Free - Ohio

Effective 1/06
2006 PETITION/MOTION FOR CONCILIATION CHECKLIST

1.

Case Caption
Approved Rejected

Parties' names Parties' addresses Parties' telephone numbers Assigned case Judge Case number Motion code(s) 2. Statement of Conciliation
Approved Rejected

A statement alleging the facts showing a controversy between the spouses. A statement identifying the child(ren) at issue by name and date of birth, if applicable. A statement requesting the aid of the court to effect reconciliation or any amicable settlement. 3. Notice of Hearing
Approved Rejected

Name of the hearing officer. Time, date and place of hearing. 4. Certificate of Service
Approved Rejected

A statement of instructions or request for service. Signature of the filing party if pro se or signature of counsel. 5. Counsel Identification
Approved Rejected

If the filing party is represented by counsel, counsel's name, Supreme Court Registration Number, address, and telephone number are provided. 6. Signature on Motion
Approved Rejected

If the filing party is represented, the motion is signed by counsel or if the filing party is appearing pro se the filing party signed the motion. 7. Number of Copies
Approved Rejected

Two (2) copies of the motion were provided.