COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

Plaintiff
-vs/and-
Defendant

HAMILTON COUNTY, OHIO

Enter
Date
Case No.
File No.
Judge
Magistrate

MOTION FOR
SUPERVISED PARENTING TIME

Now comes Plaintiff/Defendant (circle one), and respectfully requests that this Court refer this case for supervised parenting time at the Randal S. Bloch Family Visitation Center (FVC) for the following reasons: .

Movant believes that supervised parenting time at the FVC will benefit the children in this matter because of the above reasons. WHEREFORE, Movant respectfully requests that this Court set this matter for a hearing with Judge/Magistrate to determine if this matter should be referred to supervised parenting time at the FVC.

Party/Attorney

NOTICE OF HEARING

A hearing on this matter has been scheduled on , 20 at a.m./p.m. for min./hrs. with Judge/Magistrate , of the Hamilton County Court of Domestic Relations, 800 Broadway, Room , Cincinnati, Ohio 45202.

CERTIFICATE OF SERVICE

I hereby certify that a copy of the foregoing Motion has this day of , 20 been served by ordinary mail upon ..

Party/Attorney