Dissolution with or without Children


In order for the Court to sign a Decree of Dissolution and/or a Decree of Shared Parenting, cash medical support must be included in the Obligor’s child support order.  Cash medical support will be ordered when private insurance is not available to defray the cost to the state to cover the child/ren on a medical card/s.


Additional language has been added to the child support language on page 13 of the Separation Agreement and page three of the Shared Parenting Plan.  The amount of cash medical support will be determined by the magistrate at the final hearing.


Dissolution Checklist  

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

All petitions must include the following forms:
Petition for DissolutionSC17
Waiver of Service of Summons (one for each party)SC30
Separation AgreementSC19
Classification Form115
Notification Form (one for each party)116-A or 116
Waiver of Affidavit of Income and Expenses703
Waiver of Affidavit of Property704
Self-represented Party Waiver of Counsel702-A
Waiver of Magistrate’s Decision and 14 Day Objection Period (attorneys only)104-B
Decree of Dissolution/Decree of Shared Parenting (attorneys only)
Petitions with children must also complete the following forms:
Shared Parenting Plan (if applicable) SC20
OR
Parenting PlanSC21
Guideline Parenting Schedule – (if following)605
Parenting Proceeding AffidavitSC3
Child Support Worksheet Information (one for each party)
(attorneys only must provide a completed Child Support Worksheet)
626
Health Insurance AffidavitSC4
Title IV-D ApplicationJFS7076
CSE Account Information Sheet509-4

Dissolution Checklist - Dissolution with or without Children

Checklist