COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION CLERMONT COUNTY, OHIO Plaintiff/Petitioner Case Number: vs./and Post Decree Motion to Modify Child Support/Medical Insurance/ Expenses and/or Tax Exemption and request this Court: (Name) Your Signature NOTICE OF HEARING A hearing shall be held before Magistrate on the day of , INSTRUCTIONS TO THE CLERK Please serve the above motion on at the following address: By ( ) American LegalNet, Inc. www.FormsWorkFlow.com MEMORANDUM I, , request this Court change the Order as follows: (Name) 1. The amount of child support to be paid each month. The change I want the Court to order is: . 2. The parent responsible for providing medical insurance for the child(ren). The change I want theCourt to order is: . 3. The parent who can claim the child(ren) as a tax exemption. The change I was the Court to orderis: . 4. Other child-related expense(s). The change I want the Court to order is: . 5.The circumstances have changed since the Court issued the existing order. The change incircumstances and any other reason for the requested change are as follows: . I believe that the requested changes are in the child(ren)222s best interests. Email Address Phone Number Your Signature American LegalNet, Inc. www.FormsWorkFlow.com