STATE OF OHIO, (1)_________________ COUNTY, SS: IN THE COURT OF COMMON PLEAS JUVENILE DIVISION (2) Plaintiff vs. CASE NO. (1A) (3) Defendant 1. 2. I am the (4) The natural (7) COMPLAINT FOR CUSTODY (Oral Hearing Requested) of the minor child(ren), 5) born (6) of the minor child(ren) is: (8) and s/he resides at (9) 3. The minor child(ren) is/are currently residing with (10) because (11) 4. It is in the best interest of the child(ren) that I be granted custody because: (12) 5. The child(ren) is/are not the ward of another Court in Ohio. WHEREFORE, I hereby request that I be named residential parent and sole custodian of the above minor child(ren) and sole custodian of the above minor child(ren). (13) Signature Phone Number Address Sworn to and subscribed before me, this ____ day of _____________, 20___. NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com