Sample Decree of Divorce - Ohio
DR 901 (Rev. 10/25/2012)
REQUIRED FORMS FOR DECREE: (ORIGINAL + 4 COPIES)
Divorce Decree
o Separation Agreement or Agreed Entry (if appropriate)
Child Support Worksheet (form 7.5A or 7.6)
Standard Parenting Order (if appropriate- form 2.7)
Appropriate Health Care Order (7.17 if private health insurance is available-
7.20 if private health insurance is not available)
Cash Medical Order (form 7.24)
IF SHARED PARENTING: (ORIGINAL + 4 COPIES)
Divorce Decree
Separation Agreement or Agreed Entry (if appropriate)
Final Decree of Shared Parenting (form 2.3)
Approved Shared Parenting Plan
Child Support Worksheet (form 7.5A or 7.6)
Standard Parenting Order (if appropriate- form 2.7)
Appropriate Health Care Order (7.17 if private health insurance is available-
7.20 if not)
Cash Medical Order (form 7.24)
ADDITIONAL FORMS: (1 COPY)
SUPPORT ACCOUNT DATA FORM (CDR4905)
COPY OF IV-D APPLICATION
HEALTH CARE VERIFICATION (IF APPROPRIATE- FORM 7.21)
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