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Policy 4 - Domestic Relations Forms

The following Forms shall be used in Domestic Relations Practice in Washington County, Ohio. (See appendix A for copies of Forms)

Form 1 Court Information Sheet

Copies for Court use - original plus 2
When Used - filed in all new cases and in all post decree Motions.

Form 2 Financial Affidavit and IVD Application

Copies for Court Use - completed original for party filing plus 1 copy for Service on Opposing Party, and blank original for Service on and Completion by opposing party.

When used - filed in all new cases and post decree motions seeking modification of spousal or child support or modification of custody.

Form 3 Addendum Entry - General Provisions

Copies for Court Use - completed original plus 3 copies
When used - filed with all child support and spousal support notices

Form 4, 5, 6 Seek Work, Bond, Notice Only Orders

Copies for Court use - Original plus 3 copies

Form 7, 8 Notice to Payor/OBES/or Financial Institution to withhold Obligor Income/Assets, Addendum Entry - General Provisions

Copies for Court Use - Original plus 4 copies
When Used - required for all withholding orders. OBES order only used for IVD Child Support, not spousal support or non-IVD child support.

Form 9 Notification Forms - Obligee, Obligor, Payor, Distributor of income, Financial Institution

Copies - original plus 3 Obligor and Obligee Notifications. Original plus 4 of applicable notification form for withholder of income, assets.
When used - Obligee, Obligor in all cases. Use forms appropriate for nature of withholding institution.

Forms 10-13 Insurance Forms

The forms used for Ohio Revised Code Section 3113.217 health insurance orders are as follows:
Obligor Insurance
Obligee Insurance
Dual Insurance
Insurance Unavailable
Exclusive of copies for counsel, the number of copies required are as follows:
Obligor Insurance -Original plus 4
Obligee Insurance -Original plus 4
Dual Insurance -Original plus 5
Insurance Unavailable -Original plus 3

Return to Clerk of Courts Legal Division Local RulesPage

Washington County Clerk of Courts
205 Putnam St.
Marietta, OH 45750
740-373-6623

Email Clerk of Courts: ClerkofCourts@washingtongov.org

©2006 Washington County
ALL RIGHTS RESERVED