Spencer, OH Facts, Population, Income, Demographics, Economy

Population (total): Population in 2017: 781 (0% urban, 100% rural). >Population change since 2000: +4.6%

Population (female): 386

Cost of Living: March 2019 cost of living index in Spencer: 85.2 (less than average, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 6.5%

Poverty (breakdown):

Sex Offenders: According to our research of Ohio and other state lists, there were 2 registered sex offenders living in Spencer, Ohio as of January 15, 2021. The ratio of all residents to sex offenders in Spencer is 296 to 1.>

Population Density:

Zip Codes: 44275

Goldribbon

Recognitions and Certifications

Accredited Drug Testing has been recognized as one of the "Top 10 drug testing companies" for excellent customer service and we have received TPA Accreditation from the National Drug and Alcohol Screening Association. We are active in all drug testing industry associations and our staff are trained and certified as drug and alcohol testing specialists.

Important Links

National Drug and Alcohol Screening Association (https://ndasa.com/)

National Drug Free Workplace Alliance (https://www.ndwa.org/)

Substance Abuse Program Administrators Association (https://www.sapaa.com/)

Substance Abuse Mental Health Safety Administration (https://www.samhsa.gov/)

US Drug Enforcement Administration (https://www.dea.gov/)

Office of Drug alcohol Policy Control (https://www.transportation.gov/odapc)

980x250 DOT Drug Testing

DOT Drug Testing Locations Spencer, OH

Our Local DOT Drug testing facilities in Spencer, OH and the surrounding areas provide DOT Drug Testing, DOT Alcohol Testing, DOT Physicals, Consortium enrollment and other DOT services for Employers, Single operators and all DOT modes who are required to comply with 49 CFR Part 40 in Spencer, OH including FMCSA, FTA, FAA, USCG, FRA and PHMSA . Testing centers are within minutes of your home or office and same day service is available in most cases.

Scheduling a DOT test is Fast and Easy, call our scheduling department or schedule your test online 24/7

* You must register by phone or online to receive your donor pass/registration prior to proceeding to the testing center.

225 ELYRIA ST 7.3 miles

225 ELYRIA ST
LODI, OH 44254
Categories: LODI OH

735 N COURT ST 13.9 miles

735 N COURT ST
MEDINA, OH 44256
Categories: MEDINA OH

1000 E WASHINGTON ST MAIN ENTRANCE, 1ST FLOOR 13.9 miles

1000 E WASHINGTON ST MAIN ENTRANCE, 1ST FLOOR
MEDINA, OH 44256
Categories: MEDINA OH

5010 GRANDE BLVD UNIT J1 14.1 miles

5010 GRANDE BLVD UNIT J1
MEDINA, OH 44256
Categories: MEDINA OH

200 W LORAIN ST 14.4 miles

200 W LORAIN ST
OBERLIN, OH 44074
Categories: OBERLIN OH

5155 BUEHLERS DR 16.1 miles

5155 BUEHLERS DR
MEDINA, OH 44256
Categories: MEDINA OH

3724 CENTER RD 18.4 miles

3724 CENTER RD
BRUNSWICK, OH 44212
Categories: BRUNSWICK OH

418 E BROAD ST 18.5 miles

418 E BROAD ST
ELYRIA, OH 44035
Categories: ELYRIA OH

350 HILLCREST DR 19.3 miles

350 HILLCREST DR
ASHLAND, OH 44805
Categories: ASHLAND OH

4164 BURBANK RD 19.5 miles

4164 BURBANK RD
WOOSTER, OH 44691
Categories: WOOSTER OH

39263 Center Ridge Rd 19.6 miles

39263 Center Ridge Rd
North Ridgeville, OH 44039
Categories: North Ridgeville OH

223 N MAIN ST 19.7 miles

223 N MAIN ST
RITTMAN, OH 44270
Categories: RITTMAN OH

39000 CENTER RIDGE RD 19.8 miles

39000 CENTER RIDGE RD
NORTH RIDGEVILLE, OH 44039
Categories: NORTH RIDGEVILLE OH

18181 PEARL RD 19.8 miles

18181 PEARL RD
STRONGSVILLE, OH 44136
Categories: STRONGSVILLE OH

195 Wadsworth Rd 19.9 miles

195 Wadsworth Rd
Wadsworth, OH 44281
Categories: Wadsworth OH

191 WADSWORTH RD 19.9 miles

191 WADSWORTH RD
WADSWORTH, OH 44281
Categories: WADSWORTH OH

128 E MILLTOWN RD STE 105 20.2 miles

128 E MILLTOWN RD STE 105
WOOSTER, OH 44691
Categories: WOOSTER OH

2212 MIFFLIN AVE STE 215 20.9 miles

2212 MIFFLIN AVE STE 215
ASHLAND, OH 44805
Categories: ASHLAND OH

1761 BEALL AVE 21.7 miles

1761 BEALL AVE
WOOSTER, OH 44691
Categories: WOOSTER OH

1260 ABBE RD N 22.0 miles

1260 ABBE RD N
ELYRIA, OH 44035
Categories: ELYRIA OH

2201 BENDEN DR 22.2 miles

2201 BENDEN DR
WOOSTER, OH 44691
Categories: WOOSTER OH

2269 COOPER FOSTER PARK RD F 22.4 miles

2269 COOPER FOSTER PARK RD F
AMHERST, OH 44001
Categories: AMHERST OH

3700 KOLBE RD 23.9 miles

3700 KOLBE RD
LORAIN, OH 44053
Categories: LORAIN OH

18697 BAGLEY RD 24.1 miles

18697 BAGLEY RD
CLEVELAND, OH 44130
Categories: CLEVELAND OH

18660 Bagley Road, Building 2 Suite 305 24.1 miles

18660 Bagley Road, Building 2 Suite 305
Middleburg Heights, OH 44130
Categories: Middleburg Heights OH

1800 LIVINGSTON AVE ste B 24.6 miles

1800 LIVINGSTON AVE ste B
LORAIN, OH 44052
Categories: LORAIN OH

3975 EMBASSY PKWY STE 003 24.8 miles

3975 EMBASSY PKWY STE 003
AKRON, OH 44333
Categories: AKRON OH

25757 LORAIN RD 24.9 miles

25757 LORAIN RD
NORTH OLMSTED, OH 44070
Categories: NORTH OLMSTED OH

150 SPRINGSIDE DR STE 225B 25.0 miles

150 SPRINGSIDE DR STE 225B
AKRON, OH 44333
Categories: AKRON OH

(Don't see a DOT drug testing location near you, call us at (800) 221-4291)

Accredited Drug Testing can schedule your DOT drug test at any of our Spencer, OH Drug testing locations, Call us Today!

"When you need a test, choose the best"

(800) 221-4291

Schedule Your Test

How to schedule a DOT drug test in Spencer, OH

To schedule any type of DOT drug test or alcohol test in Spencer, OH call our local scheduling department at (800) 221-4291. You may also schedule your DOT drug test online utilizing our express scheduling registration system by selecting your test and completing the Donor Information/Registration Section. You must register for the test prior to proceeding to the testing center.

The zip code you enter will be used to determine the closest DOT drug or DOT alcohol testing center which performs the type of test you have selected. A donor pass/registration form with the local testing center address, hours of operation and instructions will be sent to the e-mail address you provided. Take this form with you or have it available on your smart phone to provide to the testing center. No appointment is necessary in most cases. However, you must complete the donor information section and pay for the test at the time of registration.

Our laboratories are SAMHSA certified and all test results are verified by our in-house licensed physicians who serve as Medical Review Officers (MRO).

In addition to providing DOT drug testing and DOT breath alcohol testing in Spencer, OH , Accredited Drug Testing also has additional testing centers throughout the metropolitan area and surrounding cities.

On the road or on vacation, no worries, Accredited Drug Testing has over 20,000 testing centers in all cities Nationwide and we can schedule your test, ANYWHERE, ANYTIME!

(800) 221-4291

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What are the DOT drug testing requirements?

In 1991, the Omnibus Transportation Employee Testing Act created the following DOT Agencies which established drug and alcohol testing regulations to ensure that aircraft, trains, trucks, and buses were operated in a safe and responsible manner. As an employer or individual operating in a "Safety Sensitive" position, it is important to understand how these regulations impact you.

49 CFR Part 40 (commonly known as part 40) explains:

  • How drug and alcohol testing is conducted
  • Who is authorized to participate in the drug and alcohol testing program
  • What employees must do before they may return to duty after a drug and/or alcohol violation

Each DOT Agency and the USCG have specific regulations that cover:

  • The agency's prohibitions on drug and alcohol use
  • Who is subject to comply with these regulations
  • What type of testing is required
  • When testing is required
  • Consequences of non-compliance

FMCSA Drug and Alcohol Clearinghouse

The Federal Motor Carrier Safety Administration (FMCSA) amended its rule that would establish requirements for commercial driver's license employers and individuals with regards to the drug and alcohol clearing house which will take affect on January 6, 2020.

The FMCSA Clearinghouse is a secure online database that will allow employers, the FMCSA, State Driver Licensing Agencies, State Law Enforcement and individual CDL operators to access real time important information about a CDL Driver's drug and alcohol program violations and the ultimate goal of this database is to enhance safety on our Nation's public roadways.

For specific requirements, click the appropriate agency listed below in which you or your company is regulated by. Ask about our DOT Complete Compliance Package!

The Opioid Overdose Crisis

Every day, more than 130 people in the United States die after overdosing on opioids. The misuse of and addiction to opioids,including prescription pain relievers, heroin, and synthetic opioids such as fentanyl, is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total "economic burden" of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.

  • Roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them.
  • Between 8 and 12 percent develop an opioid use disorder.
  • An estimated 4 to 6 percent who misuse prescription opioids transition to heroin.
  • About 80 percent of people who use heroin first misused prescription opioids.
  • Opioid overdoses increased 30 percent from July 2016 through September 2017 in 52 areas in 45 states.
  • The Midwestern region saw opioid overdoses increase 70 percent from July 2016 through September 2017.
  • Opioid overdoses in large cities increase by 54 percent in 16 states.

In the late 1990s, pharmaceutical companies reassured the medical community that patients would not become addicted to prescription opioid pain relievers, and healthcare providers began to prescribe them at greater rates. This subsequently led to widespread diversion and misuse of these medications before it became clear that these medications could indeed be highly addictive.3,4 Opioid overdose rates began to increase. In 2017, more than 47,000 Americans died as a result of an opioid overdose, including prescription opioids, heroin, and illicitly manufactured fentanyl, a powerful synthetic opioid.1That same year, an estimated 1.7 million people in the United States suffered from substance use disorders related to prescription opioid pain relievers, and 652,000 suffered from a heroin use disorder (not mutually exclusive)

DOT Compliance Checklist in Spencer, OH

DOT 49 CFR Part 40 Requirements for Safety Sensitive Employees.
(FMCSA-FAA-USCG-FRA-PHMSA-FTA)

  • Pre-Employment Tests
  • Correct Federal Custody & Control Form (CCF)
  • Substance Abuse Professional Process
  • Regulations on File
  • Random Pool Testing
  • *Supervisor Training
  • *Written Policy
  • Post-Accident Testing Situations
  • Previous Employers Checks
  • Employee Education
  • Record Keeping
  • Removal of covered Employee
  • Designated Employer Representative

* In addition, any company which employs 2 or more covered employees must have a written drug and alcohol policy and all supervisors must complete the DOT Supervisor Reasonable Suspicion Training. (Click here to learn more about our online training programs)

If a DOT covered employee or company does not have a copy of the original pre-employment drug test with a negative result, then a new DOT pre-employment drug test must be conducted, and the result maintained on file.

The department of transportation (DOT) requires that all DOT regulated "safety sensitive" employees have on file a negative DOT pre-employment drug test result and be a member of a DOT approved random selection consortium. In addition, if a DOT regulated company has more than one "safety sensitive" employee, the employer must also have a written DOT drug and alcohol policy and an on-site supervisor must have completed supervisor training for reasonable suspicion of illegal drug use or impairment.

To be compliant with DOT regulations, a company's DOT drug and alcohol testing program must have the following components. Failing to comply can result in significant fines and penalties.

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What is a DOT Drug Test in Spencer, OH ?

On January 1, 2018 the Department of Transportation (DOT) issued a new rule which altered the DOT 5 panel urine test. Employers and individuals should be aware that the current DOT drug test is still a urine drug test, collected by qualified collectors, analyzed at a SAMHSA certified laboratory and reviewed by a licensed Medical Review Officer. Below you will find a list of the drugs that are screened for in the DOT 5 panel urine drug test:

  • Marijuana (THC)
  • Cocaine
  • Amphetamines
  • Opioids**
  • Phencyclidine (PCP)
  • ** Special note: Opioids' was previously called Opiates' and all DOT drug tests will continue to include confirmation testing for Codeine, Morphine, and 6-AM (heroin) when necessary.

    In the January rule change, the Department of Transportation (DOT) also added initial screening and confirmation testing for the semi-synthetic opioids Hydrocodone, Hydromorphone, Oxycodone, and Oxymorphone to this Opioids group

    When is a DOT drug test required in Spencer, OH ?

    All safety sensitive employees regardless of DOT agency are required for the following drug testing and/or alcohol testing based on each situation:

    • Pre-employment
    • Random
    • Reasonable suspicion
    • Return to Duty
    • Post-Accident
    • Follow Up

What is DOT pre employment testing in Spencer, OH ?

As a new hire or a current employee transferring from a non-safety sensitive function into a safety sensitive function (even with the same employer), you are required to submit to a DOT pre employment drug test.

Some employers may, but are not required to, conduct pre employment alcohol testing. Only after your employer receives a negative pre employment DOT drug test result (and negative alcohol test result - if administered) may you begin performing in a safety-sensitive capacity.

What is random DOT Drug Testing in Spencer, OH ?

All safety sensitive employees are subject to unannounced random drug & alcohol testing. Alcohol testing is administered just prior to, during or just after performing safety-sensitive functions. Depending on the industry specific regulations, you may only be subject to random drug testing.

Listed below are the current (2019) DOT random testing rates for each DOT agency.

The following chart outlines the annual minimum drug and alcohol random testing rates established within DOT Agencies and the USCG for 2019.
DOT Agency 2019 Random Drug Testing Rate 2019 Random Alcohol Testing Rate
Federal Motor Carrier Safety Administration
[FMCSA]
25% 10%
Federal Aviation Administration
[FAA]
25% 10%
Federal Railroad Administration
[FRA]
25% - Covered Service
50% - Maintenance of Way *
10% - Covered Service
25% - Maintenance of Way *
Federal Transit Administration
[FTA]
50% 10%
United States Coast Guard
[USCG]
(with the Dept. of Homeland Security)
50% N/A
The following chart outlines the annual minimum drug and alcohol random testing rates established within DOT Agencies and the USCG for 2019.
DOT Agency
2019 Random Drug Testing Rate
2019 Random Alcohol Testing Rate
Federal Motor Carrier Safety Administration [FMCSA]
25%
10%
Federal Aviation Administration [FAA]
25%
10%
Federal Railroad Administration [FRA]
25% - Covered Service / 50% - Maintenance of Way *
10% - Covered Service / 25% - Maintenance of Way *
Federal Transit Administration [FTA]
50%
10%
United States Coast Guard [USCG]
(with the Dept. of Homeland Security)
50%
N/A

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What is reasonable suspicion DOT drug testing in Spencer, OH ?

Safety sensitive individuals and employees are required to submit to any test (whether it is a drug test, alcohol test or both) that a supervisor requests based on reasonable suspicion. Reasonable suspicion means that one or more trained supervisors reasonably believes or suspects that you are under the influence of drugs or alcohol. Supervisors cannot require testing based on a hunch or guess alone; their suspicion must be based on observations concerning your appearance, behavior, speech and smell that are usually associated with drug or alcohol use

What is return to duty DOT Drug Testing in Spencer, OH ?

If you have violated the prohibited drug & alcohol testing rules, you are required to take a return to duty drug and/or alcohol test before being allowed to return to a safety-sensitive function for any DOT regulated employer. You may also be subject to unannounced follow-up testing for at least 6 times in the first 12 months following your return to active safety-sensitive service.

Return-to-duty tests must be conducted under direct observation.

What is DOT post accident drug testing Spencer, OH ?

If you are involved in an event (accident, crash, etc.) meeting certain criteria of the DOT agency, a post-accident drug test will be required. In most cases you will then have to take a drug and alcohol test if you are involved in a qualifying crash. Each DOT agency may have specific rules with regards to what is a post-accident test, for example, the FRA requires a blood specimen for drug testing and an alcohol test.

If you are involved in a qualifying accident, you are required to remain available for this testing and are not permitted to refuse testing.

Remember: Safety-sensitive employees are obligated by law to submit to and cooperate in drug & alcohol testing mandated by DOT regulations.

What is DOT follow up drug testing Spencer, OH ?

DOT follow up testing occurs when an individual has violated the drug and alcohol testing rules. The amount of follow-up testing you receive is determined by a Substance Abuse Professional (SAP) and may continue for up to 5 years. This means the SAP will determine how many times you will be tested (at least 6 times in the first year), for how long, and for what substance (i.e. drugs, alcohol, or both). Your employer is responsible for ensuring that follow-up testing is conducted and completed. Follow up testing is in addition to all other DOT required testing and all follow-up tests will be observed. For more information on the SAP process or to locate a Substance Abuse Professional in Spencer, OH simply call us at (800)221-4291

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When you need a test, choose the best!

DOT Drug Testing Services Spencer, OH

(800)221-4291

For more information regarding the effects of drug abuse - Click Here

For more information on a drug free work place - Click Here

Handy Resources

Comprehensive Online Resources for Drug Testing

  1. National Institute on Drug Abuse (NIDA)

    Provides comprehensive information on drug testing and its role in substance use disorder treatment.

  2. FDA: Drug Testing

    Explains the FDA's role and regulations concerning drug testing for consumers.

  3. PDR.net

    Provides detailed drug information and safety updates through a mobile-friendly platform.

  4. BeSafeRx - FDA

    Resource by the FDA to help consumers identify and choose safe online pharmacies.

  5. SAMHSA: Drug Testing Resources for the Workplace

    Resources and guidelines for drug testing in the workplace.

  6. Drugs.com

    Provides drug information, side effects, and interactions for consumers and professionals.

  7. Drug Abuse Screening Test (DAST)

    Online version of the DAST to help individuals assess whether they have a drug problem.

  8. Merck Manuals

    Consumer-friendly medical resource providing comprehensive information on a wide array of health topics, including drug testing.

  9. SAMHSA Store

    Provides access to resources and publications on substance use prevention and treatment.

  10. National Association of Boards of Pharmacy (NABP)

    Information on state boards of pharmacy and regulations, including those related to drug testing.

  11. CDC: Workplace Health Promotion

    CDC's resources on substance use and drug testing in the workplace.

  12. Mayo Clinic: Drug Testing

    General information about the procedures and types of drug tests.

  13. MedlinePlus: Drug Testing

    Offers information about various drug tests and their uses in medical diagnosis and treatment.

  14. University of Rochester Medical Center Health Encyclopedia

    Provides a detailed entry on drug testing, including how tests are conducted and what they detect.

  15. World Health Organization (WHO)

    International guidelines and information on public health, including substance abuse and drug testing.

  16. Healthline: Drug Testing

    Consumer health site offering information on how drug tests work and what they look for.

  17. WebMD: Drug Testing

    Provides a patient-oriented overview of drug testing and its purposes.

  18. National Center for Biotechnology Information (NCBI)

    Provides a vast database of scientific studies, including research on drug testing and its effectiveness.

AI Overview

Understanding DOT Drug Testing

DOT drug testing is a regulatory requirement enforced by the United States Department of Transportation to ensure that operators and safety-sensitive personnel in the transportation industry are compliant with federal drug-free workplace laws. This testing applies to millions of transportation professionals across various sectors, including aviation, trucking, railways, public transit, and pipelines.

Regulated Entities and Individuals

  • Commercial Motor Vehicle Drivers: Includes anyone operating commercial vehicles that require a Commercial Driver’s License (CDL).
  • Aviation Professionals: Applies to pilots, air traffic controllers, flight attendants, and aircraft maintenance personnel.
  • Railroad Operators: Covers those who operate trains, prepare vehicles for service, and dispatch operations on the railway.
  • Public Transit Workers: Encompasses bus drivers, mechanics, and any staff responsible for the safety of public transport operations.
  • Pipeline Operators: Includes individuals involved in the operation and maintenance of pipeline facilities.

What Substances Are Tested?

The DOT drug testing program focuses on several major classes of drugs:

  1. Amphetamines and Methamphetamines
  2. Opiates, including heroin, codeine, and morphine
  3. Cocaine
  4. THC (tetrahydrocannabinol), found in marijuana
  5. Phencyclidine (PCP)

Procedure of DOT Drug Testing

The testing process is standardized to prevent tampering and ensure consistent results:

  • Sample Collection: Urine samples are collected under strict conditions to ensure that they are not tampered with or substituted.
  • Screening Tests: Initial screenings are conducted using immunoassay techniques. If a test is positive, further confirmation is required.
  • Confirmation Tests: Confirmatory testing using more precise methods like Gas Chromatography/Mass Spectrometry (GC/MS) confirms the presence of specific drugs.
  • Review Process: An MRO reviews confirmed positive results to determine if there is a legitimate medical explanation before reporting the result to the employer.

Implications of Non-Compliance

Non-compliance with DOT drug testing regulations can lead to significant consequences:

  • Removal from Safety-Sensitive Duties: Employees testing positive are immediately removed from their safety-sensitive duties.
  • Rehabilitation and Return-to-Duty Testing: Before returning to duty, employees must undergo an evaluation by a Substance Abuse Professional (SAP), complete any prescribed treatment, and have negative results on follow-up tests.
  • Employment Consequences: Additional consequences may include job suspension, termination, or other disciplinary actions based on the employer’s policies.

DOT drug testing serves as a critical safeguard in the transportation industry, promoting a safe and responsible work environment while ensuring public safety and compliance with federal regulations.

Local Area Info: Oh Well (song)

"Oh Well" is a song first recorded by Fleetwood Mac in 1969, composed by vocalist and lead guitarist Peter Green. It first appeared as a Fleetwood Mac single in various countries in 1969 and subsequently appeared on revised versions of that year's Then Play On album and the Greatest Hits album in 1971. It was later featured on the 1992 boxed set 25 Years – The Chain, on the 2002 compilation album The Best of Peter Green's Fleetwood Mac as well as on the 2018 compilation "50 Years - Don't Stop". A live version of the song was included on the 1998 compilation The Vaudeville Years.

"Oh Well" was composed in two parts, "Part 1" being a fast electric blues song with vocals (lasting 2:19), "Part 2" being an entirely different instrumental piece with a classical influence (lasting 5:39). The original 1969 single features the first minute of "Part 2" as a fade-out coda to the A-side and then "Part 2" begins again on the B-side. Later releases varied in length. At concerts, only the first part was played, and live versions of the song have been released on many Fleetwood Mac live albums throughout their career such as Live and Live at the BBC, as well on the B-sides of singles. After Green's departure, the song was sung by various other members, including Bob Welch, Dave Walker, Lindsey Buckingham, Billy Burnette and Mike Campbell.

The first part of the song features a fast blues guitar riff played by Green, joined subsequently by Danny Kirwan and bassist John McVie, before a musical silence, punctuated only by Mick Fleetwood's cowbell percussion. Green sings a brief verse with no musical accompaniment, before the riff begins again and Kirwan takes a solo. Another silence precedes a second verse, and a replay of the riff. Where the second part follows, there is a brief pause before Green's sombre, Spanish-style acoustic guitar and low electric guitar, leading to further instrumental passages of recorder, cello and piano, the latter played by Jeremy Spencer. This was Spencer's only contribution to the song, as he was absent from the recording of "Part 1", and Green played all the other instruments heard during "Part 2". During live performances with the original lineup, Spencer frequently played supplemental percussion during the song, often maracas.

Show Regional Data

Population (total): Population in 2017: 781 (0% urban, 100% rural). >Population change since 2000: +4.6%

Population (female): 386

Cost of Living: March 2019 cost of living index in Spencer: 85.2 (less than average, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 6.5%

Poverty (breakdown):

Sex Offenders: According to our research of Ohio and other state lists, there were 2 registered sex offenders living in Spencer, Ohio as of January 15, 2021. The ratio of all residents to sex offenders in Spencer is 296 to 1.>

Population Density:

Zip Codes: 44275

(800) 221-4291