Probate Court Forms


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Adoption Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.

Effective Date
Private Agency Adoption Packet
(Forms Included- Instructions, 18.0, 18.3, 18.9, HEA2757)
5/26/2021
Public Agency Adoption Packet
(Forms Included- Instructions, 18.0, 18.3, HEA2757)
12/2/2020
International Re-Adoption Packet
(Forms Included- Instructions, ADPFA, HEA 2757)
12/2/2020
Relative Adoption Packet
(Forms Included- Instructions, 18.0, 18.3, 18.9, 20.1, 20.3, 20.3-A, 20.3-B, HEA2757)
5/26/2021
Adult Adoption Packet
(Forms Included- Instructions, 18.3, 19.0, HEA 2757, ADRRC)
12/2/2020
Foreign Birth Record Packet
(Forms Included- Instructions, 19.2, Form HEA 2757)
12/2/2020
Independent Adoption Packet
(Forms Included- Instructions, 18.0, 18.9, 20.1, HEA 2757)
5/26/2021
Step Parent Adoption Packet
(Forms Included- Instructions, 18.0, 18.3, HEA 2757)
5/26/2021
   
Individual Forms: Effective Date
LCPC 13-A - Application and Entry Allowing Fees 10/1/2012
SC 18.0 - Petition for Adoption of Minor 3/1/2017
SC 18.3 - Consent to Adoption 3/15/2016
SC 18.9 - Petitioner's Account 10/01/97; Amended 9/1/11
SC 19.0 - Petition for Adoption of Adult 3/1/2017
SC 19.2 - Petition to Recognize Foreign Adoption 3/1/2014
LCPC 20.1 - Pre-Placement Application 2/11/2016
LCPC 20.3 - Application to place Unborn Child for Adoption TBD
LCPC 20.3A - Application for Placement by Birth Parent(s) 5/26/2021
LCPC 20.3B - Application for Placement by Relative(s) TBD

LCPC HEA 2757 - Vital Statistics Certificate of Adoption 

[Note: If the person being adopted was born in another state (other than Ohio), please contact the adoption department and verify which form
should be submitted to create the new birth certificate.]
11/19/2020
LCPC ADLCAR - Lucas County Birth Parent Assessment
*FOR USE BY ASSESSORS ONLY*
TBD
LCPC - Affidavit and Request for Service by Publication TBD
LCPC - Affidavit Order for Publication  
LCPC - Application for Search of Ohio Putative Father Registry (not web interactive) 3/1/2008
LCPC ADPFA - Petition of Foreign Adoption TBD
LCPC ADPRCA - Request for Copies of Adoption Records 2/24/2017
LCPC ADRRC - Release for Record Check 7/16/2015
Request for Info RE: Paternity Establishment TBD

Disinterment Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Disinterment Packet (Forms included: 1AM, 1.0, 25.0, 25.1, 25.2, , 25.3, 25.4, 25.5, 25.6) 3/1/2014
   
Individual Forms: Effective Date:
SC 25.0 - Application for Order to Disinter Remains 7/6/2023
SC 25.1 - Judgment Entry Setting Hearing on Application for Disinterment 3/1/2014
SC 25.2 - Notice of Hearing on Application for Disinterment 3/1/2014
SC 25.3 - Affidavit of Service of Notice on Hearing on Application for Disinterment 3/1/2014
SC 25.4 - Verification of Reinterment 3/1/2014
SC 25.5 - Waiver of Notice of Application to Disinter Remains 3/1/2014
SC 25.6 - Order to Disinter Remains 7/6/2023
LCPC 1AM - New Case Information Sheet TBD
LCPC 45D - Confidential Disclosure of Personal Identifiers 9/1/2011
LCPC DIS300I - Application to Oppose Disinterment TBD

Estate & Will Forms

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Instructions for filing a Summary, Relief, and Full Administration

Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Admit Will Only Packet (Forms 1-A, 2.0, 1.0, 2.3) TBD
LCPC - Application for Right of Disposition Packet (Forms 1AM, ARD, 1.0, OARD, WRD, ASP, OFP) TBD
LCPC - Certificate of Transfer without Administration (Forms 1-A, 1.0, 12.0, 12.1) TBD
LCPC - Estate Account Packet (Forms 13-ECL, 13.0, 13.1, 13.2, 13.3, 13.9) TBD
LCPC - Estate Inventory Packet (Forms EICL, 6.0, 6.1,JE Ordering Inventory and Appraisal, 6.3, 6.5) TBD
LCPC - Full Administration With Will Packet (Forms 1-A, 2.0, 1.0, 2.3, 4.0, RRCPF, 4.5, 13.8) TBD
LCPC - Full Administration Without Will Packet (Forms 1-A, 4.0, RRCPF, 1.0, 4.5, 13.8) TBD
LCPC - Release of Medical Records Packet (Forms 1.0, 1-A, 29.0, 29.1,29.2, 29.3, 29.4) TBD
LCPC - Release of Financial Information (Forns 1.0, 1-A, ASRDF, ASCODJE, RDFI) 5/2/2022
LCPC - Relief with Will Packet (Forms 1-A, 2.0, 1.0, 2.3, 5.0, 5.1, 5.6, 5.9) TBD
LCPC - Relief without Will Packet (Forms 1-A, 5.0, 1.0, 5.1, 5.6, 5.9) TBD
LCPC - Safe Deposit Box Packet (Forms 1.0, 1-A, 2.8, 2.8JE, 2.8RPT) TBD
LCPC - Summary Release Packet- Admitting Will to Probate (Forms 1-A, 2.0,1.0, 2.3, 5.10, 5.11) TBD
LCPC - Summary Release Packet- Filing Will (not Admitting Will) with Probate (Forms 1-A, 2-B, 5.10, 1.0, 5.11) 8/1/2018
LCPC - Summary Release Packet- No Will (Forms 1-A, 5.10, 1.0, 5.11) TBD
   
Individual Forms: Effective Date:
Power of Attorney Living Will Advance Directives Form  
SC 1.0 - Surviving Spouse, Children, Next of Kin, Legatees and Devisees 12/1/2002
LCPC 1A - New Case Information Statement TBD
LCPC 1B - Application to Extend Time TBD
SC 2.0 - Application to Probate Will 12/1/2002
LCPC 2A - Application to Admit Foreign Record​ TBD
LCPC 2B - Entry to File Decedent's Will Without Probate 8/1/2018
SC 2.1 - Waiver of Notice of Probate of Will 12/1/2002
SC 2.2 - Notice of Probate of Will 12/1/2002
SC 2.3 - Entry Admitting Will to Probate 3/1/1996
SC 2.4 - Certificate of Service of Notice of Probate of Will 3/1/1996
LCPC 2.8 - Application for Appointment of a Commissioner to Report on the Contents of a Safe Deposit Box TBD
LCPC 2.8 JE ORDER - Report on Contents of Safe Deposit Box TBD
LCPC 2.8RPT - Report on Contents of Safe Deposit Box TBD
LCPC 3.0A - Appointment of Appraiser 7/21/2022
SC 4.0 - Application for Authority to Administer Estate 12/1/2002
SC 4.1 - Supplemental Application for Ancillary Administration 7/1/1977
SC 4.2 - Fiduciary's Bond 7/1/1977
SC 4.3 - Waiver of Right to Administer 7/1/1977
SC 4.4 - Notice and Citation of Hearing on Appointment of Fiduciary 12/1/2002
LCPC 4.5 - Entry Appointing Fiduciary; Letter of Authority 7/1/1977
SC 5.0 - Application to Relieve Estate from Administration 5/3/1999
LCPC 5.1 - Assets and Liabilities of Estate to be Relieved from Administration 4/6/2017
SC 5.2 - Waiver of Notice of Application to Relieve Estate from Administration 7/1/1994
SC 5.3 - Notice of Application to Relieve Estate from Administration 7/1/1994
SC 5.4 - Publication of Notice 7/1/1994
SC 5.6 - Entry Relieving Estate from Administration 7/1/1994
LCPC 5.7 - Waiver of Reimbursement TBD
LCPC 5.9 - Report of Distribution Release from Administration TBD
SC 5.10 - Summary Release From Administration (Use only for Dates of Death PRIOR to 10/12/2006) 3/1/2008
SC 5.10 - Summary Release From Administration 3/1/2008
SC 5.11 - Entry Granting Summary Release From Administration 7/9/2001
LCPC 6.0 - Inventory and Appraisal 4/6/2017
LCPC 6 EICL - Attorney/ Fiduciary Inventory Checklist 1/19/2023
SC 6.1 - Schedule of Assets 10/1/1998
SC 6.2 - Waiver of Notice of Hearing on Inventory 3/1/1996
SC 6.3 - Notice of Hearing on Inventory 3/1/1996
LCPC 6.4 - Report of Newly Discovered Assets TBD
LCPC 6.5 - Certificate of Service of Inventory to Heirs or Beneficiaries TBD
LCPC - Judgment Entry Order Approving Inventory and Appraisal TBD
LCPC 7.RN - Application to Reopen Estate to Report Newly Discovered Assets  8/1/2018
SC 7.0 - Certification of Notice to Administrator of Medicaid Estate Recovery Program 2/1/2022
SC 7.0A - Notice to Administrator of Medicaid Estate Recovery 6/1/2014
SC 7.1 - Application for Family Allowance 5/3/1999
LCPC 7.2 - Application for Apportionment of Family Allowance 4/6/2017
SC 8.1 - Election of Surviving Spouse to Take Under Will 12/1/2002
SC 8.2 - Election of Surviving Spouse to Take Against Will 12/1/2002
SC 8.4 - Certificate of Service and Notice of Citation to Surviving Spouse to
Exercise Elective Rights
12/1/2002
SC 8.6 - Waiver of Service to Surviving Spouse of the Citation to Elect 4/1/2004
SC 9.0 - Application to Sell Personal Property 10/1/1998
LCPC 9C - Application for Transfer of Titled Vehicle 3/14/14
LCPC 9CA - Assignment of Titled Vehicle TBD
SC 9.2 - Notice of Sale of Personal Property 10/1/1998
SC 10.0 - Application to Distribute in Kind 10/1/1998
SC 10.2 - Notice of Hearing on Application to Distribute in Kind 10/1/1998
SC 11.0 - Consent to Power to Sell Real Estate 7/1/1977
SC 12.0 - Application for Certificate of Transfer 3/1/2014
SC 12.1 - Certificate of Transfer 3/1/2014
SC 13.0 - Fiduciary's Account 12/1/2002
LCPC 13ECL - Decedent's Estate Attorney Fiduciary Checklist TBD
LCPC 13.1 - Receipts and Disbursements 7/1/1977
SC 13.2 - Assets Remaining in Fiduciary's Hands 7/1/1977
SC 13.3 - Entry Approving and Settling Account 12/1/2002
SC 13.4 - Waiver of Partial Account 3/1/1996
SC 13.6 - Certificate of Termination 3/1/1996
SC 13.7 - Waiver of Notice of Hearing on Account 3/1/1996
SC 13.8 - Application to Extend Administration 12/1/2002
SC 13.9 - Certificate of Service of Account to Heirs or Beneficiaries 12/1/2002
SC 13.10 - Notice to Extend Administration 12/1/2002
SC 13.11 - Application to Disburse Attorney Decedent's Trust Account(s) 1/1/2023
LCPC 13A - Application and Entry Allowing Fees TBD
LCPC 13B - Application to File Attorney Fee Contract TBD
LCPC 13C - Computation of Attorney Fees (Pursuant to Local Rule 71.1(A) 5/13/2008
LCPC 13CF - Computation of Executor/Administrator Commission 11/29/2007
LCPC 13D - Sworn Statement in Lieu of Account  TBD
LCPC 13E - Judgement Entry Approving Sworn Statement in Lieu of Account 12/18/2012
LCPC 13G - Bond Release TBD
LCPC 15.81 - Bank Certification TBD
SC 24.0 - Representation of Insolvency 1/1/2012
SC 24.1 - Judgment Entry Setting Hearing and Ordering Notice 1/1/2012
SC 24.2 - Notice of Hearing on Representation of Insolvency and Schedule of Claims 1/1/2012
SC 24.3 - Verification of Service Notice of Hearing on Representation of Insolvency
and Schedule of Claims
1/1/2012
SC 24.4 - Schedule of Claims 1/1/2012
SC 24.5 - Continuation Schedule of Claims 1/1/2012
SC 24.6 - Judgment Entry of Insolvency 1/1/2012
LCPC 27.1 - Application for Directions on Disposition of Unclaimed Funds TBD
LCPC 27.2 - Judgment Entry Directing Payment of Unclaimed Funds Into County Treasury TBD
LCPC 27.3 - Judgment Entry Authorizing Investment of Unclaimed Funds TBD
LCPC 27.4 - Memorandum of Investment TBD
SC 29.0 - Application to Release Medical Records and Medical Billing Records 5/1/2021
SC 29.1 - Entry Authorizing Release of Medical Records and Medical Billing Records 5/1/2021
SC 29.2 - Report on Receipt of Medical Records and Medical Billing Records 5/1/2021
SC 29.3 - Notice of Application to Release Medical Records and Medical Billing Records 5/1/2021
SC 29.4 - Waiver of Notice / Consent 5/1/2021
LCPC 45D - Confidential Disclosure of Personal Identifiers TBD
LCPC 78.2-D - Motion to Abandon Real Property 5/15/21
LCPC 78.9B -  Estate Notice of Hearing 5/15/21
LCPC 78.9-C - Entry of Appearance, Waiver of Notice of Hearing and Consent to Abandon Real Property 5/15/21

LCPC 78.9D - Order Abandoning Real Property

12/21/21
LCPC ARF - Application to Release Funds 10/20/2017
LCPC ASP - Afiidavit in Support of Publication TBD
LCPC ARD - Application for Right of Disposition TBD
LCPC - Affidavit in Proof of Service 3/13/2017
LCPC OARD - Order Assigning Right of Disposition TBD
LCPC OFP - Order for Publication TBD
LCPC WRD - Waiver of Right of Disposition TBD
LCPC RRCPF - Release for Record Check on Proposed Fiduciary  TBD
LCPC - Status Report TBD

Guardianship & Conservatorship Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Conservator's Account Packet (Forms include: 15.8, 15.81, 15.8A, 45D) TBD
LCPC - Conservator's Packet (Forms include: 20.0, 15A, 15.0, RRCPF, 15.01, 20.1, 15.2, 15.9, 20.2) TBD
LCPC - Guardian's Account Packet (Forms include: 15.8, 15.8GCL, 15.81, 17-AFF, 15.8A, 15.8B) TBD
LCPC - Guardian's Annual Report & Plan (person only) Packet (Forms include: 17.7, 27.7 17.1, Medicaid Letter) TBD
LCPC - Guardian's Annual Report & Plan (person & estate) Packet (Forms include: 17.7, 27.7, 27.8, 17.1, Medicaid Letter) TBD
LCPC - Guardianship of an Incompetent (Forms include: 17.0, 17.1, 15A, 15.0, 15.1, RRCPF, 15.3, 15.01, 17.3, 17.4, 15.2, 15.9, 17.5, 15.4, 66.05) 1/1/2023
LCPC - Guardianship of a Minor (Forms include: 16.0, 15A, 15.0, 15.1, 16.1, 16.2, RRCPF, 15.01, 16.3, 16.4, 15.2, 15.9, 16.5, 15.4, 66.05) 6/10/2021
   
Individual Forms: Effective Date:
LCPC AGPDS - Application of Guardian to Provide Direct Services to Ward 1/21/2021
LCPC AWT - Application for Waiver of Guardian Fundamentals Training Requirement 10/1/2015
LCPC 3.0A - Appointment of Appraiser 7/21/2022
LCPC 1AM - New Case Information Sheet TBD
LCPC 11.1 - Consent to Power to Sell Real Estate TBD
LCPC 11.2 - Guardianship Appointment of Appraiser 8/1/2018
LCPC 13G - Bond Release TBD
LCPC 15A - Supplemental Guardianship / Conservatorship Information 5/13/2008
SC 15.0 - Next of Kin of Proposed Ward  9/1/1991
SC 15.01 - Judgment Entry Setting Hearing on Application for Appointment of Guardian 9/1/1991
SC 15.1 - Waiver of Notice and Consent TBD
SC 15.2 - Fiduciary's Acceptance – Guardian 3/15/2016
SC 15.3 - Guardian's Bond 3/15/2016
SC 15.4 - Letters of Guardianship 9/1/1991
SC 15.5 - Guardian's Inventory 9/1/1991
SC 15.6 - Application to Release Funds to Guardian 9/1/1991
SC 15.7 - Application for Authority to Expend Funds 9/1/1991
SC 15.8 - Guardian's Account 3/1/1996
LCPC 15.8GCL - Guardians Estate Attorney/Guardian Checklist TBD
LCPC 15.81 - Bank Certificate TBD
LCPC 15.8A - Orders on Approval and Settlement of Account Current TBD
LCPC 15.8B - Orders on Approval and Settlement of Final and Distributive Account TBD
SC 15.9 - Oath of Guardian 3/1/2008
SC 16.0 - Application for Appointment of Guardian of Minor 9/1/1991
LCPC 16A - Entry Dispensing with Appointment of Guardian and Ordering Deposit 8/18/2017
LCPC 16B - Verification of Receipt and Deposit TBD
LCPC 16 PDAPP - Application to Pay or Deliver Estate of Minor without Appointment of Guardian 6/24/2021
SC 16.1 - Affidavit 3/1/2008
SC 16.2 - Selection of Guardian by Minor over Fourteen Years of Age 9/1/1991
SC 16.3 - Notice of Hearing for Appointment of Guardian of Minor (To Minor Over Age 14)  3/15/2016
SC 16.4 - Notice of Hearing on Application for Appointment Guardian of Minor to Parent,
Known Next of Kin and Person Having Custody
3/15/2016
SC 16.5 - Judgment Entry Appointment of Guardian of Minor 9/1/1991
SC 17.0 - Application for Appointment of Guardian (an Alleged Incompetent) 1/1/2013
LCPC 17 AFF - Affidavit Concerning Investments TBD
LCPC17 ACLPW - Application to Commence Legal Proceedings for Ward TBD
LCPC17 CGE - Application to Close Guardianship of the Estate TBD
LCPC17 NCPI - Notification of Change in Personal Information TBD
SC 17.1 - Statement of Expert Evaluation 1/1/2023
LCPC 17.1 C1 - Motion to Dispense with New Statement of Expert Evaluation & Allow Copy and Order 8/18/2022
LCPC 17.1 C2 - Motion to Dispense with Appointment of Court Investigator & New Investigator's Report 8/18/2022
LCPC 17.1D - Motion & Order to Dispense with Subsequent Statements of Expert Evaluation TBD
SC 17.3 - Notice to Prospective Ward of Application and Hearing 9/1/1991
SC 17.4 - Notice of Hearing for Appointment of Guardian of Alleged Incompetent Person 3/15/2016
SC 17.5 - Judgment Entry Appointment of Guardian for Incompetent Person 3/1/2017
LCPC 17.66 - Application of Guardian to Provide Direct Services to Ward 4/9/2021
SC 17.7 - Guardian's Report 3/1/2017
SC 17.8 - Court Investigator's Report on Proposed Guardianship  
LCPC 20.0 - Application for Appointment of Conservator 9/1/1991
LCPC 20.1 - Judgment Entry - Appointment of Conservator TBD
LCPC 20.2 - Letters of Conservatorship 9/1/1991
SC 22.5 - Application to Settle a Claim of an Adult Ward TBD
SC 22.6 - Entry Approving Settlement of a Claim of an Adult Ward TBD
SC 22.7 - Report of Distribution TBD
SC 23.0 - Petition for Protective Services 5/1/2021
SC 23.1 - Notice of Petition for Court Ordered Protective Services 5/1/2021
SC 23.2 - Petition for Emergency Protective Services 5/1/2021
SC 23.3 - Notice of Petition for Court Ordered Protective Services on an Emergency Basis 5/1/2021
SC 23.4 - Petition for Temporary Restraining Order to Prevent Interference with Investigation of Reported Abuse of an Adult 5/1/2021
SC 23.6 - Petition for Temporary Restraining Order to Prevent Interference with the Provision of Protective Services to an Adult 5/1/2021
SC 23.7 - Notice of Hearing on Petition for Temporary Restraining Order to Prevent Interference with the Provision of Services 5/1/2021
SC 27.0 - Notice to Guardian - Submission of Comments or Complaints 3/1/2017
SC 27.1 - Notice to Guardian and Maker of Comments or Complaints - Disposition of Comments or Complaints 3/1/2017
SC 27.2 - Notification of Compliance with Guardian Education Requirements 3/1/2017
SC 27.3 - Notice of/Application for Change of Address 3/1/2017
SC 27.4 - Entry on Application to Change Address of the Ward 3/1/2017
SC 27.5 - Annual Registration Guardian with Ten or More Wards 3/1/2017
SC 27.6 - Annual Fee Schedule 3/1/2017
SC 27.7 - Annual Guardianship Plan - Person 5/1/2021
SC 27.8 - Annual Guardianship Plan - Estate 3/1/2017
SC 27.9 - Application to Terminate Guardianship 3/1/2017
SC 27.10 - Notification of Guardian's Receipt of Fees Other Than Through Guardianship 3/1/2017
SC 27.11 - Notification of Ward's Important Legal Papers 3/1/2017
SC 27.12 - Guardian Receipt 3/1/2017
SC 66.05 - Affidavit of Attorney Guardian Applicant TBD
LCPC ARF - Application to Release Funds 10/20/2017
LCPC - Medicaid Letter TBD

 

Marriage License Forms

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Form Name Effective Date
LCPC - Instructions for Application to Amend Marriage License and Application to Amend TBD
LCPC - Application to Amend Marriage Record TBD
LCPC - Inmate Information Requirements TBD
LCPC - Marriage Packet Letter & Officiant Notice TBD
LCPC - Offsite Application Requirements TBD
   
   

 

Mental Health Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
   
   
Individual Forms: Effective Date:
Mental Health Face Sheet 11/1/17

Minor Settlement Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - MINOR SETTLEMENT PACKET (includes forms: 1AM, MST22-MSP, 22.0, 22.1, 22.2, 16-A, 16-B, 22.4) 1/1/2023
   
Individual Forms: Effective Date:
LCPC 1AM - New Case Information Sheet TBD
LCPC 16A - Entry Dispensing with Appointment of Guardian and Ordering Deposit 8/18/2017
SC 22.0 - Application to Settle a Minor's Claim and Entry Setting Hearing 1/1/2023
LCPC 22 MSP - Minor Settlement Proposal TBD
SC 22.1 - Waiver and Consent to Settle Minor's Claim 4/1/1997
SC 22.2 - Entry Approving Settlement of a Minor's Claim 1/1/2023
SC 22.3 - Verification of Receipt and Deposit 4/1/1997
SC 22.4 - Report of Distribution Minor's Claim 1/1/2023
LCPC 45D - Confidential Disclosure of Personal Identifiers 9/1/2011
LCPC ARF - Application to Release Funds 10/20/2017

Name Change Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
Conforming a Legal Name of a Minor Packet - (Includes forms Checklist, 1AM,21.9, 21.09, 21.10, 21.11, 21.12, 21.13) 1/1/2023
Conforming a Legal Name of an Adult Packet - (Includes forms Checklist, 1AM, 21.7, 21.07, 21.03, 21.8,21.4 RRCPF) 1/1/2023
Name Change of Adult Packet - (Includes forms Checklist, 1AM, 21.0, 21.01, 21.1,21.4 RRCPF) 1/1/2023
Name Change of Minor Packet - (Includes forms Checklist, 1AM, 21.2, 21.4, 21.02, 21.3, 21.03, 21.5) 1/1/2023
   
Individual Forms: Effective Date:
Conforming a Legal Name of a Minor Checklist 8/17/2021
Conforming a Legal Name of an Adult Checklist 8/17/2021
Name Change of Adult Checklist 8/17/2021
Name Change of Minor Checklist 8/17/2021
21.0 - Application for Change of Name of Adult 1/1/2023
21.01 - Affidavit in Support of Application for Change of Name of Adult 1/1/2023
21.02 -  Affidavit in Support of Application for Change of Name of Minor 1/1/2023
21.03 - Judgment Entry Setting Hearing and Ordering Notice 1/1/2023
21.07 - Affidavit in Support of Application to Conform Legal Name of Adult 1/1/2023
21.09 - Affidavit in Support of Application to Conform Legal Name of Minor 1/1/2023
21.1 - Judgment Entry Changing Name of Adult 1/1/2023
21.2 - Application for Change of Name of Minor 1/1/2023
21.3 - Judgment Entry Changing Name of Minor 1/1/2023
21.4 - Waiver of Notice of Hearing and Consent to Change of Name of Minor 1/1/2023
21.5 - Notice of Hearing on Change of Name 1/1/2023
21.6 - Application to Waive Publication Requirement and Seal File and Judgment Entry (Minor) 1/1/2023
21.6A - Application to Waive Publication and Seal File (Adult) 1/1/2023
21.6B - Application to Waive Publication and Seal File (Conform) 1/1/2023
21.7 - Application to Conform Legal Name of Adult 1/1/2023
21.8 - Judgment Entry Conforming Legal Name of Adult 1/1/2023
21.9 - Application to Conform Legal Name of Minor 1/1/2023
21.10 - Judgment Entry Conforming Legal Name of Minor 1/1/2023
21.11 - Judgment Entry Setting Hearing and Ordering Notice 1/1/2023
21.12 - Notice of Hearing on Conforming Legal Name 1/1/2023
21.13 - Consent to Name Conformity 1/1/2023
21.14 Release for Criminal Background Check 1/1/2023
LCPC ARF - Application to Release Funds 10/20/2017
LCPC 1AM - New Case Information Sheet TBD
LCPC 21 INFO - Name Change Information Sheet TBD
LCPC 21 NAAU - Notice and Affidavit: Address Unknown TBD
LCPC 21-NAFU - Notice and Affidavit: Father Unknown TBD
LCPC 21.2A - Application for Change of Name of Minor - With Consents 1/2/2019
LCPC 21.4A - Consent to Change of Name 11/17/2016
LCPC RRCPF - Release for Record Check on Proposed Fiduciary TBD

 

Records Forms

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Form Name Effective Date
LCPC - Application for Certified Copies (Ohio Department of Health) TBD
LCPC - Certified Copy Request Form TBD
LCPC - Copy File Request Form TBD

 

Registration & Correction of Birth Forms

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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Correction of Birth Record Packet 8/17/2021
LCPC - Registration of Birth (Delayed) Packet 8/17/2021
LCPC  - Adult Gender Marker Packet TBD
LCPC  - Child Gender Marker Packet TBD
Individual Forms: Effective Date:
LCPC 1AM - New Case Information Sheet TBD
LCPC 45D - Confidential Disclosure of Personal Identifiers 9/1/2011
LCPC COBR - GM - Checklist - Changing a Gender Marker on an Ohio Birth Record 7/23/2021
LCPC COBR - GM - Affidavit Regarding Birth Record Change  7/23/2021
LCPC COBR - GM - Application / Order to Restrict Public Access to Records 7/23/2021
LCPC COBR - GM - Application to Change Gender Marker on Birth Record 7/23/2021
LCPC COBR - GM - Consent of Parents or Guardians 7/23/2021
LCPC COBR - GM - Licensed Professional Statement Regarding Birth Record Change 7/23/2021
LCPC COBR - GM - Order to Change Gender Marker on Birth Record 7/23/2021

 

Trust Forms

Errors can occur when filling out forms using a web browser. 
Please use the program Adobe Acrobat Reader for filling out forms.

Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Trust Account Packet (includes forms 1AM, 25.5A, 25.5B, 25.5C,25.5D, 15.81, 45D) TBD
LCPC - Trust Packet (includes forms 1AM, 25.0, RRCPF, 25.1, 25.2,25.3) TBD
   
Individual Forms: Effective Date:
LCPC 1AM - New Case Information Sheet TBD
LCPC 3.0A - Appointment of Appraiser 7/21/2022
LCPC 13 CFC - Computation of Corporate Fiduciary Compensation 4/25/2006
LCPC 13 TCR - Computation of Trustee's Compensation 4/25/2006
LCPC 15.81 - Bank Certificate TBD
LCPC 25.0 - Application for Appointment of Trustee 9/24/2002
LCPC 25.1 - Trustee's Acceptance 9/24/2002
LCPC 25.2 - Trustee's Bond 9/24/2002
LCPC 25.3 - Entry Appointing Trustee; Letters of Authority 9/24/2002
LCPC 25.4 - Trustee's Inventory 9/24/2002
LCPC 25.5A - Trustee's Account TBD
LCPC 25.5B - Extra page - Recap - Assets Remaining in Fiduciary's Hands (pg 2 of Trustee's Account Form) 9/24/2002
LCPC 25.5C - Receipts and Disbursements TBD
LCPC 25.5D - Entry Approving and Settling Account TBD
LCPC 26.0 - Application for Authority to Expend Funds TBD
LCPC 45D - Confidential Disclosure of Personal Identifiers TBD
LCPC AFF - Affidavit Concerning Investments TBD
LCPC ARF - Application to Release Funds 10/20/2017

 

Wrongful Death Forms

Errors can occur when filling out forms using a web browser. 
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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
Effective Date:
LCPC - Wrongful Death Settlement Packet (Forms include: Proposal, 14.0, 14.1, 14.2, 14.3,) 1/1/2015
   
Form Name Effective Date
LCPC - Proposal for Wrongful Death Settlement TBD
LCPC - Affidavit in Proof of Service 3/13/2017
SC 14.0 - Application to Approve Settlement and Distribution of Wrongful Death and Survival Claims 1/1/2015
SC 14.1 - Waiver and Consent Wrongful Death and Survival Claims 4/1/1997
LCPC 14.2A - Entry Approving Settlement and Distribution of Wrongful Death and Survival Claims 8/25/2015
LCPC14.3A - Report of Distribution of Wrongful Death and Survival Claims 8/25/2015
LCPC 14.4 - Notice of Wrongful Death Claim TBD
LCPC 14.5 - Verfication of Fiduciary TBD
LCPC 45D - Confidential Disclosure of Personal Identifiers 9/1/2011