COURT OF COMMON PLEAS
DIVISION OF DOMESTIC RELATIONS
HAMILTON COUNTY, OHIO
Case No.
:
Petitioner
:
Judge
Address
:
:
City, State, Zip Code
MOTION TO MODIFY OR TERMINATE DOMESTIC
v.
:
VIOLENCE CIVIL PROTECTION ORDER OR CONSENT
AGREEMENT
Respondent
:
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:
Address
:
City, State, Zip Code
Petitioner/Respondent moves this Court to modify or terminate the Domestic Violence Civil Protection Order
or Consent Agreement issued on
. In the original proceeding,
I was the
Petitioner
Respondent.
1. The terms of the civil protection order or consent agreement to be modified or terminated are:
2. The reasons for the modification or termination are:
3. Court fees cannot be assessed against the Petitioner for filing a Motion to Modify or Terminate Domestic
Violence Civil Protection Order or Consent Agreement, which is in connection with a previously issued
protection order or approved consent agreement.
Respectfully submitted,
SIGNATURE OF PETITIONER/RESPONDENT
FORM 10.01-K: MOTION TO MODIFY OR TERMINATE DOMESTIC VIOLENCE CIVIL PROTECTION ORDER OR CONSENT AGREEMENT
Effective Date: March 1, 2014
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