COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CLERMONT COUNTY, OHIO ________________________________ Plaintiff/Petitioner ________________________________ Address ________________________________ City ST ZIP CASE NO.________________________ VS. NOTICE OF INTENT TO RELOCATE OUTSIDE OF CLERMONT COUNTY ________________________________ Defendant/Respondent ________________________________ Address ________________________________ City ST ZIP (To be filed 60 days prior to the intended relocation) I, _________________________, as residential parent, hereby give notice of my intent to relocate within or outside the State of Ohio with the following minor child(ren) effective ___________________________. Name_________________________________ Date of Birth:_____________________________ Name_________________________________ Date of Birth:_____________________________ Name_________________________________ Date of Birth:_____________________________ Intended New Address ________________________________________ Mailing Address (if not same) _______________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ The name and address of the child's(ren’s) new school is________________________________________ ______________________________________________________________________________________ A brief statement of the reason for the proposed relocation of the child(ren) is as follows: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ MAILING OF THIS NOTICE As residential parent, I _____ have no objection to the Court mailing a copy of this notice to the non-residential parent at his/her above-captioned address. _____ state that the non-residential parent has been convicted of criminal domestic violence, or pleaded guilty to criminal domestic violence, or another criminal offense involving a member of our immediate family, or has been determined to be the perpetrator of an abusive act resulting in a judicial determination that a child is an abused child, and, therefore, objects to the Court mailing a copy of this Notice to the non- 1 American LegalNet, Inc. www.FormsWorkflow.com residential parent. Fill out the Supplemental Affidavit (Form DR-804), Motion Requesting Documents not be on Internet (form DR-113) and Order (Form DR-114). INSTRUCTIONS FOR SERVICE TO THE CLERK: Unless an objection to the mailing of this notice is set forth above, please serve a copy of the foregoing Notice of Intent to Relocate upon the non-residential parent, ______________________, at his/her captioned address by certified mail, return receipt requested, and make the same returnable according to law. If an objection is set forth, please do not serve a copy of this notice, but provide a timestamped copy of the Notice to the Domestic Relations Court Assignment Commissioner who shall then provide supplemental Instructions for Service. ____________________________________ Signature of Party NOTICE TO NON-RESIDENTIAL PARENT You have the right to request a hearing for the Court to determine whether it is in the best interest of the child(ren) to revise the Parenting Time Schedule in this case. If you do not request a hearing, the current order for parenting time will continue to be in effect. IF YOU WANT THE COURT TO SET THIS MATTER FOR HEARING ON PARENTING TIME ISSUES, YOU WILL NEED TO FILE THE APPROPRIATE MOTION ALONG WITH A COPY OF THIS NOTICE OF INTENT TO RELOCATE TO THE COURT AT THE FOLLOWING ADDRESS WITHIN 30 DAYS OF THE FILING OF THIS NOTICE. Clermont County Domestic Relations Court 2340 Clermont Center Drive Suite 200 Batavia, OH 45103 6/07 Form DR- 803 2 American LegalNet, Inc. www.FormsWorkflow.com