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.
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 (Juvenile). 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 party not represented by an attorney
Form SC-3 - Parenting Proceeding Affidavit (PDF)
This form MUST be filed for The Caretaker Authorization and For the Power of Attorney
A copy of the child's birth certificate is required for filing. May be obtained from the local health department.
Form AC-302 Affidavit of Parent / Grandparent - Caretaker Authorization and Power of Attorney (Word | PDF) one for each child
This form MUST be filed for The Caretaker Authorization and For the Power of Attorney
3109.65 Caretaker authorization affidavit.
(A) Except as provided in division (B) of this section, if a child is living with a grandparent who has made reasonable attempts to locate and contact both of the child's parents, or the child's guardian or custodian, but has been unable to do so, the grandparent may obtain authority to exercise care, physical custody, and control of the child including authority to enroll the child in school, to discuss with the school district the child's educational progress, to consent to all school-related matters regarding the child, and to consent to medical, psychological, or dental treatment for the child by executing a caretaker authorization affidavit in accordance with section 3109.67 of the Revised Code.
(B) The grandparent may execute a caretaker authorization affidavit without attempting to locate the following parent:
(1) If paternity has not been established with regard to the child, the child's father.
(2) If the child is the subject of a custody order, the following parent:
(a) A parent who is prohibited from receiving a notice of relocation in accordance with section 3109.051 of the Revised Code;
(b) A parent whose parental rights have been terminated by order of a juvenile court pursuant to Chapter 2151. of the Revised Code.
Grandparent Power of Attorney (Word | PDF) link will download the file
Information about the Power of Attorney (from the Ohio State Bar Association)
At least one parent must sign and provide notice to the other parent.
RC 3109.56
When a parent seeks to create a power of attorney pursuant to section 3109.52 of the Revised Code, all of the following apply:
(A) The power of attorney shall be executed by both parents if any of the following apply:
(1) The parents are married to each other and are living as husband and wife.
(2) The child is the subject of a shared parenting order issued pursuant to section 3109.04 of the Revised Code.
(3) The child is the subject of a custody order issued pursuant to section 3109.04 of the Revised Code unless one of the following is the case:
(a) The parent who is not the residential parent and legal custodian is prohibited from receiving a notice of relocation in accordance with section 3109.051 of the Revised Code.
(b) The parental rights of the parent who is not the residential parent and legal custodian have been terminated by order of a juvenile court pursuant to Chapter 2151. of the Revised Code.
(c) The parent who is not the residential parent and legal custodian cannot be located with reasonable efforts.
(B) In all other cases, the power of attorney may be executed only by one of the following persons:
(1) The parent who is the residential parent and legal custodian of the child, as determined by court order or as provided in section 3109.042 of the Revised Code;
(2) The parent with whom the child is residing the majority of the school year in cases in which no court has issued an order designating a parent as the residential parent and legal custodian of the child or section 3109.042 of the Revised Code is not applicable.
A background check from a sheriff's department for each household resident over the age of 18 is required and must be submitted to the Court. The Sheriff may charge a fee for this service. Both Federal (FBI) and Ohio (BCI) checks must be completed. If the sheriff's office is not available to obtain a background check, a Form AC-007 - Authorization for Background Search (Word | PDF ) may be filed.
RC 3109.55
(A) A person who creates a power of attorney under section 3109.52 of the Revised Code shall send notice of the creation to the parent of the child who is not the residential parent and legal custodian of the child unless one of the following is the case:
(1) The parent is prohibited from receiving a notice of relocation in accordance with section 3109.051 of the Revised Code.
(2) The parent's parental rights have been terminated by order of a juvenile court pursuant to Chapter 2151. of the Revised Code.
(3) The parent cannot be located with reasonable efforts.
(4) The power of attorney is being created by both parents.
(B) The notice shall be sent by certified mail not later than five days after the power of attorney is created. The notice shall state the name and address of the person designated as the attorney in fact.
COURT COSTS DEPOSITS MUST BE PAID BEFORE ANY PLEADINGS WILL BE ACCEPTED FOR FILING. An affidavit of indigency and a motion to waive the Court Cost Deposit must be filed in order to waive this requirement. You must meet Federal Guidelines for indigency or the motion will not be granted. Contact the Court when filing.
ALL FILINGS ARE SUBJECT TO REVIEW BY THE COURT FOR COMPLETENESS AND ACCURACY. INCOMPLETE, ILLEGIBLE, OR OTHER DOCUMENTS NOT CONFORMING WITH OHIO LAW AND RULES OF PROCEDURE MAY RESULT IN THE PLEADINGS BEING DISMISSED.