โœ“ SB 150 Statewide CoverageOhio Senate Bill 150 (signed Oct. 2019) eliminated the old county-by-county permit system. Any Ohio MFSO license from any health district is now valid in all 88 counties. Exception: The City of Cincinnati may require an additional overlay registration for trucks operating within city limits.
โš  March 1 Renewal DeadlineAll Ohio MFSO licenses expire March 1 โ€” regardless of when issued. Late renewals after March 1 incur a 25% penalty. Renew through ezTrak at eztrak.cagis.org (Cincinnati) or your home district's portal.

Southwest Ohio Counties

Ohio MFSO Fee Comparison

Health DistrictLevel 1 FeeLevel 2 FeeLate Penalty
Cincinnati Health Dept.$359 (incl. state)$402 (incl. state)+25% after Mar 1
Warren County HD~$175โ€“$300~$300โ€“$375+25% after Mar 1
Clermont County PH~$175โ€“$300~$300โ€“$375+25% after Mar 1
Butler County GHD~$175โ€“$300~$300โ€“$375+25% after Mar 1
Dayton & Montgomery PH~$190โ€“$310~$310โ€“$390+25% after Mar 1

Fees vary by district and risk level. Verify with your home health district before applying. Low-Risk MRFE license available since Feb 2024 at ~50% of standard fee โ€” see MRFE guide.