IN THE COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION SUMMIT COUNTY, OHIO ___________________________ Name ___________________________ Address ___________________________ City, State, Zip ___________________________ Phone Number Plaintiff/Petitioner -vs.____________________________ Name ____________________________ Address ____________________________ City, State, Zip ____________________________ Phone No. Petitioner /Defendant/Respondent ___________________________ requests this court make the following order(s): (your name) _____reallocation of parental rights and responsibilities (attach parenting affidavit and financial affidavit) _____modification of parenting time schedule (attach parenting affidavit) _____visitation / companionship with the minor child(ren) (attach parenting affidavit) _____modification of child support, health care provisions, and tax dependency exemption (attached financial affidavit)* _____child support arrearages** _____health care arrearages*** _____attorney fees and costs _____enforcement of a prior court order dated _______________ regarding ______________________________________________________________ _____ Other (explain) ___________________________________________________________ _____________________________________________________________________________ CASE NO. MOTION NO. SETS NO. . JUDGE MAGISTRATE POST-DECREE MOTIONS 1 American LegalNet, Inc. www.FormsWorkFlow.com I believe I am entitled to the relief requested because (state with particularity the grounds for the motion) Signature of Party TELEPHONE NUMBER NOTICE OF HEARING A hearing shall be held before Magistrate __________________, on the _________ day of __________________, 20____, at ________________.m., at the Summit County Domestic Relations Court, 205 S. High Street, 3rd Floor Akron, Ohio 44308. __________________________________ Signature of Party * ** *** You must subpoena employers for wage information such as W2 for each party and have three years of tax returns or any other relevant information. You also need verification of child care and health insurance costs. You must subpoena CSEA to be present at the hearing and bring the records. You must submit an Explanation of Medical Bills Form (available at Court or on Website) and bring copies of insurance processing and recent bills. Forms and rules of court are available on the website at www.drcourt.org. American LegalNet, Inc. www.FormsWorkFlow.com Revised March, 2012 2