________
Around August 2019
Date(s) of Underlying Offense(s): _________________________________________________
2235 Springfield Ave, Vauxhall, NJ 07088
Location(s) of Underlying Offense(s): ______________________________________________
Vauxhall, Union County, NJ
Court(s) of Conviction (Name, City/County, State): ____________________________________

Case Number(s) of Conviction(s): _________________________________________________

COM-19-0001 Updated 4/27/3

 Convictions that Prohibit Licensure
by the Ohio Department of Commerce
The Ohio Department of Commerce (“Department”) regulates dozens of certifications, licenses,
permits, registrations, and other issuances that authorize applicants to engage in particular
professions, occupations, and occupational activities (“Licenses”). What follows is a list of
criminal offenses the conviction of which automatically prohibits applicants from receiving a
License from the Department. If you have questions about this list, please contact the
Department at 614-466-3636.

Licensing Authority License Type Disqualifying Offenses

Building Official*
Residential Building Official*
Master Plans Examiner*
Building Plans Examiner*
Electrical Plans Examiner* No criminal convictions automatically disqualify an
applicant from consideration for a License. However, prior
Plumbing Plans Examiner* to awarding or denying a license, BBS considers all
Mechanical Plans Examiner* felonies and crimes of moral turpitude.

Fire Protection Plans

Examiner* *denotes a License type that may also be interim,
trainee, or both
Building Inspector*
Residential Building Inspector*
Fire Protection Inspector*
Board of Building
Mechanical Inspector*
Standards (“BBS”)
Residential Mechanical
Inspector*
Electrical Safety Inspector*
Industrialized Unit Inspector*
Residential Industrialized Unit
Inspector*
Plumbing Inspector*
Medical Gas Piping Inspector
Automatic Sprinkler System
Designer
Fire Alarm System Designer
Special Hazard System
Designer

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/8/19
An Equal Opportunity Employer and Service Provider
 UNCF will deny an application for a Finder Registration if
(1) an applicant has, within the ten-year period
immediately preceding the submission of the application,
violated division (A) of R.C. 169.16 or violated division (C)
of R.C. 169.13; (2) been convicted of or plead guilty to any
felony or any offense involving moral turpitude, including
Division of Unclaimed
Finder Registration theft, attempted theft, falsification, tampering with records,
Funds (“UNCF”)
securing writings by deception, fraud, forgery, and perjury;
or (3) the Superintendent of UNCF determines that the
character and general fitness of the applicant does not
command the confidence of the public and does not
warrant the belief that the applicant’s business will be
conducted honestly and fairly.
Electrical Contractor License Criminal convictions that automatically disqualify an
applicant from licensure are any convictions of R.C.
2903.01, 2903.02, 2921.43, 2950.01, and disqualifying
offenses per 4776.10(C) (including crimes with a direct
nexus to the proposed field of licensure). Disqualifications
also occur for felony convictions of R.C. 1315.55(A),
Plumbing Contractor License
2901.01 (first- or second-degree only), 2901.21, 2913.31,
2913.34, 2913.51, 2921.02, 2921.41, 2921.42, and
2923.32. Additionally, an applicant is disqualified if
convicted of felony fraud under R.C. 2913.40, 2913.42,
2913.45, 2913.47, 2913.48, and 2943.49, and/or a first- or
second-degree felony offense of R.C. 2923.01, 2923.02,
and 2923.03 for the crimes of murder or aggravated
murder, sexually-oriented offenses, any crimes of
violence, and complicity in committing a murder or
Hydronics Contractor License aggravated murder.
If an applicant is convicted of any crime under a former
Ohio Construction law of Ohio, an existing or former law applicable in military
Industry Licensing court or an Indian tribal court, or any existing or former law
Board (“OCILB”) of any nation other than the United States that is
substantially equivalent to a crime of moral turpitude per
R.C. 4776.10, then he or she is also disqualified.
OCILB may only consider a misdemeanor when
determining disqualification if (a) the misdemeanor is not a
HVAC Contractor License crime of moral turpitude or a disqualifying offense under
R.C. 4776.10, (b) the applicant was convicted of or
pleaded guilty to the misdemeanor less than one year
prior to applying for licensure, and (c), prior to September
28, 2012, OCILB was required to or authorized to deny a
license application based on the misdemeanor.
Similarly, OCILB will only consider a felony other than
those listed above when determining disqualification if (a)
Refrigeration Contractor the applicant was convicted of or pleaded guilty to the
License felony less than three years prior to applying for licensure
and, prior to September 28, 2012, (b) OCILB was required
to or authorized to deny a license application based on the
felony.

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/8/19
An Equal Opportunity Employer and Service Provider
 A conviction for a violation of R.C. 2913.46(C)(1) is an
automatic disqualification. Additionally, DLC has the
Division of Liquor discretion to refuse to issue a Solicitor Registration if DLC
Solicitor Registration
Control (“DLC”) finds that the applicant has been convicted of a crime that
relates to the applicant’s fitness to solicit Ohio liquor
permit holders or the DLC.
Steam Engineer Operator
License
High Pressure Boiler Operator
License
Low Pressure Boiler Operator
License
None.
Backflow Tester Certification
Backflow Lawn Irrigation
Certificate
Boiler Contractor Registration
(Ohio Admin. Code 4101:4-7-
01)
While no criminal convictions automatically disqualify an
applicant from licensure, DIC does consider the following
criminal convictions when determining whether
disqualification should ultimately occur:
Manufactured Home (“MH”)
1. Any convictions of R.C. 2903.01, 2903.02, 2921.43,
Installer License
2950.01, and disqualifying offenses per 4776.10(C)
Division of Industrial (including crimes with a direct nexus to the proposed
Compliance (“DIC”) field of licensure). Disqualifications may also occur for
felony convictions of R.C. 1315.55(A), 2901.01 (first- or
second-degree only), 2901.21, 2913.31, 2913.34,
2913.51, 2921.02, 2921.41, 2921.42, and 2923.32.
2. Any convictions of felony fraud under R.C. 2913.40,
2913.42, 2913.45, 2913.47, 2913.48, and 2943.49,
and/or a first- or second-degree felony convictions of
R.C. 2923.01, 2923.02, and 2923.03 for the crimes of
murder or aggravated murder, sexually-oriented
MH Installation Inspector offenses, violence, and complicity in committing a
Certification murder or aggravated murder.
1. Any convictions of crimes that are substantially
equivalent to crimes of moral turpitude per R.C.
4776.10 that are former laws of Ohio, existing or former
laws applicable in military court or an Indian tribal court,
or existing or former laws of any nation other than the
United States.

While no criminal convictions automatically disqualify an

Elevator Inspector Certificate applicant from consideration for a Certificate, DIC does
of Competency consider all felony convictions prior to awarding or denying
a certificate.

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/8/19
An Equal Opportunity Employer and Service Provider
Historical Boiler
Historical Boiler Operator
Licensing Board None.
License
(“HBLB”)
Cultivator, Processor, or
An applicant is disqualified if he or she has been convicted
Medical Marijuana Laboratory Employee
of any “disqualifying offense” under Ohio Admin. Code
Control Program Identification Card (Ohio
3796:1-1-01(A)(15).
Admin. Code 3796:5-2-01)
Real Estate Brokers
Real Estate Salespersons The conviction of any felony or crime of moral turpitude
Foreign Real Estate Dealer disqualifies an applicant unless the Superintendent of
REPL disregards the conviction.
Foreign Real Estate
Salesperson
Manufactured Housing Dealer Disqualifications occur for any fraudulent act in related to
selling or otherwise dealing in manufactured homes or in
Manufactured Housing Broker connection with brokering manufactured housing.
Manufactured Housing Any fraudulent act in connection with selling or otherwise
Division of Real Estate Salesperson dealing in manufactured homes.
& Professional
Licensing (“REPL”) General Real Estate Appraiser Unless disregarded by the Board or Superintendent of
Certificate REPL, any conviction of any criminal offense involving
theft, receiving stolen property, embezzlement, forgery,
Residential Real Estate fraud, passing bad checks, money laundering, or drug
Appraiser Certificate/License trafficking, or any criminal offense involving money or
securities, including a conviction any crime that is
Real Estate Appraiser
substantially equivalent to an existing or former law of
Assistant
Ohio, any other state, or the United States.
Unless disregarded by the Superintendent of REPL,
Home Inspectors (R.C. disqualifications occur for any crime of moral turpitude, a
Chapter 4764.14) felony, or equivalent offense, or where an applicant is/was
required to register under R.C. Chapter 2950.
Fireworks Exhibitor
Fireworks Exhibitor Assistant
Fireworks Wholesaler
Disqualifications occur for all felonies under the laws of
Fireworks Manufacturer Ohio, any other State, and/or the United States after June
Division of the State 30, 1997.
Fire Marshal (“SFM”) Fireworks Out-of-State Shipper
Explosives Magazine Storage
Explosives Manufacturer
Underground Storage Tank Disqualifications occur for any felony under the laws of
Inspector Ohio.

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/8/19
An Equal Opportunity Employer and Service Provider
 Securities Dealer License
Securities Salesperson
License
Investment Adviser License
Investment Adviser No criminal offense conviction automatically disqualifies
Representative License an applicant from consideration when SEC evaluates an
Division of Securities application for a License. However, prior to awarding or
State Retirement System
(“SEC”) denying a License, SEC considers whether the applicant
Investment Adviser License is of “good business repute.” See Ohio Admin. Code
Bureau of Workers 1301:6-3-19(D) for additional information.
Compensation Chief
Investment Officer License
Residential Mortgage Lending
Act Temporary Originator
License
Small Loan Act License
Precious Metals Dealer Act
License
Consumer Installment Loan
Act License No criminal offenses automatically disqualify an applicant
for licensure, however, DFI considers all convictions when
Premium Finance Company
determining whether to disqualify an applicant due to
License
character and fitness licensure requirements.
Credit Services Organization
Act License
Pawnbroker Act License
General Loan Law License
Division of Financial Disqualifications occur for any conviction involving theft
Institutions (“DFI”) and, unless disregarded by the Superintendent of DFI,
receiving stolen property, embezzlement, forgery, fraud,
Short Term Loan Act License passing bad checks, money laundering, or drug trafficking,
or any criminal offense involving money or securities or
any conviction of a substantially equivalent, existing or
former law of Ohio, any other state, or the United States.
Check Cashing License Any felony.
Residential Mortgage Lending In the seven years prior to applying, an applicant must not
Act Mortgage Loan Originator have been convicted of any misdemeanor involving theft,
License or any felony. Additionally, at no time prior to applying may
an applicant have been convicted of a felony involving an
Residential Mortgage Lending
act of fraud, dishonesty, a breach of trust, theft, or money
Act Temporary Originator laundering. (DFI will not consider an offense that has been
License pardoned or expunged.)

77 South High Street, 23rd Floor 614-4-3636

Columbus, Ohio 43215 TTY/TDD 800-750-0750
COM-19-0001 com.ohio.gov
Updated 4/8/19
An Equal Opportunity Employer and Service Provider