COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : Instructions for Completing a Motion JUDICIAL SUBPOENA Plaintiff(s) -against- to Establish Visitation/Custody : : This form should be used by fathers wishing to establish : visitation with their child(ren) or obtain legal custody once Defendant(s) : . . . . . . . . . . . . . .paternity .has .been . established. . . . ........... .... ..... .............. Attached is a Custody Intake Information Sheet, Complaint to Establish THE PEOPLE OF THE STATE OF NEW YORK Visitation, and UCCJA Affidavit. Please complete the custody intake form as completely as possible and take it, with the attached motion, affidavit and TO $45.00 filing fee, to: The Juvenile Court Custody Intake Department, 1910 Carnegie Avenue., 1 st floor, Room 117, Cleveland, Ohio 44114. GREETINGS: Hours: Monday through excuses between the hours of 9:00 a.m. and WE COMMAND YOU, that all business and Fridaybeing laid aside, you and each of you attend before , the Honorable at the 4:00 p.m. Court located at No appointment is necessary. County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Custody intake staff will with you and help you get the juvenile court case specific information you need to complete and file this motion. You are responsible for obtaining the current addresses of the court and will make you Your failure to comply with this subpoena is punishable as a contempt ofparties. Note: If you liable to cannot pay the filing was issued motion and maintain food and all damages court the party on whose behalf this subpoena fee for this for a maximum penalty of $50and shelter, ask sustained as a result of your failure to comply. a poverty affidavit. You will need to declare your income and verify intake staff for your low income status in this affidavit. Court in Witness, Honorable , one of the Justices of the _________________________________________________ County, day of , 20 If you have questions, please call the Intake office at 443-3149, between the hours of 9:00 A.M. and 4:00 P.M. (Attorney must sign above and type name below) Special Notice Concerning Mediation and Right to a Court Appointed Attorney You have the right to represent yourself in court. The majority of parties who elect to Attorney(s) for mediate through this program in these cases have successfully mediated their custody cases without counsel. However, if the court case becomes difficult, or if other parties to the case have attorneys to represent them in court, Ohio Law does provide that you have a right to a court-appointed attorney if you Office and P.O.aAddress and are a parent or cannot afford lawyer primary caretaker of a child at issue in the court case. To obtain a court-appointed attorney you must complete a written application. As part of the application process you will be required to verify your low income status. Contact the assigned counsel clerk at Telephone No.: 216-443-4772 or 4773 for an application, orFacsimilean application at the juvenile court pick up No.: nd clerk’s office, 2163 E. 22 Street, Cleveland, Ohio Address: st Floor, Courthouse Annex). E-Mail 44115 (1 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. IN THE COURT OF COMMON PLEAS JUVENILE COURT DIVISION : Calendar No. COUNTY OF CUYAHOGA, OHIO Plaintiff(s) -against- : JUDICIAL SUBPOENA : _________________________________ : Case No: _____________________ Plaintiff, : vs. Defendant(s) : ...................................................... Judge:____________________ __________________________________ THE PEOPLE OF THE STATE OF NEWDefendant YORK TO MOTION TO ESTABLISH VISITATION / CUSTODY (Circle Order Requested) GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you child(ren) moves thisbefore to ____________________________, the legal father of the and each of you attend Court , the Honorable at the Court award me (circle) visitation / custody with/of the child(ren), along with any other relief that is located at County of just and proper. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Attached is a Memorandum with supporting Affidavit and the Uniform Child Custody Jurisdiction Act Affidavit, all of which are incorporated herein as if fully rewritten. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. _________________________________ Signature Court in Witness, Honorable County, , one of the Justices of the day of , 20 __________________________________ Print Name __________________________________ Street Address (Attorney must sign above and type name below) ___________________________________________ City, State, Zip Attorney(s) for ___________________________________________ Phone Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : MEMORANDUM IN SUPPORT OF MOTION : Generally, pursuant to Ohio Revised Code section 2151.23 (A) (2) Juvenile Courts are empowered to determine the custody of any child: not a ward of another court of this state. Pursuant to Ohio Revised Code section 3113.215 (C ), the Juvenile Court is required to Defendant(s) : . . . . . . . . . . .include . specific .provisions .for. regular, . holiday, vacation, and special visitation in any child ...... ....... ......... .. ....... ....... support order issued in accordance with the Juvenile Code. It is in the child (ren)’s best interests for this motion to be granted with the relief sought. THE PEOPLE OF THE STATE OF NEW YORK TO _____________________________________ Signature _____________________________________ GREETINGS: Print Name ______________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Street Address ______________________________ located at County of in room , on the day of , 20 , at o'clock Citythe Zip Code and at any recessed in State, noon, ______________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the Phone Number AFFIDAVIT 1) I am to father with child(ren). Your failurethe complyof thethis subpoena is punishable as a contempt of court and will make you liable to the party on 2) To the best ofsubpoena was issued for a maximum penalty of $50 and allCOUNTY or was as a whose behalf this my knowledge, the child(ren) lives in CUYAHOGA damages sustained /were result of your failure to comply. last known to be in this county. The address or last know address of the child(ren) is: Court in Witness, Honorable , one of the Justices of the ______________________________________________________________________________ County, day of , 20 ______________________________________________________________________________ 3) It would be in the child(ren)s best interest that I be granted (circle one) visitation / custody with him/her/them because: (Attorney must sign above and type name below) ______________________________________________________________________________ Attorney(s) for ______________________________________________________________________________ ______________________________________________________________________________ Office and P.O. Address ______________________________ Signature Sworn to and signed before me, a notary public for the State of Ohio, this ____ day of ____________________, 20 ___. Telephone No.: Facsimile No.: E-Mail Address: ______________________________ place sealMobile Tel. No.: here Notary Public American LegalNet, Inc. www.USCourtForms.com