Order To Department Of Health
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Order To Department Of Health Form. This is a Ohio form and can be use in Wood County (Court Of Common Pleas).
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Tags: Order To Department Of Health, 40.1E, Ohio County (Court Of Common Pleas), Wood
PROBATE COURT OF WOOD COUNTY, OHIO
David E. Woessner, Judge
In the Matter of the ADOPTION of:_____________________________________________________
(Child's Name After Adoption)
Case No: ______________________
______________________
Child’s Date of Birth
ORDER TO DEPARTMENT OF HEALTH
Pursuant to the Petition for Release of Information filed on the _____ day of ______________,
20____ for information concerning an adoption proceeding, if any, this Court appoints ____________
_______________________________________ to perform the tasks prescribed in R.C. 3107.41(B)(2).
(Agency)
IT IS HEREBY ORDERED that the Department of Health, State of Ohio, provide said agency with the
materials mentioned in R.C. 3107.41(B)(1)(b)¹.
Date Journalized:__________________
________________________________________
Judge David E. Woessner
¹A certified copy of this Order must be delivered to ODHS along with the Order appointing the agency.
FORM 40.1E - ORDER TO DE PARTMENT OF HEALTH
401e
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8/23/01
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