If both parents agree to changes in the parenting plan before filing the motion or before coming to court for the hearing on the motion, the following Agreed Judgment Entry for Modification of Parental Rights and Responsibilities can be completed and presented to the Court when you come. The form requires a great deal of detail, especially in the child support sections. Unrepresented parents may wish to consult with an attorney to be certain that all applicable sections of the Agreed Judgment Entry, and all ancillary forms are completed. Rule 17 and Rule 18 of this Court's Local Rules (found on this Website), and the topic Allocation of Parental Rights and Responsibilities in the General Information section of this Website should be reviewed before completing the Agreed Judgment Entry. H990 Agreed Modification of the Allocation of Parental Rights & Responsibilities (Revised 02/2015) Case No. __________ 1 COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CUYAHOGA COUNTY, OHIO _________________________________________ PLAINTIFF/PETITIONER-01 : : vs. : : _________________________________________ DEFENDANT/PETITIONER-02/RESPONDENT : : JUDGE ______________________________ MAGISTRATE ________________________ AGREED JUDGMENT ENTRY (MODIFICATION OF ALLOCATION OF PARENTAL RIGHTS AND RESPONSIBILITIES) CASE NO. DR_________________________ This matter came on for hearing on _______________ before Magistrate ___________________, to whom this matter was referred by the Honorable ___________________, Judge of the Domestic Relations Division of the Court of Common Pleas upon the _____________________'s Motion to Modify the Allocation of Parental Rights and Responsibilities (#____________) filed _______ and _________________________________________________________________________________ Present were: ____________________, Plaintiff/Defendant-01/Petitioner ____________________, Defendant/Defendant-02/Respondent ____________________, Attorney for Plaintiff/Defendant-01/Petitioner ____________________, Attorney for Defendant/Defendant-02/Respondent Assistant County Prosecuting Attorney ____________________ on behalf of the Cuyahoga Job and Family Services ­ Office of Child Support Services (CJFS-OCSS). The Court finds that all unrepresented parties have been advised of the right to counsel in this proceeding and have voluntarily and knowingly waived said right. The Court further finds that the parties have resolved their differences by agreement, the terms of which are set forth herein attached hereto and incorporated herein by reference as Exhibit ____. The Court finds that said agreement is fair, just and equitable. The Court further finds that the parties waive any rights under Ohio Civil Rule 53. The Court finds that a pleading or motion requesting shared parenting was filed by: at least one parent both parents jointly and a plan for shared parenting was filed at least 30 days prior to hearing which plan the Court determines to be in the best interest of the child(ren). The Court finds that the parents waive the requirement of a written request for shared parenting and plan for shared parenting filed at least 30 days before hearing. The Court finds that the parents agree to shared parenting and have jointly submitted a plan on the date of hearing which plan the Court finds is in the best interest of the child(ren). IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that this Judgment Entry shall constitute an ORDER FOR SHARED PARENTING and the parties shall share the rights and H990 Agreed Modification of the Allocation of Parental Rights & Responsibilities (Revised 02/2015) Case No. __________ 2 responsibilities for the care of the children in accordance with the attached approved shared parenting plan, which is adopted and incorporated herein by reference. -ORIT IS THEREFORE ORDERED, ADJUDGED AND DECREED that parental rights and responsibilities are allocated primarily to _____________________________ who is hereby designated the residential parent and legal custodian of the following minor child(ren): Name of Child(ren) ____________________________________ ____________________________________ ____________________________________ Date(s) of Birth _______________________ _______________________ _______________________ IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the parent who is not the residential parent, ________________________, shall have parenting time: in accordance with the attached schedule in accordance Standard Parenting Time Guidelines attached as Exhibit ____ and incorporated by reference. IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the residential parent(s) shall file a notice of intent to relocate if he/she intends to move to a residence other than the one specified in this order. Pursuant to the determination made under R.C. 3109.051(G)(2) and subject to further order of the Court, the parent who is not the residential parent shall shall not be sent a copy of any notice of relocation filed with the Court. CHILD(REN)'S HEALTH CARE Uncovered Healthcare Expenses Pursuant to R.C. 3119.30(A), both parents are liable for the health care of the child(ren) who is/are not covered by private health insurance or cash medical support as calculated in accordance with R.C. 3119.022 or 3119.023. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the child support obligor pay __________% and the child support obligee pay __________% of the annual costs of the health care needs of the child(ren) that exceed the amount of cash medical support ordered to be paid, if any, when private health insurance coverage is not available or is not being provided in accordance with this order, OR of the uninsured health care costs or co-payment or deductible cost required under the health insurance policy, contract or plan that covers the child(ren) when private health insurance coverage is being provided in accordance with this order. The following individual shall be reimbursed by the health plan administrator(s) for covered outof-pocket medical, optical, hospital, dental or prescription expenses paid for the child(ren) subject to this order: Name of party Address Telephone number _________________________________________ _________________________________________ _________________________________________ _________________________________________ H990 Agreed Modification of the Allocation of Parental Rights & Responsibilities (Revised 02/2015) Case No. __________ 3 Private Health Insurance (Check