Third Party Complaint for Child/Medical Support
Checklist 16-C – Third Party Complaint for Child/Medical Support
After filling out the required forms, you can either call 513-732-7327 to schedule an appointment to have your paper worked reviewed or email them to kheile@clermontcountyohio.gov for review. Compliance review only applies to Self-Represented Parties (SRP).
- If filing as a Self-represented Party (without the aid of an attorney) you must print out the Checklist along with the required forms. Once the forms are completed, you will need to make 2 copies (original + 2 copies = 3 total) of each required form. All forms must be reviewed by our Compliance Officer before they can be filed.
The following is a list of documents which must be completed, signed and submitted to the Domestic Relations Court. AFFIDAVITS ARE NO LONGER REQUIRED TO BE NOTARIZED. You will need an original set of documents plus two copies for filing with the Clerk of Courts.
You may wish to check the FAQ section of the court’s website for additional information.
Print Checklist
| |
|---|
| Complaint | 902-C |
| Classification Form | 115 |
| Notification Form (one for each party) | 116-A or 116 |
| Request for Service | SC31 |
| Health Insurance Affidavit | SC4 |
Child Support Worksheet Information (one for each party)
(attorneys only must provide a completed Child Support Worksheet) | 626 |
| Title IV-D Application | JFS7076 |
| CSE Account Information Sheet | 509-4 |
| Self-represented Party Waiver of Counsel | 702-A |
If a party is seeking temporary orders, additional documents may be required.
See Civil Rule 75(N) and the Motion and Affidavit for Temporary Orders Without Oral Hearing SC5
