Fill and Sign the Grandparent Visitation Rights in Ohio Legislative Service Form

IN THE COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION ________________ COUNTY, OHIO _____________________________ Petitioner(Name of Petitioner)V. CAUSE NO. _____________________________________________ Respondent(Name of Respondent) PETITION FOR GRANDPARENT VISITATION PRIVILEGES COMES NOW the Petitioner, ____________________________ (Name of Petitioner), pursuant to O.R.C. § 3109.11, and respectfully requests the Court to grant me Grandparent Visitation Privileges. The grounds for my request are as follows: 1. Petitioner is an adult resident citizen of _______________________________________ __________________ (city, county, state). 2. Petitioner is the (e.g., Grandfather) __________________ of _____________________ (Name of Grandchild) , the minor child (the Child ) for whom visitation is requested. 3. The only surviving parent of the Child is the Respondent who is an adult resident citizen of, and resides at, ________________________________________________________ __________________ (street address, city, county, state, zip code). 4. The Father of the Child , who was also Petitioner’s son, was _____________________ (Name) who resided at _________________________________________________________ ___________________ (street address, city, county, state, zip code), and departed this life on the _____ day of ________________, 20____. _____________________________ (Name of Father) and the Respondent, the Mother of the Child, were never married. WHEREFORE, Petitioner requests that the Court order the following:1. Reasonable permanent visitation privileges to the Petitioner ; 2.Reasonable temporary visitation privileges to the Petitioner until the final decision is made; and3. Such other and further relief as the Court deems appropriate. Signature of Petitioner ___________________________Print Name ___________________________ Print Address ___________________________Print City/State/Zip ___________________________PrintTelephone No. STATE OF OHIO ) ) SS . COUNTY OF ) I, ________________________________ (Name of Petitioner), the Petitioner, being first duly sworn upon my oath, depose and state that I am the Petitioner in the above-entitled cause. I have read the attached Petition for Grandparent Visitation Privileges. I state that the contents thereof are true and correct as therein state. (Signature of Petitioner) Sworn to before me this _ day of , 20____. My Commission expires: Notary Public Remember: It is your obligation to promptly mail or serve a copy to the other party.