A dissolution is a termination of a marriage by agreement. The forms listed below are required. Failure to provide all forms listed, or filing incomplete forms, may result in your case not being filed or being dismissed.
Pro se (unrepresented) Litigants MUST use the forms specified below.
If any of the Supreme Court Form links do not work - you may find the forms here: https://www.supremecourt.ohio.gov/courts/services-to-courts/children-families/dom-rel-juvenile-forms/
Remember to fill out the County Name (Adams) and the Division of the Court (Domestic Relations). The name of the Judge to be used on the forms is Brett M. Spencer. The name of the Magistrate to be used on all forms is David M. Hunter.
Form AC-001 - Notice of Appearance (Word | PDF) Required for Attorneys and any spouse not represented by an attorney
Form AC-002 - Waiver of Counsel (Word | PDF) Required for any spouse not represented by an attorney
Form AC-003- Waiver of Service of Summons (Word | PDF) One Form for each spouse - both spouses required to sign
Form SC-17 - Petition for Dissolution (PDF )
Uniform Domestic Relations Form - Affidavit 3 (Parenting Proceeding Affidavit) (PDF )
Uniform Domestic Relations Form - Affidavit 4 (Health Insurance Affidavit) (PDF )
Form SC-1 - Affidavit of Income and Expenses ( PDF) CANNOT BE WAIVED IF CHILDREN ARE INVOLVED
Form SC-2 - Affidavit of Property ( PDF) -OR-
Form SC-19 - Separation Agreement ( PDF ) If no shared parenting, the child support and parenting forms below are attached.
Parenting Seminar Required - See Local Rules (One for each spouse) MUST COMPLETE SEMINAR BEFORE HEARING WILL BE SCHEDULED
SHARED PARENTING DO NOT USE THE SUPREME COURT SHARED PARENTING PLAN OR PARENTING PLAN AS IT DOES NOT COMPLY WITH OUR LOCAL RULES.
*Form AC - 205- Miscellaneous Motion - Motion for Shared Parenting (Word | PDF)
Form AC - 206 - Adams County Standard Parenting Orders (Word | PDF) - will be attached to shared parenting plan or separation agreement.
Form AC - 207 - Adams County Standard Parenting Schedule (Word | PDF) - will be attached to shared parenting plan or separation agreement.
Form AC - 208 - Adams County Standard Child Support and Medical Support Order (Word | PDF) - to be attached to shared parenting plan. EVEN IF CHILD SUPPORT IS BEING DEVIATED TO ZERO
*Child Support Worksheet (Ohio Child Support Guidelines Calculator) - Must be signed by both spouses
Form AC - 202 - Adams County CSEA Account Setup Sheet (Word | PDF) Do NOT file with the Clerk - Bring to final hearing.
Form JFS 07076 Application for Child Support Services Do NOT file with the Clerk - Bring to final hearing.
Parenting Related DO NOT USE THE SUPREME COURT SHARED PARENTING PLAN AS IT DOES NOT COMPLY WITH OUR LOCAL RULES.
Form AC-217 - Parenting plan (to be attached to agreed entry or separation agreement) (Word | PDF)
Form AC - 206 - Adams County Standard Parenting Orders (Word | PDF) - will be attached to separation agreement.
Form AC - 207 - Adams County Standard Parenting Schedule (Word | PDF) - will be attached to separation agreement.
Form AC - 208 - Adams County Standard Child Support and Medical Support Order (Word | PDF) - to be attached to parenting order agreement, or separation agreement. EVEN IF CHILD SUPPORT IS BEING DEVIATED TO ZERO
*Child Support Worksheet (Ohio Child Support Guidelines Calculator) - Must be signed by both spouses
Form AC - 202 - Adams County CSEA Account Setup Sheet (Word | PDF) Do NOT file with the Clerk - Bring to final hearing.
Form JFS 07076 Application for Child Support Services Do NOT file with the Clerk - Bring to final hearing.
Decree of Dissolution - Only required for Attorneys at final hearing - use own form. Do NOT file with the Clerk - Bring to final hearing.
Decree of Shared Parenting (If applicable)- Only required for Attorneys at final hearing - use own form. Do NOT file with the Clerk - Bring to final hearing.
Form AC-006 - Waiver of Magistrate's Decision and 14 Day Waiver (Word | PDF) Do NOT file with the Clerk - Bring to final hearing.
ALL PRO SE (parties who do not have attorneys) DISSOLUTIONS WILL BE SET FOR A A PRE-TRIAL/COMPLIANCE HEARING TO REVIEW THE PLEADINGS AND ENSURE THAT THE PARTIES HAVE ATTENDED THE MANDATORY PARENTING SEMINAR. IT IS STRONGLY SUGGESTED THAT AT LEAST ONE PARTY IN A PRO SE DISSOLUTION CONTACT AN ATTORNEY TO ASSIST IN THE PREPARATION OF THE REQUIRED DOCUMENTS.