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Request for Case Management Modification
Request for Case Management Modification
First Name:
*
Last Name:
*
Case Number:
*
I am the:
Petitioner
Respondent
Current Phone Number:
*
Is this phone number
CONFIDENTIAL
:
Yes
No
*
Email Address:
*
Do you or the other party need an interpreter?
Yes
No
*
If yes, what language?
Why are you requesting Case Management?
Modification of Communication/Contact
Modification of Custody/Parenting Time
Other
*
Other issue(s) to be addressed:
Has a Motion to Modify or Terminate a Civil Protection Order or Consent Agreement been filed?
Yes
No
*
Do you have minor children together?
Yes
No
*
Name and birth dates of minor child(ren) you and the other party have in common listed in this case:
Please list the contact information for the other party:
Phone:
(If you do not know the other parties phone number due to it being confidential please call one of the case managers at 216-698-4359 to discuss participation in the Case Management Modification Services program.)
*
Email, if applicable:
What days and times work best with your schedule? Click all that apply.
Afternoon (12:30-4:00)
Morning (8:30-12:30)
*
By submitting this form you are authorizing the Court to contact the other party (Respondent or Petitioner) regarding your request for Case Management Modification services and what you are requesting to be modified. By submitting this form you acknowledge that Case Management Modification services are voluntary by both parties and said services may be denied by the court for any reason.
1 W. Lakeside Ave., Cleveland, OH 44113
|
(216) 443-8800
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