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Appendix A - Child Support Language

Appendix C - Health Insurance Language

Appendix D - Affidavit and Order for Standing Process Server

Health Insurance Affidavit

Agreed Entry with Children Checklist

Agreed Entry Without Children Checklist

Answer Checklist

Answer and Counterclaim Checklist

Complaint for Custody and Support Checklist

Complaint for Divorce, Legal Separation or Annulment with Children Checklist

Complaint for Divorce, Legal Separation or Annulment without Children Checklist

Decree of Dissolution with Children Checklist

Decree of Dissolution without Children Checklist

Decree of Divorce with Children, No Shared Parenting Plan, No Separation Agreement Checklist

Decree of Divorce with Children, Separation Agreement, No Shared Parenting Plan Checklist

Decree of Divorce with Children, Shared Parenting Plan, No Separation Agreement Checklist

Decree of Divorce with Children, Shared Parenting Plan, Separation Agreement Checklist

Decree of Divorce without Children, No Separation Agreement Checklist

Decree of Divorce without Children, Separation Agreement Checklist

Decree of Shared Parenting Checklist

Motions Checklist

Petition for Dissolution with Children Checklist

Petition for Dissolution without Children Checklist

Separation Agreement with Children-No Shared Parenting Plan Checklist

Separation Agreement with Children-Shared Parenting Plan Checklist

Separation Agreement without Children Checklist

Shared Parenting Plan Checklist

DR 04 - Military Affidavit

DR 18 - Waiver of Magistrate's Findings of Fact & Time Period for Filing Objections

DR 106 - Notice to Request Review of Cost

DR 142 - Household Furnishings Form

DR 201 - Withholding order/Qualified Medical Child Support Order Information Sheet

DR 215 - Itemized Evidence Inventory

DR 602A - Affidavit of Income

DR 602B - Affidavit of Property

DR 602C - Affidavit of Expenses

DR 610.1 - Guidelines for Parenting Time

DR 610.1 - Guias para el Tiempo de Paternidad 

DR 616 - Information for Parenting Proceeding Affidavit

DR 624 - Child Support Computation: Sole Residential Parent or Shared Parenting Order

DR 625 - Child Support Computation: Split Parental Rights and Responsibilities

DR 626 - Basic Child Support Schedule

DR 627A - Request for Interpreter

DR 628 - Notice to Attend Mandatory Parent Education Class

DR 629 - Motion & Order for Continuance

DR 630 - Support Order Information Sheet

DR 631 - Request for Waiver of Mandatory Education Class

DR 634 - Addendum to Separation Agreement/Division of Personal Property

DR 700 - Notice and Entry to Dismiss Motions

DR 715 - Agreed Entry-Hearing Required

DR 716 - Agreed Entry-No Hearing Required

DR 722 - Motion Code List

DR 726 - Pro se Motion Form

DR 727 - Complaint for Custody and Support

DR 729 - Family Information Sheet

DR 803 - Guidelines for Parents Living in Different Homes

DR 821 - Summons in Contempt and Order to Appear

DR 824 - Application and Entry to Proceed In Forma Pauperis

 

CASE MANAGEMENT OFFICE FORMS

C1 - Instuctions for Filing a Motion for Contempt

C2 - Instructions for Filing a Motion to Modify

C4 - Instructions for Filing Objections to Magistrate's Decisions

C7 - Instructions for Filing Complaint for Divorce

C8 - Instructions for Filing Motions

C9 - Instructions for Filing a Petition for Dissolution

C10 - Instructions for Filing Notice of Intent to Relocate

C13 - Notice of Intent to Relocate (within Butler County)

C13-A - Notice of Intent to Relocate (outside Butler County)

C14 - Motion for Objection to Magistrate's Decision

C15 - Mandatory Support Language

C16 - Notice to Case Management Office

C18 - Mandatory Spousal Support Language

C33 - Explanation of Medical Bills

C41 - Instructions for Filing an Agreed Entry – No Hearing Required

C46 - Instructions for Filing a Complaint for Custody and Support

JFS 07076-Title IV-D Application for Child Support Services/Rights & Responsibilities of Parents Receiving Child Support Services

 

DOMESTIC VIOLENCE FORMS

DV1001A - General Information about Domestic Violence Civil Protection Orders (CPO)

DV1001B - Procedures for Obtaining a Domestic Violence Civil Protection Order 

DV1001C - Instructions for Completing the Petition for a Domestic Violence Civil Protection Order  

DV1001D - Petition for Domestic Violence Civil Protection Order

DV1001E - Instructions for Completing the Information for Parenting Proceeding Affidavit

DV1001F - Information for Parenting Proceeding Affidavit  

DV001 Personal Description of Respondent


 

 

 

 
  
 

 

 
 

“The mission of the Butler County Court of Common Pleas, Domestic Relations Division, is to help families transition their lives by reaching compassionate and just resolutions to parenting and property disputes that are consistent with the law.”

 

 

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