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SAVE AS
IN THE COURT OF COMMON PLEAS, FRANKLIN COUNTY, OHIO
DIVISION OF DOMESTIC RELATIONS AND JUVENILE BRANCH
IN THE MATTER OF:
__________________________________
___________________________________
PLAINTIFF/PETITIONER
CASE NO. _________________________
v.
JUDGE ___________________________
____________________________________
MAGISTRATE ____________________
DEFENDANT/RESPONDENT
ENTRY/MAGISTRATE'S ORDER FOR HOME INVESTIGATION, RECORDS, DRUG TESTING
AND ACCESS TO CHILD FOR FAMILY ASSESSMENT INVESTIGATION
This matter came on for hearing pursuant to a
COMPLAINT
MOTION(S) filed _____________.
For good cause shown, it is ORDERED that the parties listed below shall participate in an investigation pursuant to Local
Domestic Court Rule 7/Local Juvenile Court Rule 5(C). In order to aid in the completion of the home investigation, the parties
to this case, as listed below, shall comply with this order as indicated.
Name: ____________________________________
Name: ____________________________________
Address:___________________________________
Address: __________________________________
___________________________________
___________________________________
Telephone: ________________________________
Telephone: _________________________________
Name: __________________________________
Name: _____________________________________
Address: ________________________________
Address: ___________________________________
_________________________________
____________________________________
Telephone: ______________________________
Telephone: _________________________________
This order pertains to the following child(ren):
Name: _______________________________
Name: ____________________________________
DOB: __________________________
DOB: ______________________________
Name: _______________________________
Name: ____________________________________
DOB: ____________________________
DOB: _______________________________
Each party listed herein
Mother/Father
Other ____________________ shall submit to a
hair follicle or
urine drug test within 24 hours of a request by the Family Assessment investigator at American Court Services, 326 S. High
Street, Columbus, Ohio 43215, (740) 687-6156.
Each party
Mother/Father
Other _______________ shall pay
the cost of the test and shall release his or her test results to the Family Assessment Department. Any drug screen request
made by the Family Assessment investigator pursuant to this provision is in addition to any other orders made by the Court
regarding drug or alcohol testing, unless otherwise noted herein.
Upon presentation of a copy of this order, the Family Assessment investigator assigned to this case shall be
granted reasonable access to the child at school or in placement without obtaining the consent of the child’s
parent, guardian or custodian.
The child(ren) currently attend(s) _________________________________
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