Withholding Order Qualified Medical Child Support Order {DR 201}

DR-201 - WITHHOLDING ORDER/QUALIFIED MEDICAL CHILD SUPPORT ORDER INFORMATION SHEET. This form is used in the Court of Common Pleas, Domestic Relations Division, Butler County, Ohio, to provide detailed information about a child's medical support and insurance coverage in cases where one party is ordered to pay child support or provide health insurance for a child. This form is typically used when there is a need to enforce a withholding order for child support or medical support, and it includes information about the obligor (the person ordered to pay), their employer details, financial institutions, and insurance coverage. The form also gathers details about the children for whom support is being provided, including their names, birth dates, and SSNs, and the parent or legal guardian who has custody of the child. Additionally, it requests information about the insurance coverage provided, whether by the obligor or the obligee, including employer and policy details. The form ensures that the court has all the necessary information to process child support payments, medical support obligations, and insurance coverage related to the case. It must be completed fully and legibly, and copies of insurance cards should be attached to support the submission. www.FormsWorkflow.com