Form 10 01 F PDF Details

The Form 10.01-F, termed as the Information for Parenting Proceeding Affidavit, serves a pivotal role in the court system of Ohio, especially in cases related to parenting, custody, or visitation issues. This affidavit, a requisite document to be filed alongside the first pleading in any parenting proceeding, including petitions for domestic violence civil protection orders, lays down a foundation for transparent and informed decision-making by the court. It mandates full disclosure of any ongoing or preceding parenting-related court proceedings involving the child or children in question across any state. Furthermore, it encapsulates a wide array of information—from the child's residence history over the past five years to any known persons claiming custody or visitation rights apart from the parties involved. The importance of this affidavit extends to ensuring the child's safety and well-being by allowing for the request to withhold disclosing the child or petitioner's current address, considering safety concerns under specific regulations. It also encompasses declarations about one's involvement in other custody cases, details on cases that may influence the current proceeding, a list of criminal convictions within the household that could affect the child's safety, and acknowledgment of a continuous duty to inform the court about any relevant changes or discoveries during the ongoing case. The affidavit concludes with an oath, affirming the truthfulness and completeness of the information provided, underscoring the legal implications of falsification. Through its comprehensive and structured format, Form 10.01-F plays a crucial role in ensuring the court is well-informed, thus aiding in making judicious decisions concerning parenting issues.

QuestionAnswer
Form NameForm 10 01 F
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other names10 01F affidavit for parenting proceeding information

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FORM 10.01-F: INFORMATION FOR PARENTING PROCEEDING AFFIDAVIT

IN THE

 

 

 

 

 

COURT

 

 

 

 

COUNTY, OHIO

 

:

 

 

 

Petitioner

 

 

Case No.

 

:

 

:

Judge:

 

v.

 

 

 

:

 

 

 

 

 

INFORMATION FOR PARENTING PROCEEDING

 

 

 

AFFIDAVIT (R.C. 3127.23(A))

Respondent

:

 

 

 

 

 

(Filed with Petition for Domestic Violence Civil

 

 

 

Protection Order)

NOTE: By law, an affidavit must be filed and served with the first pleading filed by each party in every parenting (custody/visitation) proceeding in this Court, including a Petition for a Domestic Violence Civil Protection Order. Each party has a continuing duty while this case is pending to inform the Court of any parenting proceeding concerning the child(ren) in any other court in this or any other state. If more space is needed, attach an additional page.

I (full legal name)

 

, being sworn according to law, certify these cases

involve the custody of a child or children and the following statements are true:

1. I am requesting the Court to not disclose my current address or that of the child(ren). My address is confidential pursuant to R.C. 3127.23(D) and should be placed under seal in that the health, safety, or liberty of myself and/or the child(ren) would be jeopardized by the disclosure of the identifying information.

2. (Number):

 

Minor child(ren) are subject to this case as follows:

(Insert the information requested below. The residence information must be given for the last FIVE years.)

 

a. Child’s name

 

Place of birth

 

Date of birth

 

Sex

 

Period of residence

Address

 

Person child lived with (name &

address)

Relationship

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

to present

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM 10.01-F: INFORMATION FOR PARENTING PROCEEDING AFFIDAVIT

Amended: July 1, 2010

Discard all previous versions of this form

[Page 2 of Form 10.01-F]

Case No.________________________

b. Child’s name

 

Place of birth

 

Date of birth

 

Sex

Period of residence

Address

 

Person child lived with (name &

address)

Relationship

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to present

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Child’s name

 

Place of birth

 

Date of birth

 

Sex

Period of residence

Address

 

Person child lived with (name &

address)

Relationship

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to present

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to

Address

 

 

 

 

 

 

 

Confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Additional children are listed on Attachment 2(d). (Provide requested information for additional children on an attachment labeled 2d.)

3.Participation in custody case(s): (only one)

I HAVE NOT participated as a party, witness, or in any capacity in any other case, in this or any other state, concerning the custody of or visitation (parenting time) with any child subject to this case.

I HAVE participated as a party, witness, or in any capacity in any other case, in this or any other state, concerning the custody of or visitation (parenting time) with any child subject to this case. Explain:

a.Name of each child

b.Type of case

c.Court and State

d.Date and court order or judgment (if any):

FORM 10.01-F: INFORMATION FOR PARENTING PROCEEDING AFFIDAVIT

Amended: July 1, 2010

Discard all previous versions of this form

[Page 3 of Form 10.01-F]

Case No.________________________

4.Information about custody case(s): (only one)

I HAVE NO INFORMATION of any cases that could affect the current case, any cases relating to custody, domestic violence or protection orders, dependency, neglect or abuse allegations or adoptions concerning any child subject to this case.

I HAVE THE FOLLOWING INFORMATION concerning cases that could affect the current case, including any cases relating to custody, domestic violence or protection orders, dependency, neglect or abuse allegations or adoptions concerning any child subject to this case, other than listed in Paragraph 3. Explain:

a.Name of each child

b.Type of case

c.Court and state

d.Date of court order or judgment (if any):

5.List all of the criminal convictions including guilty pleas for you and the members of your household for the following offenses: any criminal offense involving acts that resulted in a child being abused or neglected; any offense that is a violation of R.C. 2919.25; any sexually oriented offense as defined in R.C. 2950.01; and any offense involving a victim who was a family or household member at the time of the offense and caused physical harm to the victim during the commission of the offense.

NAME

CASE NUMBER COURT/STATE/COUNTY CHARGE

6.Persons not a party to this case: (only one)

I DO NOT KNOW OF ANY PERSON not a party to this case who has physical custody or claims to have custody or visitation rights with respect to any child subject to this case.

I KNOW THAT THE FOLLOWING NAMED PERSON(S) not a party to this case has/have physical custody or claim(s) to have custody or visitation rights with respect to any child subject to this case:

a.Name and address of person

has physical custody

claims custody rights

claims visitation rights

Name of each child

b.Name and address of person

has physical custody

claims custody rights

claims visitation rights

Name of each child

c.Name and address of person

has physical custody

claims custody rights

claims visitation rights

Name of each child

FORM 10.01-F: INFORMATION FOR PARENTING PROCEEDING AFFIDAVIT

Amended: July 1, 2010

Discard all previous versions of this form

[Page 4 of Form 10.01-F]

Case No.________________________

7.I understand that I have a continuing duty to advise this Court of any custody, visitation, parenting time, divorce, dissolution of marriage, separation, neglect, abuse, dependency, guardianship, parentage, termination of parental rights, or protection from domestic violence case concerning the child(ren) in this state or any other state about which information is obtained during this case.

OATH OF AFFIANT

I hereby swear or affirm that the answers above are true, complete, and accurate to the best of my knowledge. I understand that falsification of this document may result in a contempt of court finding against me which could result in a jail sentence and fine, and that falsification of this document may also subject me to criminal penalties for perjury under R.C. 2921.11.

AFFIANT

Sworn to and subscribed before me on this

 

day of

 

,

NOTARY PUBLIC

FORM 10.01-F: INFORMATION FOR PARENTING PROCEEDING AFFIDAVIT

Amended: July 1, 2010

Discard all previous versions of this form

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Filling out this document calls for thoroughness. Make sure every blank field is done properly.

1. The Form 10 01 F involves specific details to be inserted. Ensure that the following blank fields are filled out:

Form 10 01 F completion process detailed (stage 1)

2. Soon after finishing the last step, go to the next part and enter the essential particulars in all these blank fields - NOTE By law an affidavit must be, I full legal name, being sworn according to law, involve the custody of a child or, I am requesting the Court to not, Number, Minor children are subject to this, Insert the information requested, a Childs name Period of residence, to present, Address Confidential, Address Confidential, Address Confidential, Address Confidential, and Place of birth.

Address Confidential, Address Confidential, and being sworn according to law in Form 10 01 F

3. Completing Address Confidential, and FORM F INFORMATION FOR PARENTING is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Address Confidential, FORM F INFORMATION FOR PARENTING, and Address Confidential in Form 10 01 F

4. The next section needs your involvement in the following areas: b Childs name, Period of residence, to present, Address Confidential, Address Confidential, Address Confidential, Address Confidential, Address Confidential, Page of Form F, Case No, Place of birth, Person child lived with name, Date of birth, Sex, and Relationship. Make sure you type in all needed information to go further.

Part # 4 for filling out Form 10 01 F

Always be extremely mindful when completing Address Confidential and to present, because this is where a lot of people make some mistakes.

5. Since you approach the last parts of the document, you'll notice several more things to do. Notably, c Childs name, Period of residence, to present, Address Confidential, Address Confidential, Address Confidential, Address Confidential, Address Confidential, Place of birth, Date of birth, Sex, Person child lived with name, Relationship, e Additional children are listed, and Participation in custody cases must all be filled out.

e Additional children are listed, Address Confidential, and Address Confidential inside Form 10 01 F

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