COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION CLERMONT COUNTY, OHIO www.domesticcourt.org DISSOLUTION WITH MINOR CHILDREN Case Caption: and The following is a list of documents which must be completed, signed, notarized (if required) and submitted to the Domestic Relations Court. The Court's Compliance Officer will review the documents to determine if this action is ready to be filed. You will need an original set of documents plus two copies for filing with the Clerk. Form Number Petition for Dissolution ­ Your own or court form Appearance and Waiver of Service of Summons (each petitioner must sign) Separation Agreement ­ Your own or court form Classification Form Notification Form (one for each petitioner) Waiver of Affidavit of Income and Expenses Waiver of Affidavit of Property Shared Parenting Plan (if applicable) ­ Your own or court form Guideline Parenting Schedule ­ Your own or court form Parenting Proceeding Affidavit Child Support Worksheet Information (one for each petitioner) (Attorney must provide completed Child Support Worksheet) Health Insurance Affidavit Title IV-D Application Self-represented Party Waiver of Counsel Decree of Dissolution (attorneys only) Decree of Shared Parenting (attorneys only) Waiver of Magistrate's Decision and 14 Day Waiver (attorneys only) CSE Account Information Sheet 104-B 509-4 409 7076 702-A 105 115 116 703 704 602 605 604 626 103 701 Documents can be submitted for compliance by emailing the forms to kheile@clermontcountyohio.gov or by calling (513) 732- 7327 to make an appointment. This Dissolution is ready to be filed and set for hearing. Initialed by court personnel on DR Checklist 2 Rev. 6/15 American LegalNet, Inc. www.FormsWorkFlow.com