ohiodocs list of documents - ohio state bar · pdf fileohiodocs list of documents ......

64
Page i of iii OhioDocs List of Documents (List Current as of April, 2015; the 4.6.0 OhioDocs release) The OSBA will continually update and add new or updated documents to the OhioDocs library. If you have any suggestions for additional documents, please let us know by sending an e-mail to [email protected]. ADMINISTRATIVE LAW ............................................................................................................ 1 DOMESTIC RELATIONS ............................................................................................................. 1 Statewide Forms.................................................................................................................. 1 Child Support Worksheets ...................................................................................... 1 Uniform Domestic Relations Forms ....................................................................... 1 Domestic Violence Forms....................................................................................... 2 Civil Stalking & Sexually Oriented Offense Forms ............................................... 2 Pleadings ............................................................................................................................. 3 Initial Pleadings ...................................................................................................... 3 Worksheets, Parenting Affidavit, IV-D, & Withholding ........................................ 3 Temporary Orders ................................................................................................... 3 Temporary Restraining Order and Related Motions............................................... 3 In Forma Pauperis ................................................................................................... 4 Service by Publication or Posting ........................................................................... 4 Special Process Server ............................................................................................ 4 Waivers ................................................................................................................... 4 Soldiers and Sailor’s Act ........................................................................................ 4 Discovery and Related Motions, Evidence Issues, and Pretrial Statement............. 4 Parenting Issues ...................................................................................................... 5 Support .................................................................................................................... 5 Addition of New Party ............................................................................................ 6 Adopt Court Orders................................................................................................. 6 Amend, Extend, or for Leave.................................................................................. 6 Appear, Substitute, Intervene, and Withdraw ......................................................... 6 Continue, Consolidate, Convert, Seal, Expunge, and Dismiss ............................... 6 Contempt, Bond, Sentencing, and Domestic Violence ........................................... 6 Disqualify or Reassign ............................................................................................ 7 Emergency Hearing ................................................................................................ 7 Fees or Costs ........................................................................................................... 7 Hearings and Review .............................................................................................. 7 Decisions or Decrees............................................................................................... 7 Judgments and Enforcement of Judgments............................................................. 7 Jurisdiction .............................................................................................................. 8 Mediation ................................................................................................................ 8

Upload: leduong

Post on 06-Mar-2018

229 views

Category:

Documents


5 download

TRANSCRIPT

Page 1: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page i of iii

OhioDocs List of Documents

(List Current as of April, 2015; the 4.6.0 OhioDocs release)

The OSBA will continually update and add new or updated documents to the OhioDocs library.If you have any suggestions for additional documents, please let us know by sending an e-mail [email protected].

ADMINISTRATIVE LAW ............................................................................................................ 1

DOMESTIC RELATIONS............................................................................................................. 1

Statewide Forms.................................................................................................................. 1

Child Support Worksheets ...................................................................................... 1Uniform Domestic Relations Forms ....................................................................... 1Domestic Violence Forms....................................................................................... 2Civil Stalking & Sexually Oriented Offense Forms ............................................... 2

Pleadings ............................................................................................................................. 3

Initial Pleadings ...................................................................................................... 3Worksheets, Parenting Affidavit, IV-D, & Withholding........................................ 3Temporary Orders ................................................................................................... 3Temporary Restraining Order and Related Motions............................................... 3In Forma Pauperis ................................................................................................... 4Service by Publication or Posting........................................................................... 4Special Process Server ............................................................................................ 4Waivers ................................................................................................................... 4Soldiers and Sailor’s Act ........................................................................................ 4Discovery and Related Motions, Evidence Issues, and Pretrial Statement............. 4Parenting Issues ...................................................................................................... 5Support.................................................................................................................... 5Addition of New Party............................................................................................ 6Adopt Court Orders................................................................................................. 6Amend, Extend, or for Leave.................................................................................. 6Appear, Substitute, Intervene, and Withdraw......................................................... 6Continue, Consolidate, Convert, Seal, Expunge, and Dismiss ............................... 6Contempt, Bond, Sentencing, and Domestic Violence........................................... 6Disqualify or Reassign............................................................................................ 7Emergency Hearing ................................................................................................ 7Fees or Costs ........................................................................................................... 7Hearings and Review .............................................................................................. 7Decisions or Decrees............................................................................................... 7Judgments and Enforcement of Judgments............................................................. 7Jurisdiction.............................................................................................................. 8Mediation ................................................................................................................ 8

Page 2: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page ii of iii

Reports, Services, or Transcripts ............................................................................ 8Property................................................................................................................... 8Miscellaneous Other Documents .......................................................................... 10Agreements ........................................................................................................... 11Decrees.................................................................................................................. 11Sample QDROs..................................................................................................... 11

County Forms.................................................................................................................... 11

1st Appellate District ............................................................................................ 112nd Appellate District ........................................................................................... 133rd Appellate District............................................................................................ 164th Appellate District ............................................................................................ 235th Appellate District ............................................................................................ 276th Appellate District ............................................................................................ 337th Appellate District ............................................................................................ 378th Appellate District ............................................................................................ 409th Appellate District ............................................................................................ 4110th Appellate District .......................................................................................... 4411th Appellate District .......................................................................................... 4512th Appellate District .......................................................................................... 47

ESTATE PLANNING .................................................................................................................. 52

LITIGATION................................................................................................................................ 52

MISCELLANEOUS ..................................................................................................................... 53

OFFICEKEEPER.......................................................................................................................... 53

PROBATE .................................................................................................................................... 53

Estate Administration........................................................................................................ 53

Wrongful Death ................................................................................................................ 55

Guardianship ..................................................................................................................... 55

Adoption ........................................................................................................................... 55

Conservatorship ................................................................................................................ 56

Name Change.................................................................................................................... 56

Adult ..................................................................................................................... 56Minor..................................................................................................................... 56

Minor Settlement .............................................................................................................. 56

Protective Services............................................................................................................ 56

Insolvency......................................................................................................................... 57

Disinterment...................................................................................................................... 57

REAL ESTATE ............................................................................................................................ 57

Deeds................................................................................................................................. 57

Page 3: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page iii of iii

Disclosures........................................................................................................................ 57

Eviction ............................................................................................................................. 57

Oil and Gas ....................................................................................................................... 58

Transfer on Death ............................................................................................................. 58

SECRETARY OF STATE............................................................................................................ 58

Domestic Business Entities............................................................................................... 58

For-Profit Corporation .......................................................................................... 58Nonprofit Corporation .......................................................................................... 59Professional Associations ..................................................................................... 59Limited Liability Companies ................................................................................ 59Partnership ............................................................................................................ 59Limited Partnership............................................................................................... 59Limited Liability Partnership................................................................................ 60Unincorporated Nonprofit Association................................................................. 60

Name Registration ............................................................................................................ 60

Trade Name / Fictitious Name.............................................................................. 60Name Reservation................................................................................................. 60

Trademark / Service Mark ................................................................................................ 60

Trust .................................................................................................................................. 60

Business Trust ....................................................................................................... 60Real Estate Investment Trust ................................................................................ 61

Mergers / Consolidations / Conversions ........................................................................... 61

Additional Forms .............................................................................................................. 61

UCC .................................................................................................................................. 61

Page 4: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 1 of 61

ADMINISTRATIVE LAW

Continuance For ObjectionsHearing Request PacketMotion in Limine (Allegations)Motion in Limine (Evidence - 1)Motion in Limine (Evidence- 2)Motion to Recuse Counsel (AG)Notice of AppearanceObjections to R & RRequest to Testify by PhoneRequest to Deliberate at Public Hearing

DOMESTIC RELATIONS

Fee AgreementFirm InformationIntake FormComplete Interview FormPersonal & Case Information/Interview FormAssets & Debts Information/Interview FormLiving Expenses Information/Interview Form

Statewide Forms

Child Support Worksheets

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Uniform Domestic Relations Forms

Form 1 Affidavit of Income and ExpensesForm 2 Affidavit of PropertyForm 3 Parenting Proceeding Affidavit (ORC 3127.23(A))Form 4 Health Insurance AffidavitForm 5 Motion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingForm 6 Complaint for Divorce - no childrenForm 7 Complaint for Divorce - with childrenForm 8 Counterclaim for DivorceForm 9 Answer to Complaint without Children/Reply to CounterclaimForm 10 Answer to Complaint with Children/Reply to CounterclaimForm 11 Decree of Divorce without ChildrenForm 12 Decree of Divorce with ChildrenForm 13 Judgment Entry Converting Interest in Real EstateForm 14 Petition for Dissolution of MarriageForm 15 Judgment Entry of Dissolution of Marriage

Page 5: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 2 of 61

Form 16 Separation AgreementForm 17 Shared Parenting PlanForm 18 Parenting PlanForm 19 Parenting Judgment EntryForm 20 Complaint for ParentageForm 21 Motion for Contempt and AffidavitForm 22 Show Cause Order and Instructions to the ClerkForm 23 Motion for Change in Parenting Time and Memorandum in SupportForm 24 Motion for Change in Parenting Rights and Memorandum in SupportForm 25 Motion for Change in Parenting Expenses and Memorandum in SupportForm 26 Explanation of Health Care Bills (Automated Version)Form 26 Explanation of Health Care Bills (Version to be Completed by Hand)Form 27 Waiver of Service of SummonsForm 28 Request for ServiceParenting Guide

Domestic Violence Forms

Petition for Domestic Violence Civil Protection Order (Form 10.01-D)Information for Parenting Proceeding Affidavit (R.C. 3127.23(A)) (Form 10.01-

F)Domestic Violence Civil Protection Order (CPO) Ex Parte R.C. 3113.31) (Form

10.01-H)Domestic Violence Civil Protection Order (CPO) Full Hearing (R.C. 3113.31)

(Form 10.01-I)Consent Agreement and Domestic Violence Civil Protection Order (R.C.

3113.31) (Form 10.01-J)Motion to Modify/Terminate Domestic Violence Civil Protection Order/Consent

Agreement (Form 10.01-K)Judgment Entry on Motion to Modify/Terminate DV CPO Consent Agreement

(Form 10.01-L)Modified Domestic Violence Civil Protection Order (Form 10.01-M)Motion for Contempt of a Domestic Violence Civil Protection Order (Form

10.01-O)Protection Order Notice to NCIC (Form 10-A)

Civil Stalking & Sexually Oriented Offense Forms

Petition for Civil Stalking/Civil Sexually Oriented Offense Protection Order(Form 10.03-D)

Civil Stalking/Civil Sexually Oriented Offense Protection Order Ex Parte (Form10.03-E)

Civil Stalking or Sexually Oriented Offense Protection Order Full Hearing (Form10.03-F)

Protection Order Notice to NCIC (Form 10-A)

Page 6: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 3 of 61

Pleadings

Initial Pleadings

Complaint for DivorceAnswer and Counterclaim for DivorceComplaint for Legal SeparationComplaint for AnnulmentAnswerReply to CounterclaimPetition for Dissolution of MarriageComplaint to Establish Parent Child Relationship and MotionsInstructions for ServiceCertificate of Prior Filing

Worksheets, Parenting Affidavit, IV-D, & Withholding

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsChild Support Worksheet - Sole/Shared Parenting (2003-2008)Child Support Worksheet - Split Parental Rights (2003-2008)Parenting Proceeding Affidavit (ORC 3127.23(A))Application to Register Out of State Parenting OrderIV-D Application for Services (ODHS 7076 Rev. 11/92)IV-D Application for Services (ODHS 7076 Rev. 6/98)IV-D Application for Services (JFS 07076 Rev. 5/01)IV-D Application for Services (Form JFS 07076 Rev. 9/2001)IV-D Application for Services (Form JFS 07076 Rev. 12/2001)Notice to Withhold (ODJFS 4047 Rev. 8/00)Notice to Withhold (ODJFS 4047 Rev. 11/01)Addendum Withholding Notice (ODJFS 4048 Rev. 8/00)Addendum Withholding Notice (ODJFS 4048 Rev. 11/01)

Temporary Orders

Motion for Ex Parte Temporary OrdersAffidavit in Support of Motion for Ex Parte Temporary OrdersEx Parte Temporary OrderMotion for Relief from Ex Parte OrderAffidavit in Support of Motion for Relief from Ex Parte OrderMotion for Temporary Allocation of Parental Rights and ResponsibilitiesAffidavit in Support of Motion for Temporary OrderTemporary Order

Temporary Restraining Order and Related Motions

Motion for Temporary Restraining OrderAffidavit in Support of Motion for Temporary Restraining Order

Page 7: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 4 of 61

Temporary Restraining OrderMutual Temporary Restraining OrderMotion for Contempt of Temporary Restraining OrderMotion to Modify/Terminate Temporary Restraining Order

In Forma Pauperis

Motion for Leave to File In Forma PauperisAffidavit in Support of Motion to File In Forma PauperisPoverty AffidavitEntry Granting Motion to File In Forma PauperisFinancial Disclosure/Affidavit of IndigencyMotion to Appear In Forma Pauperis

Service by Publication or Posting

Motion to Serve by Publication or PostingAffidavit in Support of Motion for Service By Publication or PostingEntry Granting Motion to Serve By Publication or PostingNotice for use in Service by Publication or Posting

Special Process Server

Motion to Appoint Special Process ServerEntry Granting Motion to Appoint Special Process ServerAffidavit of Service by Process Server

Waivers

Waiver of Service of SummonsWaiver of VenueWaiver of RepresentationWaiver of Rights Pursuant to Soldiers and Sailors Civil Relief ActWaiver of 14 Day Objection Period

Soldiers and Sailor’s Act

Military AffidavitMotion to Appoint Counsel (Military)Affidavit in Support of Motion to Appoint Counsel (Military)Entry Granting Motion to Appoint Counsel (Military)Waiver of Rights Pursuant to Soldiers and Sailors Civil Relief Act

Discovery and Related Motions, Evidence Issues, and Pretrial Statement

Subpoena and Notice of Issuance of a Subpoena to a Third PartyNotice of Subpoena Issued to Non-PartyInterrogatories

Page 8: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 5 of 61

Request for Production of Documents (Detailed Version)Request for Production of Documents (Short Version)Interrogatories, Request for Production of Documents, and/or Request for

AdmissionsAffidavit for Responses to DiscoveryMotion for In Camera Review of DocumentsMotion for Protective Order/Non-Disclosure OrderMotion for Release of DocumentsMotion In LimineSubpoena by NotaryDuces Tecum (Detailed Version)Duces Tecum (Short Version)Notice of/Motion for DepositionNotice of Filing of DepositionMotion To CompelMotion For SanctionsAffidavit of Attorney In Support of Motion to Compel/Motion for SanctionsMotion for Failure to File Financial Affidavit/Property StatementMotion To Examine Spouse and/or Child(ren)Objection to Motion To Examine Spouse and/or Child(ren) by ExpertMotion To Admit EvidenceMotion To Disclose PropertyMotion To QuashMotion To StrikeObjections to Admissibility of Evidence/DocumentPre-Trial Statement/Affidavit

Parenting Issues

Motion for Evaluations, Interviews or ServicesMotion to Establish/Modify/Terminate Parental Rights and ResponsibilitiesMotion for Shared ParentingMotion to Modify Shared ParentingMotion to Terminate Shared ParentingMotion to Modify Parenting Order (Custody)Motions to Modify/Review Parenting Time (Visitation)Motion to Review Parenting ProvisionMotion to Establish/Contest PaternityNotice of Intent to RelocateMotion for Hearing Pursuant to ORC 3109.051(G)(2) (Notice to Spouse)Objection to Notice of Intent to RelocateMotion Regarding Mandatory Education

Support

Motion to Establish/Modify/Terminate Child Support & Related MattersMotion for Relief from Ex Parte Order

Page 9: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 6 of 61

Motion to Establish/Modify/Terminate Spousal SupportMotion Related to Driving PrivilegesMotions to Review - CSEAMotion to Review - Non CSEA Case

Addition of New Party

Motion to Add PartyAffidavit in Support of Motion to Add PartyEntry Granting Motion to Add Party

Adopt Court Orders

Motion for Entry Nunc Pro TuncMotion to Adopt Court OrderMotion to Adopt Mediation AgreementApplication to Register Out of State Parenting Order

Amend, Extend, or for Leave

Motion for Leave to File Answer/Counterclaim Out of TimeMotion to Amend PleadingMotion to Extend Time

Appear, Substitute, Intervene, and Withdraw

Notice of AppearanceNotice of Substitution/Motion to Substitute CounselNotice of Substitution/Motion to Substitute PartyMotion to Appear Pro Hac ViceMotion to InterveneMotion to Withdraw as Counsel

Continue, Consolidate, Convert, Seal, Expunge, and Dismiss

Motion for ContinuanceMotion to ConsolidateMotion to ConvertMotion to Seal Record From Public/Restrict Internet Publication/ExpungeEntry Granting Motion to Seal Record From Public/Restrict Internet

Publication/ExpungeMotion to Dismiss

Contempt, Bond, Sentencing, and Domestic Violence

Motion for ContemptMotion to Show CauseMotion Related to Bond

Page 10: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 7 of 61

Motion Related to Contempt Findings & SanctionsMotion Related to Domestic Violence

Disqualify or Reassign

Motion to Disqualify CounselMotion to Disqualify Guardian ad LitemMotion to Disqualify Hearing OfficerMotion to Reassign Case

Emergency Hearing

Motion for Emergency HearingAffidavit in Support of Motion for Emergency Hearing

Fees or Costs

Motion for Attorney Fees/CostsAffidavit of Attorney (For Fees/Costs)Motion for Fees/Costs

Hearings and Review

Motion for Pre-TrialMotion for Scheduling ConferenceMotion for TeleconferenceMotion to Review Order

Decisions or Decrees

Motion for ClarificationRequest for Findings of Fact and/or Conclusions of LawMotion for Leave to File ObjectionsMotion for New TrialMotion for Relief from JudgmentMotion for StayMotion for Stay of ExecutionMotion to CorrectMotion to RemandObjection to Magistrate's DecisionObjections in Response to Objection to Magistrate's DecisionMotion to Set Aside Magistrate's OrderNotice of Appeal

Judgments and Enforcement of Judgments

Motion for Declaratory JudgmentMotion for Default Judgment

Page 11: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 8 of 61

Motion for JournalizationMotion to Enforce Separation Agreement

Jurisdiction

Motion for ConciliationNotice/Motion of Suggestion of DeathMotion to Relinquish JurisdictionAffidavit in Support of Motion to Relinquish JurisdictionEntry Granting Motion to Relinquish JurisdictionMotion to Accept JurisdictionAffidavit in Support of Motion to Accept JurisdictionObjections to Motion to Accept JurisdictionEntry Granting Motion to Accept JurisdictionMotion to Change VenueMotion to Register DecreeApplication/Affidavit to Register Out of State Parenting OrderMotion to Stay Proceedings for ReconciliationNotice of AppealNotice of Bankruptcy

Mediation

Motion to Mediate

Reports, Services, or Transcripts

Motion for Court ReporterMotion for InterpreterMotion for TranscriptMotion to Release ReportsMotion to Transport Prisoner/Juvenile

Property

Motions to Appoint

Motion to Appoint AppraiserMotion to Appoint Listing AgentMotion to Appoint Receiver

Motions for Accounting of Assets

Motion for Accounting of Bank AccountsMotion for Accounting of Retirement BenefitsMotion for Accounting of Other Item(s)Motion for Accounting of Income

Page 12: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 9 of 61

Motions Related to Assets

Motion for Valuation of Retirement AccountMotion to Liquidate Marital Asset

Motions Related to Bonds for Property

Motion to Post Bond for PropertyMotion to Release Bond for Property

Motions for Business Accounting

Motion for Accounting of Business AssetsMotion for Accounting of Business DebtsMotion for Accounting of Business Income

Motions Related to Businesses

Motion for Exclusive Use of BusinessMotion for Valuation of Business

Motions Related to Date of Valuation

Motion for Alternative Valuation DateMotion to Determine De Facto Termination of Marriage

Motions Related to Debts

Motion for Accounting of DebtMotion to Assign Payment of Debt

Motions Related to Escrow

Motion to EscrowMotion to Escrow Sale ProceedsMotion to Release Escrowed FundsMotion to Release Escrowed Proceeds

Motions Related to Personal Property/Household Goods/Furnishings

Motion for Inventory of Personal PropertyMotion for Accounting of Disposed/Damaged Personal PropertyMotion for Appraisal of Personal PropertyMotion to Divide Personal PropertyMotion to Verify Inventory of Personal Property

Motions Related to Pets and Domestic Animals

Motion to Appraise Pet/Animal

Page 13: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 10 of 61

Motion to Care for Pet/AnimalMotion to Remove Pet/AnimalMotion to Retain Pet/Animal

Motions Related to Property Judgments

Motion for Interest on Property JudgmentMotion for Lump Sum Judgment (Property)Motion to Review Property Judgment

Motions Related to Real Estate

Motion for Exclusive Use of Marital ResidenceMotion for Access to Real EstateMotion to Appraise Real EstateMotion to Force Sale of Real EstateMotion to Inspect Real EstateMotion to List Real Estate for Sale

Motions Related to the Transfer of Property

Motion to File QDROMotion to File Quitclaim DeedMotion to Transfer Title of Vehicle

Motions Related to Vehicles

Motion for Appraisal of Vehicle/TrailerMotion for Use of VehicleMotion to Sell VehicleMotion to Transfer Title of Vehicle

Motions to Mediate

Motion to Mediate

Miscellaneous Other Documents

Entry (Generic)Notice of Hearing (Generic)Entry of DismissalAffidavit of Witness (Corroborating Merits Testimony)Calculation of Support ArrearageMotion to Set Aside Antenuptial AgreementPower of Attorney to GrandparentCaretaker Authorization Affidavit by GrandparentDetermination of Paternity (HEA 3029)QuitClaim Deed

Page 14: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 11 of 61

Divorce Settlement Memorandum

Agreements

Separation AgreementShared Parenting Plan #1Shared Parenting Plan #2Antenuptial Agreement

Decrees

Decree of DivorceDecree of AnnulmentDecree of Legal SeparationDecree of DissolutionDecree of Shared ParentingEntry Restoring Former Name

Sample QDROs

Qualified Domestic Relations Order #1 (General)Qualified Domestic Relations Order #2 (Stock Plan)Division of Property Order (State Pension)Motion to Order Release of Information Pursuant to ORC 3105.87Order to Release Information Pursuant to ORC 3105.87

County Forms

1st Appellate District

Hamilton County

Clerk of Court Forms

Classification FormDirections for SheriffLegal NoticeNotice To Clerk ORC 3105.88Notification FormWritten Request for ServiceWritten Request for Service on CSEAPersonal Identifier Reference List

Court Forms

Questionnaire Form 1.1Medical Expense Sheet (Form 1.25)Administrative Judges Order RE Rule 1.26

Page 15: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 12 of 61

Mandatory Disclosure Order (Form 1.26)Request for Interpreter (Form 1.7)Parenting Proceeding Affidavit (Form 2.1)Shared Parenting Plan (Form 2.2)Motion for Early Neutral Evaluation (Form 2.28)Agreed Entry Early Neutral Evaluation (Form 2.29)Entry Ordering Early Neutral Evaluation (Form 2.30)Scheduling Notice for Early Neutral Evaluation and for Report-Custody

Hearing (Form 2.31)Parenting Perspective Brief (Form 2.32)Order for Payment of Additional ENE Fees (Form 2.33)Final Decree of Shared Parenting (Form 2.3)Request for Parenting Services (Form 2.4)Entry Ordering Parenting Investigation (Form 2.5)Standard Parenting Order (Form 2.7)Notice of Intent to Relocate (Form 2.8)Motion for Hearing Pursuant to ORC 3109.051(G)(2) (Form 2.8a)Entry Certifying Case to Juvenile Court (Form 2.11)Waiver Shared Parenting (Form 2.15)Agreed Entry Change Residential Parent (Form 2.16)Entry-Blank (Form 3.0)Motion and Affidavit for Issuance of Temporary Orders (75(N)) (Form

3.2)Notice of Service (Form 3.4)Request for Oral Hearing (Form 3.7)Property Statement (Form 4.1)Stipulations (Form 4.3)Agreed Entry-Property (Form 4.4A)Waiver Property (Form 4.5)Waiver Financial Disclosure (Form 7.1)Financial Disclosure Affidavit (Form 7.2)Unemployment Notice Order (Form 7.10)Entry Terminating Deduction Order (Form 7.12)Agreed Entry-Support-Parenting & Support (Form 7.14)Agreed Entry-Support-Shared Parenting (Form 7.15)Group Health Insurance Affidavit (Form 7.16)Qualified Medical Support Order (Form 7.17)Shared Medical Order (No Ins Avail) (Form 7.20)Health Care Verification (Form 7.21)Cash Medical Support Order (Form 7.24)Financial Affidavit (Form 7.3)Motion to Review Agency (CSEA) Decision (Form 7.30)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsMagistrate's Order for Continuance (Form 8.1)Judge's Order for Continuance (Form 8.1A)

Page 16: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 13 of 61

Motion Requesting Documents Not Be Displayed on Internet (Form 8.21)Request for Transcription (Form 8.30)Agreed Entry-Misc (Form 8.5)Interim Order (Form 8.7)Request for Merits Setting Entry (Form 9.1)Waiver of Representation (Form 9.2)Waiver of Service (Form 9.3)Waiver of Service & Waiver of Consent (Form 9.3A)Request for Interview/Motion for GAL (Form 10.2)Agreed Entry-Appointing Appraiser (Form 11.1)Affidavit for Citation (Form 13.1)Summons (Form 13.2)Waiver Counsel (Form 13.3)Waiver Counsel (Form 13.3a) (Contempt Proceeding)Service and Notice of Hearing (Form 14.0)Service and Notice of Hearing (Including notice to CSEA) (Form 14A)Motion for Parent Education Exemption (Form 14.11)Administrative Temporary Restraining Order (Form 19.0)List of Exhibits and Description (Form 20.0)Parenting Services Information (Form 22.1)Entry Ordering Mediation (Form 22.2)Agreed Entry Staying Case Due to Mediation (Form 22.7)Petition for Conciliation (Form 42.9)Entry Allocating Costs (Form 70)Docket Office Instructions (Form 903)Motion for Early Judicial Intervention (Form 907)Notice to Withhold (HCDHS Form 4047)Notice to Withhold-Addendum (HCDHS Form 4048)Support Account Data Form (HCDHS 4905)IV-D Application for Child Support Services (DHS 7076)Petition for Domestic Violence Civil Protection Order (Form 10.01-D)Information for Parenting Proceeding Affidavit (Form 10.01-F)Motion to Modify/Terminate DV Civil Protection Order or Consent

Agreement (Form 10.01-K)Domestic Violence Petitioner/Respondent Information Sheet (Form

10.01-Z)

2nd Appellate District

Champaign County Forms

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral Hearing

Page 17: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 14 of 61

Clark County Forms

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Darke County Forms

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingConfidential Information for Identification of the PartiesAffidavit of Income, Expenses and Financial DisclosureDomestic Relations QuestionnaireApplication for Services (IV-D) ODHS 7076Standard Schedule for Parenting TimeMotion for Temporary Restraining Orders and Affidavit in SupportEntry for Temporary Restraining OrdersChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Greene County Forms

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDivorce and Dissolution Questionnaire (DR 8)Information for Parenting Proceeding Affidavit (DR-9)Affidavit of Financial Disclosure (DR 10)Instructions for ServicePraecipe and Summons for WitnessesOrder Requiring Attendance at SeminarObligor Information SheetObligee Information SheetNotice of Intent to RelocateParenting Time Guidelines

Page 18: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 15 of 61

Appendix CPoverty AffidavitEntry Approving Poverty AffidavitRequest for TranscriptSuggested Support Withholding LanguageSuggested Health Care LanguageParenting Time Procedures-2011Standard Order of Parenting Time 2011Notifications Language 12/8/2011Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Miami County Forms

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingIV-D Application for Services (ODHS 7076 Rev. 11/92)DR-1 Personal History of PartiesDR-4 Waiver of CounselDR-11 Child Support Worksheet - Sole/Shared ParentingDR-12 Child Support Worksheet - Split Parental RightsDR-16 Standard Order and Standard/Additional Order of Health Care NeedsDR-19 Motion for ContinuanceDR-20 Entry of ContinuanceDR-21 Parenting Seminar OrderDR-22 Agreement to MediateDR-23A Obligee's Rights and Remedies for Enforcement of SupportAcknowledgment & DissolutionAcknowledgment & DivorceStandard Parenting Time ScheduleWaiver Magistrate Decision DissolutionWaiver Magistrate Decision DivorceMotion for Temporary Restraining Orders and Affidavit in SupportEntry for Temporary Restraining Orders

Montgomery County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitDivorce and Dissolution Questionnaire (DR 8)Information for Parenting Proceeding Affidavit (DR-9)

Page 19: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 16 of 61

Affidavit of Financial Disclosure (DR 10)Montgomery County SEA New Case Number Worksheet (DR 16)IV-D Application for Services (JFS 07076 Rev. 5/01)Instructions for Service (DR-18)Obligee's Rights and Remedies for the Enforcement of Support (DR 20)Standard Order of Parenting Time (DR 21)Standard Order of Health Care Needs (DR-32)Entry Restoring Former Name (DR-76)Request to Record Proceedings (DR 98)Entry of Permission to Record Proceedings (DR 99)Parent Questionnaire & Information Sheet (FRD-10)Husband/Wife Guidelines WorksheetDetermination of Paternity (HEA 3029)Entry and Order of Custody Upon Death of PartyHealth Care Reimbursement Claim FormPetition for ConciliationPoverty AffidavitOrder to Show CauseNoticeDivision of Property Order (State Pension)Motion for Temporary Restraining Orders and Affidavit in SupportEntry for Temporary Restraining OrdersRequest for CD-RomMotion to Continue/Order of ContinuanceChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

3rd Appellate District

Allen County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingIV-D Application for Services (ODHS 7076 Rev 11/92)DR-3 Waiver of CounselDR-4 Child Health Care InformationAffidavit of Income, Expenses and Financial Disclosure-Short FormExplanation of Health Care BillsQualified Medical Support/Health Care OrderWaiver of Magistrate's DecisionWaiver of Service of SummonsNotice of Intent to RelocateStanding Orders

Page 20: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 17 of 61

Parenting Time AllocationChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Auglaize County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingMarital History Information SheetPersonal IdentifiersDR-FD - Orders of Financial DisclosureDR-SO - Standing OrdersDR-SO GAL- Standing Orders GALStandard Visitation and CompanionshipIV-D Application for Child Support ServicesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Crawford County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingProposal for Temporary OrdersAffidavit in Support of Temporary OrderCounter AffidavitWaiver of Temporary OrdersRule 25 - Standard Visitation ScheduleRule 26 Provisions for Medical SupportIV-D Application for Services (ODHS 7076)Certification of CounselPre-Trial StatementChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Defiance County

DR-1, DR-1A, DR-1B, and DR-1C Financial Disclosure InformationDR-1D Affidavit and Notice of Filing and Duty to AmendDR-2 Parenting Affidavit Under O.R.C.3127.23

Page 21: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 18 of 61

DR 3 Health Insurance Disclosure Affidavit (HIDA)Schedule A - Parenting Time Guidelines for Travel Distances under 150 Miles

One WaySchedule B - Long Distance Parenting Time Guidelines (Over 150 Miles One

Way)Schedule C - Maintenance of Insurance and Payment of Extraordinary

Expenses for Minor ChildrenSchedule D - Provision of Health Insurance for Minor ChildrenSchedule E - IV-D Application for ServicesCourt Order #1 - Preliminary InjunctionsCourt Order #2 - Order Appointing Guardian ad LitemCourt Order #3 - Qualified Medical Support OrderCourt Order #4 - Order to Attend Parenting ClassCourt Order #5 - Order For Investigation (Home Study)Court Order #6 - Order For EvaluationCourt Order #7 - Motion to Review Family FileCourt Order #8 - Order Requiring Mediation ServicesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Hancock County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingCase Designation SheetPersonal IdentifiersParenting Affidavit Under O.R.C. 3127.23IV-D Application for Services (ODHS 7076 Rev 11/92)Personal History and Financial Affidavit (Appendix A)Documents to be Disclosed without Formal Discovery Requests (Appendix B)Certification of Receipt of Appendix J/K (Appendix G)Notice to Obligor (Appendix H)Orders for Health Insurance Coverage for Minor Children (Appendix I)Parenting Plan and Companionship Schedule (Appendix J)Long Distance Parenting Plan and Companionship Calendar (Appendix K)Motion for Mutual Restraining Orders under Local Rule 2.09Mutual Restraining Orders under Local Rule 2.09Request for ServiceMotion for File Without Payment of CostsPoverty AffidavitOrder for Filing (Without Pre-payment of Court Costs)Request for TranscriptNotice of Intent to Relocate

Page 22: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 19 of 61

Order to Appear and Show CauseWaiver of Service of SummonsNotice of HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Hardin County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDesignation Form (Appendix A)Domestic Relations Admonishment (Appendix H)Documents to Be Exchanged without Formal Discovery Requests (Appendix

I)Standard Order of Parenting Time (Rule 26)Exhibit APre-Trial Statement (Not an official form)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Henry County

DR-1, DR-1A, DR-1B, and DR-1C Financial Disclosure InformationDR-1D Affidavit and Notice of Filing and Duty to AmendDR-2 Parenting Affidavit Under O.R.C.3127.23DR 3 Health Insurance Disclosure Affidavit (HIDA)Schedule A - Parenting Time Guidelines for Travel Distances under 150 Miles

One WaySchedule B - Long Distance Parenting Time Guidelines (Over 150 Miles One

Way)Schedule C - Maintenance of Insurance and Payment of Extraordinary

Expenses for Minor ChildrenSchedule D - Provision of Health Insurance for Minor ChildrenSchedule E - IV-D Application for ServicesCourt Order #1 - Preliminary InjunctionsCourt Order #2 - Order Appointing Guardian ad LitemCourt Order #3 - Qualified Medical Support OrderCourt Order #4 - Order to Attend Parenting ClassCourt Order #5 - Order For Investigation (Home Study)Court Order #6 - Order For EvaluationCourt Order #7 - Motion to Review Family FileCourt Order #8 - Order Requiring Mediation ServicesChild Support Worksheet - Sole/Shared Parenting

Page 23: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 20 of 61

Child Support Worksheet - Split Parental Rights

Logan County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsIV-D Application for Services (JFS 07076 Rev. 5/01)DR - 01 Guidelines on Parenting TimeDR - 11 Property Distribution/Balance SheetDR - 12 Health Insurance Coverage Contempt FormJudgment Entry/Child Support and Medical SupportMutual Temporary Restraining Order

Marion County

Affidavit of Income and Expenses - Form AAffidavit of Property - Form BParenting Proceeding Affidavit (ORC 3127.23(A)) - Form CHealth Insurance Affidavit - Form DMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral Hearing - Form ECase Designation Form - Form FDuty to Keep Court Advised of Address - Form GRequest to Issue Wage Assignment - Form HNotice to Responding Party (P.E.A.C.E. Notice) - Form IRestraining Orders - Form JAddendum - Form KNotice of Intent to Relocate - Form LRequest for Permission to Photograph, Televise, Record or Broadcast Court

Proceedings - Form MRule 32A Parenting Time ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Mercer County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance Affidavit

Page 24: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 21 of 61

Motion and Affidavit or Counter Affidavit for Temporary Orders WithoutOral Hearing

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsDR-5 Waiver of Magistrate's DecisionDR-6 Notice of Intent to RelocateDR-7 Notice to Attend Parenting Program 2013/Registration FormDR-8 Medical Healthcare InformationDR-9 Waiver of CounselDR-11 Waiver of Service ofSummonsIV-D Form - Application for ServicesSO 1 - DR Restraint OrdersSO 2 - Standard Visitation Schedule / Parenting Time Allocation

Paulding County

DR-1 Affidavit for CostsDR-2 Parenting AffidavitDR-3 AffidavitDR-4 Pre-Trial Financial FormDR-5 QuestionnaireStandard Rules for NonResidential Parent Visitation and RightsChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Putnam County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingInformation (Form DR-1)Parenting Affidavit (Form DR-2)Waiver of Counsel (Form DR-3)Personal IdentifiersStandard OrderParenting ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Seneca County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))

Page 25: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 22 of 61

Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingForm 7 - Proposal for Temporary OrdersPraecipe for ServiceIV-D Application for Services (JFS 07076 Rev. 5/01)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Shelby County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsDR-6 IV-D Application for ServicesDR-7 Obligee's Rights and Remedies for Enforcement of SupportDR-8 Personal Identifier/Sensitive Information SheetLocal Rule 16 - Required Language for Health and Medical Insurance OrdersLocal Rule 17 - Medical Expense Defined/Court Formula/Uninsured Health

ExpensesLocal Rule 22 - Guidelines for Parenting Time

Union County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitClassification FormStandard Visitation GuidelinesIV-D Application (ODHS 7076)Restraining OrderNotice to RelocateChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Van Wert County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance Affidavit

Page 26: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 23 of 61

Motion and Affidavit or Counter Affidavit for Temporary Orders WithoutOral Hearing

DR-2 - IV-D AffidavitDR-5 - Support OrderDR-6 - Health Insurance OrderDR-10 - Waiver of Objections to Magistrate's ReportDR-14 - Standing OrdersStandard Rules for Residential and Non-Residential Parents (Appendix A)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Wyandot County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingStandard Order of Parenting TimeExhibit "A"Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

4th Appellate District

Adams County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Athens County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDesignation FormPersonal Information Sheet

Page 27: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 24 of 61

Personal Identifier/Sensitive Information SheetDR-1 Affidavit of Income and ExpensesDR-2 Financial Disclosure AffidavitDR-3 Application for Waiver of DepositDR-4 Health Insurance AffidavitPretrial StatementParenting AffidavitVisitation/Parenting Time GuidelinesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Gallia County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingGroup Health Insurance AffidavitDeclaration under Uniform Child Custody Jurisdiction and Enforcement Act

(UCCJEA)Personal IdentifiersStandard Order of Visitation/Parenting Time - LocalStandard Order of Visitation/Parenting Time - Long DistanceChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Highland County

Classification FormAffidavit of Income, Expenses and Financial DisclosureMutual Restraining OrderParenting AffidavitMandatory Language for Child Support OrdersStandard Parenting ScheduleApplication for Child Support Services - ODHS 7076 (IV-D)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Hocking County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance Affidavit

Page 28: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 25 of 61

Motion and Affidavit or Counter Affidavit for Temporary Orders WithoutOral Hearing

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Jackson County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingD.R. Form 1 - Affidavit of Income and Expenses and PropertyD.R. Form 2 - Personal History of PartiesD.R. Form 3 - Health Insurance Disclosure Affidavit (HIDA)D.R. Form 4 - Information for Parenting ProceedingPraecipe for TranscriptD.R. Form 6 - Affidavit of Income and Expenses for Post Decree MotionsD.R. Form 7 - Affidavit for Temporary Spousal SupportStandard Companionship ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Lawrence County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Meigs County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Page 29: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 26 of 61

Pickaway County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingJudgment Entry/Restraining OrderParenting ScheduleLong Distance Companionship ScheduleNotice to Withhold (ODJFS 4047)Health Care OrderFinancial Disclosure/Affidavit of IndigencyPretrial StatementChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Pike County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding AffidavitHealth Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Ross County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Scioto County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance Affidavit

Page 30: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 27 of 61

Motion and Affidavit or Counter Affidavit for Temporary Orders WithoutOral Hearing

DR Form 1 - Notice of HearingDR Form 2 - Information for Parenting Proceeding AffidavitDR Form 4 - IV-D Application for Services (ODHS 7076)DR Form 5 - Financial Disclosure AffidavitDR Form 6 - Mutual Restraining OrderDR Form 7 - Payment Explanation of Medical ExpensesDR Form 8 - NoticeDR Form 9 - Order to Show CauseDR Form 12 - Poverty AffidavitRule 6.0 Standard Parenting Time OrderChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Vinton County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding AffidavitHealth Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Washington County

Form 1 - Information Sheet/Notice to WCCSEAForm 2 - Affidavit of Income, Expenses and Financial DisclosureParenting Proceeding AffidavitHealth Insurance AffidavitRequest for Service (Parties in Caption)Motion to Mediate With Attached Entry (Parties in Caption)Visitation Mediation ReferralParenting SchedulePoverty AffidavitChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

5th Appellate District

Ashland County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))

Page 31: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 28 of 61

Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingForm 1.00 - Affidavit of Indigency for Court CostsForm 2.00 - Case Designation Sheet - DomesticForm 3.00 - DRH FormForm 4.00 - Judgment Entry of InjunctionsForm 5.00 - Waiver of Paternity Testing and Legal RightsForm 6.00 - Order Appointing Guardian ad LitemForm 7.00 - Order for Genetic TestingForm 8.00 - Health Care Expense WorksheetForm 9.00 - Summons and Order to Appear on ContemptForm 10.00 - Pretrial Statement and Settlement ProposalForm 11.00 - Notice of Intent to RelocateForm 11.10 - Waiver of Receipt and Hearing on Notice of Intent to RelocateForm 11.20 - Judgment Entry Permitting Service of Notice of Intent to

RelocateForm 11.30 - Judgment Entry Prohibiting Service of Notice of Intent to

RelocateForm 12.00 - Waiver of Magistrate's Decision, Time Limits and ObjectionsForm 13.00 - Suggested Language for Child Support OrdersForm 14.00 - Required Language for Deviations for Child Support PurposesForm 15.00 - Mediation OrderForm 16.00 - Suggested Language for Dependent Health Care Child Support

Order ProvisionsForm 18.00 - Omitted or Redacted Personal IdentifiersForm 20.00 - Standard Parenting Time OrderChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsIV-D Application for Services (Form JFS 07076 Rev. 12/2001)

Coshocton County

Dependent Health Care Order (Obligor)Dependent Health Care Order (Obligee)Pretrial Financial Statement and AffidavitChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Delaware County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral Hearing

Page 32: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 29 of 61

Classification FormForm 1 - Affidavit in Support of Temporary Orders, Pre-Trial StatementForm 2 - Affidavit in Support of Temporary Orders; Pre-Trial Statement (No

Minor Children)Form 3 - Affidavit in Support of Agreed Support OrdersForm 4 - Affidavit in Support of or in Opposition to Motion to Modify

Support OrdersForm 5 - Child Custody AffidavitForm 6 - Health Insurance Disclosure AffidavitForm 7 - Required NoticesForm 8 - Request for Transcript of ProceedingsForm 2 -Assets and Liabilities for DissolutionMotion for Continuance and EntryInstructions for Ordinary Mail Service (Single)Instructions for Ordinary Mail Service (Multiple)Instructions for ServiceChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsSchedule 13B Parenting Time/Schedule A Visitation (for 2011)

Fairfield County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingCase Designation FormRequest for ServiceWaiver of ServiceMotion to ContinueRequest for Court RecordingsInformation for Child Custody Proceeding (Parenting Affidavit)Financial Affidavit/Motion for Temporary OrdersPrivate Health Insurance AffidavitHealth Insurance OrderIV-D Application for Services (Form JFS 07076 Rev. 12/2001)Judgment Entry/Restraining OrderStandard Parenting Time OrderSETS Child Support Information FormNotice to Obligors and ObligeesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Page 33: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 30 of 61

Guernsey County

Financial Affidavit Original Actions (Form DR-1)Information for Child Custody Proceeding (3127.23 Ohio Rev. Code) (Form

DR-3)Application for Title IV-D ServicesParenting ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Holmes County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingNew Case Designation FormInstructions for ServiceFinancial Affidavit for Computation of Child Support and Medical SupportParenting Time/Companionship/Visitation SchedulesIV-D Application for ServicesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Knox County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingHealth Insurance Disclosure Affidavit (HIDA)Private Health Insurance QuestionnaireDeclaration under UCCJEA (Parenting Affidavit)IV-D Application for Services (ODHS 7076 Rev 11/92)CSEA Information Sheet - Residential ParentCSEA Information Sheet - Non-Residential ParentParenting SchedulePretrial Statement/AffidavitChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Page 34: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 31 of 61

Licking County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingInstructions for Service (Complaint for Divorce)Request for Service (All Matters)Affidavit of Income, Expenses & Financial DisclosureHealth Insurance Disclosure Affidavit (HIDA)Information for Parenting Proceeding AffidavitMotion for Temporary OrdersAffidavit in Support of Motion for Temporary OrdersJudgment Entry/Magistrate's Order-Temporary OrdersChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsNotice of Temporary Custody OrderNotice of Temporary Visitation OrderHealth Care OrderRule 19 Parenting Times OrderJudgment Entry - ORC 3105.87

Morgan County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Morrow County

Parenting Proceeding AffidavitAffidavit of Assets and LiabilitiesHealth Insurance Disclosure AffidavitAffidavit of Income and ExpensesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Muskingum County

Affidavit of Income and Expenses

Page 35: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 32 of 61

Affidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingEntry Converting Divorce to Action for DissolutionEntry Converting Dissolution to Action for DivorceStandard Parenting Time OrderIV-D Application for Services (JFS 07076 Rev. 5/01)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Perry County

Affidavit of Income, Expenses and Financial DisclosureChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Richland County

Form 1.00 - Affidavit of Indigency for Court CostsForm 2.00 - Request For Appointment of CounselForm 3.00 - Judgment Entry of InjunctionsForm 4.00 - Request for Temporary OrdersForm 5.00 - Financial AffidavitForm 6.00 - Parenting Proceeding Affidavit (ORC 3127.23)Form 7.00 - Pretrial Statement and Settlement ProposalForm 8.00 - Summons and Order to AppearForm 9.00 - Request For Home InvestigationForm 10.00 - Order Appointing Guardian ad LitemForm 11.00 - Dependent Health Care Child Support OrderForm 12.00 - Health Care Expense WorksheetForm 13.00 - Notice of Intent to RelocateForm 13.10 - Waiver of Receipt And Hearing on Notice of Intent to RelocateForm 13.20 - Judgment Entry Permitting Service of Notice of Intent to

RelocateForm 13.30 - Judgment Entry Prohibiting Service of Notice of Intent to

RelocateForm 14.00 - Order for Paternity TestingForm 15.00 - Waiver of Paternity Testing and Legal RightsForm 16.00 - Paternity Testing Information FormForm 17.00 - Mandatory Language for Child Support OrdersForm 18.00 - Required Language for Deviations For Child Support PurposesForm 19.00 - Mediation OrderForm 21.00 - Personal IdentifiersStandard Parenting Time Order (Rule 24)IV-D Application for Services

Page 36: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 33 of 61

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Stark County

Standard Parenting Schedule (Local) Exhibit "A" (Form DR04.A)Standard Parenting Schedule (Long Distance) (Exhibit B)Health Care Order (Exhibit C)Addendum NoticeRestraining Order (Under Same Roof) (Exhibit D)Restraining OrderFinancial AffidavitDeclaration under UCCJEA (Parenting Affidavit)Application for Registration of Out-of-State OrderPretrial Statement/Settlement ProposalShared Parenting PlanCaretaker Authorization Affidavit by GrandparentPower of Attorney to GrandparentApplication for Child Support Services (IV-D Notice) (Form JFS 07076)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Tuscarawas County

Domestic Case Designation FormDisclosure of Personal Identifier InformationAffidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding AffidavitPrivate Health Insurance QuestionnaireIV-D Application for Services (JFS 07076 Rev. 5/01)Application for Registration of Out-of-State OrderStandard Parenting Orders and Incidental RulesLong-Distance Companionship ScheduleDeclaration Under UCCJEAObjection to Magistrate's DecisionMotion to Set Aside Magistrate's OrderHealth and Medical Expenses and Tax ExemptionsChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

6th Appellate District

Erie County

Form 1.00 - Affidavit of Indigency for Court CostsForm 1.10 - D.R. Information

Page 37: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 34 of 61

Form 3.00 - Judgment Entry of InjunctionsForm 4.00 - Request for Temporary OrdersForm 5.00 - Affidavit of Income, Expenses and PropertyForm 6.00 - Child Custody Affidavit (ORC 3109.27)Form 7.00 - Pretrial Statement and Settlement ProposalForm 7.10 - Case Management Conference OrderForm 8.00 - Motion and Affidavit to Show CauseForm 8.00 - Order to Appear and Show CauseForm 8.10 - Motion and Affidavit to ModifyForm 8.10 - Hearing NoticeForm 9.00 - Request For Home InvestigationForm 10.00 - Notice of FilingForm 10.10 - Request for Copy of Recording of ProceedingsForm 10.20 - Judgment Entry for Recording of ProceedingsForm 10.30 - Waiver of Objections to Magistrate's DecisionForm 12.00 - Health Care Expense WorksheetForm 13.00 - Notice of Intent to RelocateForm 13.10 - Waiver of Receipt And Hearing on Notice of Intent to RelocateForm 13.20 - Judgment Entry Permitting Service of Notice of Intent to

RelocateForm 13.30 - Judgment Entry Prohibiting Service of Notice of Intent to

RelocateForm 14.00 - Order for Paternity TestingForm 15.00 - Waiver of Paternity Testing and Legal RightsForm 16.00 - Paternity Testing InformationForm 17.00 - Suggested Language for Child Support OrdersForm 18.00 - Required Language for Deviations For Child Support PurposesForm 20.00 - Motion to Modify Civil Protection OrderForm 20.01 - Notice of HearingForm 20.02 - Judgment Entry to Modify Civil Protection OrderForm 20.03 - Motion to Dismiss CPOForm 20.04 - Judgment Entry to Dismiss CPOStandard Parenting Time Order (Rule 24)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Fulton County

DR-1, DR-1A, DR-1B, and DR-1C Financial Disclosure InformationDR-1D Affidavit and Notice of Filing and Duty to AmendDR-2 Parenting Affidavit Under O.R.C.3127.23DR 3 Health Insurance Disclosure Affidavit (HIDA)Schedule A - Parenting Time Guidelines for Travel Distances under 150 Miles

One WaySchedule B - Long Distance Parenting Time Guidelines (Over 150 Miles One

Way)

Page 38: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 35 of 61

Schedule C - Maintenance of Insurance and Payment of ExtraordinaryExpenses for Minor Children

Schedule D - Provision of Health Insurance for Minor ChildrenSchedule E - IV-D Application for ServicesCourt Order #1 - Preliminary InjunctionsCourt Order #2 - Order Appointing Guardian ad LitemCourt Order #3 - Qualified Medical Support OrderCourt Order #4 - Order to Attend Parenting ClassCourt Order #5 - Order For Investigation (Home Study)Court Order #6 - Order For EvaluationCourt Order #7 - Motion to Review Family FileCourt Order #8 - Order Requiring Mediation ServicesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Huron County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDesignation FormAppendix A - Standard Health Care Orders for Minor ChildrenAppendix B - Parenting GuidelinesAppendix C - Parenting Guidelines - Long DistanceAppendix F - Support Obligation NoticeAppendix G - Notice of BankruptcyCourt Form 2 - Affidavit of Income, Expenses and PropertyCourt Form 3 - Proposal for Temporary OrdersCourt Form 4 - Information for Parenting Proceeding AffidavitCourt Form 6 - Pension Information SheetCourt Form 8 - Notice of Filing ExhibitSubpoenaSubpoena Duces TecumChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Lucas County

Schedule I - Affidavit of IncomeSchedule II - Parenting AffidavitSchedule III - Monthly ExpensesSchedule IV - Property Division & Spousal SupportSchedule V - Modification of Prior Support OrderApplication for Child Support Services (IV-D Notice) (Form JFS 07076)

Page 39: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 36 of 61

Order/Notice to Withhold IncomeMedical Order Information SheetAffidavit/Counter Affidavit in Support of Request for Temporary OrdersStandard InjunctionsStandard Local Parenting Time ScheduleStandard Long Distance Parenting Time ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Ottawa County

Case Designation SheetDR-1 Information for Parenting Proceeding (R.C. 3127.23(A))DR-2 Affidavit of General Information, Income, Monthly Expenses and

Financial DisclosureDR-3 Companionship Schedule (Eff. 12/16/2010)DR-4 Long Distance Companionship Schedule (Eff. 12/16/2010)DR-5 Payment of Extraordinary Health Care Expenses for Minor ChildrenDR-6 Standard Health Care and Cash Medical Orders for Minor Child(ren)DR-7 Standard Child Support OrderDR-7.1 Standard Child Support Orders with a DeviationDR-8 Mutual Restraining OrderDR-9 Mandatory Statutory NoticesIV-D Application for Services (Form JFS 07076 Rev. 12/2001)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Sandusky County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingForm B - Case Designation Sheet - Domestic RelationsForm D - Standard Order - Parenting TimeForm E - Standard Order - Health Care ExpensesWaiver of ServicePersonal IdentifiersIV-D Application for Services (Form JFS 07076 Rev. 12/2001)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Williams County

Affidavit of Income and Expenses - DR-1

Page 40: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 37 of 61

Affidavit of Property - DR-2Parenting Proceeding Affidavit - DR-3Health Insurance Affidavit - DR-4Schedule A - Parenting Time - Under 150 MilesSchedule B - Parenting Time Over 150 MilesSchedule C - Maintenance of InsurancePreliminary InjunctionNotice of Intent to RelocatePersonal IdentifiersInformation for Home InvestigatorHome Investigation WorksheetChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Wood County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingAffidavit of Income and Expenses (Schedule A)Affidavit of Assets (Schedule B)Affidavit of Income and Expenses (Schedule C)Declaration under UCCJEA (Parenting Affidavit)Orders for Medical CareSeparate Order for Health Insurance CoverageCase Designation FormLocal Parenting Time ScheduleLong Distance Parenting ScheduleSeminar for Divorcing AdultsExplanation of Medical Expense PaymentsTemporary Restraining OrderChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

7th Appellate District

Belmont County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral Hearing

Page 41: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 38 of 61

DR Form 101 - Mutual Restraining OrderDR Form 102 - Affidavit Child Custody InformationDR Form 103 - Property Appraisal FormDR Form 104 - Response to Property Appraisal FormDR Form 105 - Financial AffidavitChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Carroll County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDR-6 IV-D Application for ServicesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Columbiana County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsRule 9.0(g) FormPersonal IdentifiersFinancial AffidavitDeclaration under UCCJA (Parenting Affidavit)Application for Registration of Out-of-State OrderApplication for Services (IV-D) ODHS 7076Guideline Parenting ScheduleUniform Long Distance Companionship PlanTransitional Schedule for CompanionshipNotice of Intent to Relocate - LocalNotice of Intent to Relocate - Long DistanceExplanation of Medical Bills

Harrison County

Affidavit of Income and ExpensesAffidavit of Property

Page 42: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 39 of 61

Parenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Jefferson County

Affidavit of Income and ExpensesAffidavit of PropertyHealth Insurance Disclosure Affidavit (HIDA)Information for Parenting Proceeding (ORC 3109.27)Application for Child Support Services - ODHS 7076 (IV-D)Parenting ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Mahoning County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingFamily Information SheetMandatory Discovery OrderMutual Restraining OrderIV-D Application for Services (JFS 07076 Rev. 5/01)Pre-Trial StatementMandatory Language for Orders Regarding Child Support, Spousal Support

and Health InsuranceChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsNotice to Withhold Income for Child & Spousal Support (Form JFS 04047)Addendum Withholding Notice to Parties to a Support Order (Form JFS 4048)Standard Parenting Time Schedule (Local)Standard Parenting Time Schedule (Long Distance)Transitional Parenting Time ScheduleNotice of Intent to RelocateEntry Converting Dissolution to Divorce ActionEntry Converting Divorce to Dissolution ActionDivision of Property Order (State Pension)Application for Appointment as Standing Special Process ServerExplanation of Medical BillsNotice of Registration of Foreign Support Order/Instructions for Service

Page 43: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 40 of 61

Judgment Entry Confirming Registration of Foreign SupportOrder/Instructions for Service

Notice of Registration of Foreign Custody Order/Instructions for ServicePoverty Affidavit and OrderRequest, Affidavit & Order for Service by Publication or PostingLegal Notice PostingLegal Notice Publication

Monroe County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingApplication for Child Support Services - ODHS 7076 (IV-D)Parenting ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Noble County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingInformation SheetStandard Orders of VisitationChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

8th Appellate District

Cuyahoga County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral Hearing

Divorce/Dissolution Forms

Instructions for Service

Page 44: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 41 of 61

Case Designation FormParenting Proceeding Affidavit (ORC 3127.23)IV-D Application for Child Support ServicesMotion for Temporary Support with Affidavit and NoticeCounter Affidavit to Motion for Temporary SupportFinancial Disclosure Statement (formerly Pretrial Statement)

Support Forms

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsExplanation of Health Care ExpensesMotion to Correct ArrearageEntry Correcting ArrearageIncome and Expense Statement with Affidavit (Post Decree)

Judgment Entries

Divorce/Legal Separation/Annulment DecreeDissolution Decree

General Forms

Motion for Continuance with Affidavit attachedEntry Granting ContinuanceNotice of Intent to RelocateStandard Parenting Guidelines

9th Appellate District

Lorain County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitCase Management Conference NoticeJudgment Entry Restraining OrderNotice of HearingNotice of Seminar for Separating ParentsStandard Parenting Time OrderApplication for Services (IV-D) ODHS 7076Monthly Income and Expenses FormHealth Insurance OrderOrder Approving Filing with Poverty AffidavitRequest for ServiceChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Page 45: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 42 of 61

Medina County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingInstructions for ServiceNotice of Submission (Form 1.10 B) (6/1/11)Motion for Temporary Orders (Form 4.01A) (6/1/11)Application for Child Support Services (IV-D Notice) (Form JFS 07076)UCCJEA Affidavit (Child Custody Affidavit)Income and Expense Form (Form 4.01D)Response to Motion for Temporary Orders (Form 4.01E)Mutual Restraining Order (Form 4.02)Trial Brief (Form 5.07)Standard Parenting Schedule (Local) (Form 6.04A)Standard Long Distance Parenting Schedule (Form 6.04B)Change of Address FormMediation RequestParent Financial ResponsibilitiesSummons and Order to AppearWaiver of CounselWaiver of ServicePraecipe to Court ReporterNotice of a Qualified Domestic Relations OrderRequest for Limited Driving PrivilegesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Summit County

Clerk of Court Forms

New Case Designation FormService RequestService Request for Child SupportSubpoenaCivil Rule 58 Service RequestService Request DV

Court Forms

Affidavit of Income and ExpensesAffidavit of PropertyDissolution Affidavit of Property and Income

Page 46: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 43 of 61

Parenting Proceeding AffidavitHealth Insurance AffidavitMutual Restraining Orders and Case Management PlanAgreed EntryInformal Family Court Services ProceedingParenting Time ScheduleComplaint to Establish Parent Child Relationship and MotionsMotion to Proceed in Forma PauperisOrder to Appear and Show CauseExplanation of Medical Bills FormMotion for ContinuanceOrder for ContinuanceClient Affidavit for Attorney's Fees and Litigation CostsMotion to Modify/Terminate DV Civil Protection Order or Consent

Agreement (Form 10.01-K)Praecipe to Court ReporterNotice of Intent to RelocateIV-D Application for Services (JFS 07076 Rev. 5/01)CSEA Information SheetAuthorization for Facsimile FilingObjection to Administrative Child Support OrderChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Wayne County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsIV-D Application for Child Support Services (DHS 7076)New Case Designation FormFinancial Affidavit for Computation of Child Support and Medical SupportFinancial Affidavit for Use in a Divorce/Dissolution without Minor ChildrenPrivate Health Insurance QuestionnaireHealth Care Determination Judgment EntryInformation for Parenting Proceeding AffidavitMotion for Temporary Orders with Minor ChildrenAffidavit in Support of Motion for Temporary Orders with Minor ChildrenTemporary Order Establishing-Modifying Child Support and Medical SupportJudgment Entry on Motion for Temporary Orders with ChildrenParenting Time/Companionship/Visitation ScheduleMotion for Temporary Orders with No Children

Page 47: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 44 of 61

Affidavit in Support of Motion for Temporary Orders with No Minor ChildrenJudgment Entry on Motion for Temporary Orders without ChildrenMotion for ConciliationMotion for in Chambers Interview of ChildrenMotion for ContinuanceOrder for ContinuanceWaiver of Service of Summons

10th Appellate District

Franklin County

Child Support Forms

Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsIV-D Application for Services (JFS 07076 Rev. 5/01)Order to Seek Employment (Form 15)Health Insurance AffidavitSupport Modification Affidavit (Form J222)Magistrate's Order/Notices to Obligor, Obligee, Payor and Insurer (Form

1)Magistrate's Order/Order for Cash Bond (Form 13)Order/Notice to Withhold Income for Child & Spousal Support (ODJFS

4047)Addendum to a Withholding Order (JFS 04048)

Domestic Court Forms

Instructions for Ordinary Mail Service (2 parties) (COC-DR-67)Request for Service (Form DR86)Instructions for Ordinary Mail Service (Form COC-DR-87)Instructions for Ordinary Mail Service of Final Entry (CAC-CR-89)Model Parenting Time Schedule (J-394)Affidavit of Income and ExpensesAffidavit of Income (Dissolution)Affidavit of PropertyParenting Proceeding AffidavitHealth Insurance AffidavitMotion and Affidavit for Temporary Orders Without Oral HearingConfidential Disclosure of Personal IdentifiersAffidavit of IndigencyEntry/Magistrate's Order for Mediation/Home InvestigationEntry/Magistrate's Order for Psychological ExaminationMagistrate's Temporary Order (75(N))Order Terminating Withholding (Form 24)Subpoena

Page 48: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 45 of 61

Rule 11 Certificate (Form DR92)Determination of Paternity (HEA 3029)Magistrate's Order (Form J 300)Notice of Hearing (Form DR25)Summons and Order to Appear (Form DR39B)Motion for Continuance (Form J220)Notice Certificate (Form J-272)Notice of Withdrawal/Dismissal (Form J-307)Waiver of Service of Summons and Notice of Hearing (Form J-05)Pretrial StatementCertificationCivil Protection Order Information SheetAddendum to DV PetitionFindings of Fact Regarding Assets and Liabilities and Affidavit of Assets

and Liabilities

11th Appellate District

Ashtabula County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingConfidential Disclosure of Personal IdentifiersOrder to Attend Parent Education and MediationOrder to Attend Parent Education ProgramChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsRule 19 Standard Companionship OrderIV-D Application for Services (ODHS 7076)Order/Notice to Payor to Withhold Obligor Income (Dissolution)Order/Notice to Payor to Withhold Obligor Income (Divorce)Health Insurance Order

Geauga County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingDomestic Designation FormApplication for Child Support Services (IV-D Notice) (Form JFS 07076)

Page 49: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 46 of 61

Parenting AffidavitSensitive Information SheetHealth Insurance OrderGuidelines Worksheet AddendumHusband/Wife Guidelines WorksheetStandard Parenting Time GuidelinesJudgment Entry of Name ChangeNotice of Intent to RelocateChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Lake County

Affidavit of Income, Expenses and PropertyAffidavit Regarding Parenting ProceedingAnswer AffidavitCase Designation SheetChange of Address FormChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsChild Support Deviation Worksheet/Exhibit 2Entry Restoring Former NameFinancial Disclosure/Affidavit of IndigencyHealth Care DeterminationsHealth Insurance and Expense Orders (after 7/21/08)Application for Child Support Services (IV-D Notice) (Form JFS 07076)Mediation RequestMotion for ContinuanceMotion for Temporary Residential Parenting/Child/Spousal SupportMutual Restraining OrderOrder for Collection of Child Support/Exhibit 1Order to Appear and Show CauseOrder to Post BondOrder to ReportORC 3109.051 OrderRequest for Digital Audio RecordingPretrial OrdersInstructions for Service (Motion)Instructions for Service (Order)Order to Terminate WithholdingStandard Parenting Time Guidelines

Portage County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))

Page 50: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 47 of 61

Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsAffidavit of Indigency (Appendix 1)CSEA Registration Form (Appendix 3)Explanation of Medical Bills (Appendix 4)Guardian Ad Litem Report (Appendix 5)Health Care Determination (Appendix 6)Local Affidavit of Financial Disclosure (Appendix 7)Motion for Continuance, Affidavit, and Order (Appendix 8)Parenting Time Schedule (Appendix D)Parenting Seminar "Children Are Forever" (Appendix 9)Post Decree Motion with Request for Mediation (Appendix 10)Praecipe to Court Reporter (Appendix 11)Request of Driving Privileges (Appendix 12)Standard In-state Parenting Time Schedule (Appendix 13)Standard Out-of-State Parenting Time Schedule (Appendix 14)IV-D Application for Child Support Services (Form JFS 07076 5/2001)Request for Service and Instructions

Trumbull County

Affidavit of Income and ExpensesChild/Spousal Support Information SheetEx Parte Custody Court InquiryDeclaration under UCCJEA (Parenting Affidavit)Application for Registration of Out-of-State OrderPre-Trial StatementStandard Companionship RulesChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

12th Appellate District

Brown County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingInstructions for ServiceMotion for Temporary Orders and AffidavitAppearance and Waiver of Summons

Page 51: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 48 of 61

Property WaiverWaiver of CounselNotice of ServiceMotion for ContinuanceCertificate of ReadinessHelping Children Cope With Family Separation (Registration-2013)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Butler County

Court Forms

Appendix A - Child Support Language (Blank form)Appendix B - Affidavit of Available Health Care Coverage (Blank form

with caption)Appendix B - Affidavit of Available Health Care Coverage (Automated

form)Appendix C - Health Insurance Language (Blank form)DR 04 Military AffidavitDR 18 Waiver of Magistrate Findings of Fact and Time Period for Filing

ObjectionsDR 106 Request to Review Court CostDR 142 Household Goods and Furnishings FormDR 201 Withholding Order/Qualified Medical Child Support Order

Information SheetDR 215 Itemized Evidence InventoryDR 602A Affidavit of IncomeDR 602B Affidavit of PropertyDR 602C Affidavit of ExpensesDR 610.1 Guidelines for Parenting TimeDR 616 Parenting Proceeding Affidavit (ORC 3127.23(A))DR 617 Health Insurance Information FormChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsDR 627 Request for InterpreterDR 628 Notice of Requirement to Attend Mandatory Education ClassDR 629 Motion and Order for ContinuanceDR 630 Support Order Information SheetDR 634 Addendum to Separation Agreement - Division of Personal

PropertyDR 700 Notice and Entry to Dismiss or Withdraw MotionsDR 715 Agreed Entry - Final Appealable Order (Hearing Required)DR 716 Agreed Entry - Final Appealable Order (No Hearing Required)DR 729 Family Information SheetDR 803 Guidelines for Parents Living in Different HomesDR 821 Summons in Contempt and Order to Appear

Page 52: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 49 of 61

C 13 Notice of Intent to Relocate Within Butler CountyC 13A Notice of Intent to Relocate Outside Butler CountyC 14 Objection to Decision of MagistrateC 15 Mandatory Support Language (Blank form)C 15 Mandatory Support Language (Blank form with caption)C 16 Notice to Case ManagementC 17 Notice to ParentsC 18 Waiver of Magistrate Findings of Fact and Time Period for Filing

ObjectionsC 19 Waiver of Notice of Intent to RelocateC 20 Supplemental AffidavitC 33 Explanation of Medical BillsIV-D Application for Services (ODHS 7076)Affidavit of PropertyHealth Insurance AffidavitAffidavit of Income and Expenses

Additional Pleadings and Documents

Complaint for DivorceEx Parte Temporary OrderAffidavit in Support of Ex Parte Temporary Restraining OrderEx Parte Temporary Restraining OrderSeparation AgreementShared Parenting PlanDecree of DivorceDecree of DissolutionDecree of Legal SeparationMotion for ContemptCertificate of Mailing

Clermont County

101 - Certificate of Readiness102 - Service Information for Civil Restraining Order103 - Objection to Magistrate's Decision104-B - Agreed Entry & 14 Day Waiver105-A - Poverty Affidavit105-B - Financial Disclosure/Affidavit of Indigency106 - Motion for Continuance107 - Entry of Continuance109 - Petition for Conciliation110 - Praecipe/Praecipe for Transcript110A - Notice of Registration of Foreign Custody Order110B - Notice of Registration of Foreign Support Order111 - Entry Converting Divorce to Action for Dissolution112 - Entry Converting Dissolution to Action for Divorce

Page 53: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 50 of 61

113 - Motion Requesting Documents Not to be Displayed on the Internet114 - Order to Remove from Internet115 - Classification Form116 - Notification Form117 - Facsimile Filing Cover Page118 - Application Requesting Permission to Broadcast Courtroom

Proceedings121 - Blank Motion and Affidavit123 - Motion and Affidavit for Waiver of Local Rule DR 6124-A Motion to Proceed In Forma Pauperis124-B Magistrate's Order Granting Motion to Proceed In Forma Pauperis201 - Notice of Perfection of Service202 - Motion and Affidavit for Temporary Orders301 - Post Decree Motion and Affidavit302 - Post Decree Motion for Contempt and Affidavit304-F - Explanation of Medical Bills Form-Father304-M - Explanation of Medical Bills Form-Mother407 - Child Support with Private Medical Insurance407A - Child Support with Dual Private Medical Insurance408 - Child Support without Private Medical Insurance409 - Health Insurance Affidavit501 - Affidavit of Income and Expenses502 - Affidavit of Property509-4 - CSE Account Information601 - Final Decree of Shared Parenting602 - Shared Parenting Plan604 - Parenting Proceeding Affidavit605 - Guideline Parenting Schedule606 - Parental Questionnaire and Information Sheet607 - Parental Investigation and Information Sheet614 - Caretaker Authorization Affidavit (Grandparent)615 - Power of Attorney (Grandparent)616 - Entry and Order of Custody upon Death of a Party622 2011 Ohio DFS USDA Cash Medical Support Schedule623 2011 US HHS Poverty Guidelines626 - Child Support Worksheet Information701 - Appearance and Waiver of Summons702 - Waiver of Counsel703 - Waiver of Affidavit of Income and Expenses704 - Waiver of Affidavit of Property705 - Waiver of 14 Day Objection Period706 - Waiver of Venue801 - Motion for Hearing on Notice to Relocate802 - Notice of Intent to Relocate Within Clermont County803 - Notice of Intent to Relocate Outside of Clermont County804 - Supplemental Affidavit

Page 54: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 51 of 61

IV-D Application for Services (JFS 07076 Rev. 5/01)4047 - Order/Notice to Withhold Income for Child Support4048 - Addendum to Withholding NoticeConfidential Disclosure of Personal IdentifiersTemporary Restraining Order

Clinton County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingIV-D Application for Services (JFS 07076 Rev. 5/01)Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental RightsMotion and Affidavit for 75(N) Temporary Ex Parte Orders

Fayette County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Madison County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance AffidavitMotion and Affidavit or Counter Affidavit for Temporary Orders Without

Oral HearingParenting ScheduleChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Preble County

Affidavit of Income and ExpensesAffidavit of PropertyParenting Proceeding Affidavit (ORC 3127.23(A))Health Insurance Affidavit

Page 55: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 52 of 61

Motion and Affidavit or Counter Affidavit for Temporary Orders WithoutOral Hearing

Instructions for ServicePersonal Identifier Reference ListGuidelines for VisitationJudgment Entry/Child Support and Medical SupportApplication for Services (IV-D) ODHS 7076Child Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

Warren County

Form 1 - Affidavit of Income and Expenses and PropertyForm 2 - Personal History of PartiesForm 4 - Information for Parenting ProceedingForm 5 - Request for TranscriptForm 7 - Mutual Restraining OrderForm 8 - Notice of Intent to RelocateForm 9 - Notice of Presentation of EntryForm 10 - Health Insurance Information FormForm 11 - Information Sheet for Notice to Income ProviderApplication for Child Support Services - ODHS 7076 (IV-D)Praecipe for ServiceBasic Parenting ScheduleNotificationsChild Support Language with Cash Medical SupportMotion, Order & Affidavit of IndigencyChild Support Worksheet - Sole/Shared ParentingChild Support Worksheet - Split Parental Rights

ESTATE PLANNING

Ohio Living Will and Health Care POA (03-2015)WillStatutory Power of AttorneyAgent's Certification As To The Validity Of Power Of Attorney And Agent's AuthorityAppointment of Representative for Disposition of Bodily Remains

LITIGATION

Acknowledgment of InstrumentAgreed Judgment Entry (Full v Lesser Amount)Basic Letter FormCaption and Signature BlockCertificate of ServiceDefendant Basic Discovery to PlaintiffInterrogatory Verification Form

Page 56: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 53 of 61

Mailing Label FormNotice of Appearance (State Court)Notice of Deposition - Individual (State Court)Settlement Agreement and ReleaseStipulation of Dismissal 41(A)(1)(b)(all parties)Stipulation to Move or PleadVoluntary Dismissal (All Defendants)Voluntary Dismissal (Less Than All Defendants)

MISCELLANEOUS

Equipment Lease AgreementOperating Agreement

OFFICEKEEPER

Confidentiality AgreementContingent Fee Agreement (Personal Injury)Court Appearance Or Hearing LetterDeposition Scheduling Letter & InstructionsDisengagement LetterEngagement LetterFile Closing LetterHourly Fee AgreementMonthly Status LetterNon-Engagement LetterSubsequent Appointment Confirmation

PROBATE

Estate Administration

1.0 Surviving Spouse Next of Kin2.0 Application To Probate Will2.1 Waiver Of Notice Of Probate Will2.2 Notice Of Probate Will2.3 Entry Admitting Will To Probate2.4 Certificate Of Service Of Notice Of Probate Of Will3.0 Appointment Of Appraisers4.0 Application For Authority To Administer Estate4.1 Supplemental Application For Ancillary Administration4.2 Fiduciary's Bond4.3 Waiver Of Right To Administer4.4 Notice And Citation Of Hearing On Appointment Of Fiduciary4.5 Entry Appointing Fiduciary; Letters of Authority5.0 Application To Relieve Estate From Administration5.1 Assets And Liabilities Of Estate To Be Relieved From Administration

Page 57: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 54 of 61

5.2 Waiver Of Notice Of Application To Relieve Estate From Administration5.3 Notice Of Application To Relieve Estate From Administration5.4 Publication Of Notice5.5 Publication Of Notice (Multiple Estates)5.6 Entry Relieving Estate From Administration5.9 Report Of Distribution5.10 Application For Summary Release From Administration5.11 Entry Granting Summary Release From Administration6.0 & 6.1 Inventory And Appraisal Forms6.2 Waiver Of Notice Of Hearing On Inventory6.3 Notice Of Hearing On Inventory7.0 Notice Of Administrator Of Estate Recovery Program7.0a Notice to Administrator of Medicaid Estate Recovery Program7.1 Application For Family Allowance7.2 Application For Apportionment Of Family Allowance8.0 Citation To Surviving Spouse To Elect To Take Under Or Against Will8.1 Election Of Surviving Spouse To Take Under Will8.2 Election Of Surviving Spouse To Take Against Will8.3 Summary Of General Rights Of Surviving Spouse8.4 Certificate Of Service And Notice Of Citation To Surviving Spouse To Exercise

Elective Rights8.5 Return For Certificate Of Service Of Citation To Surviving Spouse To Exercise

Elective Rights8.6 Waiver Of Service To Surviving Spouse Of The Citation To Elect9.0 Application To Sell Personal Property9.1 Entry Authorizing Sale Of Personal Property9.2 Notice Of Sale Of Personal Property10.0 Application To Distribute In Kind10.1 Entry Approving Distribution In Kind10.2 Notice Of Hearing On Application To Distribute In Kind10.4A Notice To Distributee11.0 Consent To Sell Real Estate12.0 Application For Certificate Of Transfer12.1 Certificate Of Transfer13.0, 13.1 & 13.2 Fiduciary's Account Forms13.3 Entry Approving And Settling Account13.4 Waiver Of Partial Account13.5 Notice Of Hearing On Account13.6 Certificate Of Termination13.7 Waiver Of Notice Of Hearing On Account13.8 Application To Extend Administration13.9 Certificate Of Service Of Account To Heirs Or Beneficiaries13.10 Notice To Extend Administration

Page 58: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 55 of 61

Wrongful Death

14.0 Application To Approve Settlement And Distribution Of Wrongful Death AndSurvival Claim

14.1 Waiver And Consent Wrongful Death And Survival Claims14.2 Entry Approving Settlement And Distribution Of Wrongful Death And Survival

Claims14.3 Report Of Distribution Of Wrongful Death And Survival Claims

Guardianship

15.0 Next Of Kin Of Proposed Ward15.01 Judgment Entry Setting Hearing On Application For Appointment Of Guardian15.1 Waiver Of Notice And Consent15.2 Fiduciary's Acceptance15.3 Guardian's Bond15.4 Letters Of Guardianship15.5 Guardians Inventory15.6 Application To Release Funds To Guardian15.7 Application For Authority To Expend Funds15.8 Guardian's Account15.81 Bank Certificate15.9 Oath Of Guardian16.0 Application For Appointment Of Guardian Of Minor16.1 Affidavit16.2 Selection Of Guardian By Minor Over Fourteen Years Of Age16.3 Notice Of Hearing For Appointment Of Guardian Of Minor16.4 Notice Of Hearing On Application For Appointment16.5 Judgment Entry Appointment Of Guardian Of Minor17.0 Application For Appointment Of Guardian Of Alleged Incompetent17.1 Statement Of Expert Evaluation17.3 Notice To Prospective Ward Of Application And Hearing17.4 Notice Of Hearing For Appointment Of Guardian Of Alleged Incompetent

Person17.5 Judgment Entry Appointment Of Guardian For Incompetent Person17.7 Guardians Report17.8 Investigators Report

Adoption

18.0 Petition For Adoption Of Minor18.1 Judgment Entry Setting Hearing And Ordering Notice18.2 Notice Of Hearing On Petition For Adoption18.3 Consent To Adoption18.4 Judgment Entry Finding Consent Not Required18.5 Interlocutory Order Of Adoption18.6 Final Decree Of Adoption (After Interlocutory Order)

Page 59: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 56 of 61

18.7 Final Decree Of Adoption (Without Interlocutory Order)18.8 Adoption Certificate For Parents18.9 Petitioners Account19.0 Petition For Adoption Of Adult19.1 Final Order Of Adoption Of Adult19.2 Petition to Recognize Foreign Adoption19.3 Order for Ohio Birth Record for Foreign Born Child

Conservatorship

20.0 Application For Appointment Of Conservator20.1 Entry Appointment Of Conservator20.2 Letters Of Conservatorship

Name Change

Adult

21.0 Application For Change Of Name Of Adult21.1 Entry Change Of Name Adult21.5 Notice Of Hearing On Change Of Name - Adult

Minor

21.2 Application For Change Of Name Of Minor21.3 Entry Change Of Name Minor21.4 Consent To Change Of Name21.5 Notice Of Hearing On Change Of Name - Minor

Minor Settlement

22.0 Application To Settle A Minor's Claim22.1 Waiver And Consent To Settle Minors Claim22.2 Entry Approving Settlement Of A Minor's Claim22.3 Verification of Receipt and Deposit22.4 Report Of Distribution And Entry Minors Claim

Adult Ward Settlement

22.5 Application to Settle a Claim of an Adult Ward22.6 Entry Approving Settlement of a Claim of an Adult Ward22.7 Report of Distribution (Adult Ward)

Protective Services

23.0 Petition For Protective Services23.1 Notice Of Petition For Court Ordered Protective Services23.2 Petition For Emergency Protective Services

Page 60: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 57 of 61

23.3 Notice Of Petition For Court Ordered Protective Services On An EmergencyBasis

23.4 Petition For TRO To Prevent Interference With Investigation Of Reported AbuseOf An Adult

23.6 Petition For TRO To Prevent Interference With The Provision Of ProtectiveServices To An Adult

23.7 Notice Of Hearing On Petition For TRO To Prevent Interference With TheProvision Of Services

Insolvency

24.0 Representation of Insolvency24.1 Judgment Entry Setting Hearing and Ordering Notice24.2 Notice of Hearing on Representation of Insolvency and Schedule of Claims24.3 Verification of Service Notice of Hearing on Insolvency and Schedule of Claims24.4 & 24.5 Insolvency Schedule of Claims24.5 Continuation Insolvency Schedule of Claims24.6 Judgment Entry of Insolvency

Disinterment

25.0 Application for Order to Disinter Remains25.1 Judgment Entry Setting Hearing On Application For Disinterment25.2 Notice of Hearing on Application for Disinterment25.3 Affidavit of Service of Notice of Hearing on Application for Disinterment25.4 Verification of Reinterment25.5 Waiver of Application to Disinter Remains25.6 Order to Disinter Remains

45(D) Confidential Disclosure Of Personal Identifiers

REAL ESTATE

Deeds

Deed Template

Disclosures

Lead Based Paint DisclosureResidential Property Disclosure Form

Eviction

Eviction - Notice To Leave PremisesEviction - Complaint

Page 61: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 58 of 61

Oil and Gas

Gas Pipeline Right of Way Grant and Surface LeaseOil and Gas Lease - Termination LetterOil and Gas Lease - Notice Of Intent to File AffidavitOil and Gas Lease - Affidavit of Forfeiture

Transfer on Death

OhioDocs TOD Designation (Version 1)OhioDocs TOD Designation (Version 2)OhioDocs TOD Form 07408

Power of Attorney (Real Estate)Survivorship AffidavitFarm Lease (Long Form)Farm Lease (Short Form)Share Crop Farm LeaseLease to Purchase ContractMemorandum of LeaseAssignment of LeaseLand Installment ContractAssignment of Land Installment ContractRelease of Land ContractGrant of Easement (Ingress/Egress)Easement For Water And WellMutual Driveway EasementMultistate Condo Rider (3140)Multistate PUD Rider (3150)Multistate Note (3200w)Multistate Balloon Note (3260w)Notice of Satisfaction and Complete Release of MortgageStatutory Mortgage

SECRETARY OF STATE

Domestic Business Entities

For-Profit Corporation

Initial Articles of Incorporation - For Profit / Domestic Corporation (Form 532a)Statutory Agent Update (Form 521)Multiple Agent Name and Address Change (Form 526)Certificate of Amendment - For-Profit / Domestic Corporation (Form 540)Certificate of Dissolution - For-Profit / Domestic (Form 561)Reinstatement & Appointment of Agent (Form 525a)

Page 62: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 59 of 61

Nonprofit Corporation

Initial Articles of Incorporation - Nonprofit / Domestic Corporation (Form 532b)Certificate of Amendment - Nonprofit / Domestic Corporation (Form 541)Statutory Agent Update (Form 521)Multiple Agent Name and Address Change (Form 526)Certificate of Dissolution - Nonprofit / Domestic (Form 560)Statement of Continued Existence (Form 522)Reinstatement (Form 525b)Trade Name / Fictitious Name Registration Update (Form 524A)

Professional Associations

Initial Articles of Incorporation - Professional Association / DomesticCorporation (Form 532c)

Certificate of Amendment - For-Profit / Domestic Corporation (Form 540)Statutory Agent Update (Form 521)Multiple Agent Name and Address Change (Form 526)Reinstatement & Appointment of Agent (Form 525a)Reinstatement (Form 525b)Certificate of Dissolution - For-Profit / Domestic (Form 561)Biennial Report (Form 520)

Limited Liability Companies

Articles of Organization for a Domestic Limited Liability Company (Form 533a)Domestic Limited Liability Company Certificate of Amendment or Restatement

(Form 543a)Statutory Agent Update (Form 521)Multiple Agent Name and Address Change (Form 526)Certificate of Dissolution of LLC / Cancellation of Foreign LLC (Form 562)

Partnership

Statement of Partnership Authority (Form 535)Statutory Agent Update (Form 521)Amendment / Cancellation of Partnership Statement (Form 545)Statement of Correction - Partnership / Limited Liability Partnership (Form 566)Statement of Denial / Dissociation / Dissolution (Form 567)

Limited Partnership

Certificate of Domestic Limited Partnership (Form 531a)Certificate of Disclaimer of General Partner Status / Cancellation of Disclaimer

(Form 570)Certificate of Amendment / Restatement / Correction of Certification of LP (Form

542)Statutory Agent Update (Form 521)

Page 63: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 60 of 61

Multiple Agent Name and Address Change (Form 526)Certificate of Limited Partnership Cancellation / Cancellation Amendment (Form

563)

Limited Liability Partnership

Statement of Domestic Qualification (LLP) (Form 536)Amendment / Cancellation of Partnership Statement (Form 545)Statement of Correction - Partnership / Limited Liability Partnership (Form 566)Biennial Report (Form 520)Statement of Denial / Dissociation / Dissolution (Form 567)Reinstatement (Form 525b)

Unincorporated Nonprofit Association

Agent Notification Form for Unincorporated Nonprofit Associations (Form 580)Notice of Dissolution for Unincorporated Nonprofit Associations (Form 581)

Name Registration

Trade Name / Fictitious Name

Name Registration - Fictitious / Trade Name (Form 534a)Trade Name / Fictitious Name Registration Update (Form 524A)Renewal of Trade Name / Fictitious Name Registration (Form 523A)Change of Registrant Name (Form 558)

Name Reservation

Name Reservation / Transfer / Cancellation (Form 534b)

Trademark / Service Mark

Trademark / Service Mark Application (Form 555)Renewal of Service Mark / Trademark Registration (Form 523B)Change of Registrant Name (Form 558)Trademark / Service Mark Registration Update (Form 524B)

Trust

Business Trust

Statutory Agent Update (Form 521)Report of Business Trust (Form 553)Amendment to Report of Business Trust and/or Trust Instrument (Form 557)Application for Rights to Name of Business Trust / Transfer of Business Trust

Name (Form 544)Withdrawal of Business Trust (Form 559)

Page 64: OhioDocs List of Documents - Ohio State Bar · PDF fileOhioDocs List of Documents ... Affidavit in Support of Motion for Ex Parte Temporary Orders ... Motion for Continuance Motion

Page 61 of 61

Real Estate Investment Trust

Report of Real Estate Investment Trust (Form 556)Statutory Agent Update (Form 521)Amendment to Report of Real Estate Investment Trust and/or Trust Instrument

(Form 568)Surrender of Authority - Real Estate Investment Trust (Form 569)

Mergers / Consolidations / Conversions

Certificate of Merger (Form 551)Certificate of Consolidation (Form 550)Certificate for Conversion - Entities Converting Within / Off The Record (Form 700)Certificate of Conversion - Entities Converting into the Records (Form 800)

Additional Forms

Consent for Use of Similar Name (Form 590)Copy / Certificate Request (Form 500)

UCC

Initial Financing Statement (UCC1)Financing Statement Amendment (UCC3)Information Statement (UCC5)Information Request (UCC11)Copy Search with Finance Statement Number (Form 207)