Informal Family Court Services Proceeding

Domestic Relations Division Summit County Court of Common Pleas Judge Carol J. Dezso Judge John P. Quinn INFORMAL FAMILY COURT SERVICES PROCEEDING Case No:________ - _______- ______ ______________________________ Your Name ______________________________ Address ______________________________ City, State, Zip Code ______________________________ Phone # SSN The current order in effect is: ) ) ) ) ) ) ) ) ) ) ) ) ) Date:_________________________ ______________________________ Other Parent's Name ______________________________ Address ______________________________ City, State, Zip Code ______________________________ Phone # SSN Sole Residential Parenting Plan Primary Residential with: Mother Father Shared Parenting Plan Other Standard Order of Companionship (Please include a copy of your current order) Name(s) and age(s) of your child(ren):_______________________________________________ The problem with your current arrangement is:________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ **Please note: A copy of this completed form will be mailed to the other parent. Meeting Date: ______________ Time:______________ Case Closed:_________ Parties resolved the problem. Parties referred to mediation. Parties unable to resolve the problem. Problem not appropriate for this forum. Recommendation: ____________________________________________________________ Revised March 18, 2014 I:\Web Forms\Informal Proceeding Form Domestic Relations Court, 205 S. High Street, Akron, OH 44308 Family Court Services Director: Randy Flick Evaluators: Nancy Crawford, Alissa Endicott Emily Nugent, Julie Roberts Community Outreach Director: Susan Tucker Telephone 330-643-2355 Web Site: http://www.drcourt.org E-mail: fcs@drcourt.org American LegalNet, Inc. www.FormsWorkFlow.com