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Appendix 1 - Child Support and Health Insurance Language 

Appendix 1(a) - Child Support and Health Insurance Language for EX PARTE ORDERS ONLY 

Appendix A - Child Support Language (To adopt Admin orders issued prior to March 28, 2019)

Appendix D - Affidavit and Order for Standing Process Server

Health Insurance Affidavit

Agreed Entry with Children Checklist rev. 8/2021

Agreed Entry Without Children Checklist rev. 8/2021

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

Petition and Affidavit for U Visa 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 

DR04 - Military Affidavit

DR18 - Waiver of Magistrate's Findings of Fact & Time Period for Filing Objections

DR106 - Request to Review Court Cost

DR142 - Household Furnishings Form

DR201 - Withholding order/Qualified Medical Child Support Order Information Sheet

DR215 - Itemized Evidence Inventory

DR602A - Affidavit of Income

DR602B - Affidavit of Property

DR602C - Affidavit of Expenses

DR610.1 - Guidelines for Parenting Time

DR610.1 - Guias para el Tiempo de Paternidad 

DR616 - Information for Parenting Proceeding Affidavit

DR624 - Child Support Computation: Sole Residential Parent or Shared Parenting Order

DR625 - Child Support Computation: Split Parental Rights and Responsibilities 

DR627A - Request for Interpreter

DR628 - Notice to Attend Mandatory Parent Education Class 

DR629 - Motion & Order for Continuance

DR631 - Request for Waiver of Mandatory Education Class

DR634 - Addendum to Separation Agreement/Division of Personal Property

DR700 - Notice and Entry to Dismiss Motions

DR715 - Agreed Entry-Hearing Required 

DR716 - Agreed Entry-No Hearing Required 

DR722 - Motion Code List

DR726 - Pro se Motion Form

DR727 - Complaint for Custody and Support

DR729 - Family Information Sheet  

DR813 - Transcript Request Form

DR803 - Guidelines for Parents Living in Different Homes

DR821 - Summons in Contempt and Order to Appear

DR824 - 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)

C13A - Notice of Intent to Relocate (outside Butler County)

C14 - Motion for Objection to Magistrate's Decision

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

Domestic Violence Civil Protection Order Packet

Dating Violence Civil Protection Order Packet

DV001 Personal Description of Respondent


MISCELLANEOUS

Court approved Guardian ad litem roster

 

 

 
  

 

 
 

“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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