Form Center

2. ATTORNEY HELP DESK INFORMATION SHEET

4. Submitted By:

6. First Name*
7. Last Name*
9. Phone#*
10. Email*
14. Mother's First Name*
15. Mother's Last Name*
17. S.S.N.
18. D.O.B
20. Address*
22. City*
23. State*
24. Zip Code*
26. Phone Number(s)*
30. Father's First Name*
31. Father's Last Name*
33. S.S.N.
34. D.O.B.
36. Address*
38. City*
39. State*
40. Zip Code*
42. Phone Number(s)*

46. If a Third Party (relative, neighbor, family friend, etc.) is seeking custody or visitation please fill out the Third Party information below.

48. Third Party First Name
49. Third Party Last Name
51. S.S.N.
52. D.O.B
54. Address
56. City
57. State
58. Zip Code
60. Phone Number(s)
64. Third Party First Name
65. Third Party Last Name
67. S.S.N
68. D.O.B
70. Address
72. City
73. State
74. Zip Code
76. Phone Number(s)

80. Children

82. First Name
83. Last Name
84. S.S.N.
85. D.O.B.
87. First Name
88. Last Name
89. S.S.N.
90. D.O.B
92. First Name
93. Last Name
94. S.S.N.
95. D.O.B
97. First Name
98. Last Name
99. S.S.N.
100. D.O.B

104. ATTORNEY HELP DESK CHECKLIST

106. 1. Is Children Services currently involved with the Minor Children(ren) for whom you are filing?

     1. Yes

     1. No
108. 2. Has another county in the state of Ohio issued a custody order concerning this Minor Child(ren)?

     1. Yes

     1. No
110. If so, which Court, date of Court Order, and other details:
112. 3. Has another state issued a custody order concerning this Minor Child(ren

     1. Yes

     1. No
114. If so, which state, which Court, date of Court Order, and other details:
116. 4. Is there a current case pending in this Court concerning this Minor Child(ren)?

     1. Yes

     1. No
118. If so, who is the case before?
120. 5. Does someone else have custody now?

     1. Yes

     1. No
122. Who has custody now? How did they acquire custody?
124. 6. Has the Mother and Father ever been to this Court for any reason?

     1. Yes

     1. No
126. Custody, Visitation or Child Support?
128. 7. Are the Mother and Father married?

     1. Yes

     1. No
130. 8. Does the child reside in Mahoning County?

     1. Yes

     1. No
132. If not, where?
Leave This Blank:


133. 1. Receive an email copy of this form.
134. Email address

     This field is not part of the form submission.

135. Submit

* indicates a required field