Waiver And Consent To Settle Minor'S Claim
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1PROBATE COURT OF __________________ COUNTY, OHIO
IN THE MATTER OF ___________________________________________________
CASE NO. ___________________
WAIVER AND CONSENT TO SETTLE MINOR'S CLAIM
The undersigned, waive all claims for damages on account of loss of services of said minor, waive notice of
the hearing, and consent to and approve the Form 22.0, Application To Settle Minor's Claim, a copy of
which is attached hereto.
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Typed or Printed Name
Typed or Printed Name
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FORM 22.1 - WAIVER AND CONSENT TO SETTLE MINOR'S CLAIM
4/1/97
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