Judge Terre L. Vandervoort
FAIRFIELD COUNTY, OHIO
Juvenile and Probate Court of Fairfield County, Ohio
Fairfield County Juvenile/Probate Court, Lancaster, Ohio
Fairfield County
Juvenile/Probate Court:  Probate Forms
General Forms
- contmotp - Continuance Motion & Entry

Adoption Forms

Items not provided by the Court
Items available at the Court but not online
General Forms
- contmotp - Continuance Motion & Entry
- 18.6 - Final Decree of Adoption

Adoptions: / Adoption Procedures
Adult
At time of initial filing
- 19.0 - Petition for Adoption of Adult
- Certified copy of birth certificate from appropriate agency

- 18.3 - Consent to Adoption
- HEA 2757 - ODH Vital Statistics Certificate of Adoption
- Adoption of Local Rule 66 Guardianships

Agency

At time of initial filing
- 18.0 - Petition for Adoption of Minor
- Certified copy of birth certificate

- 18.3 - Consent to Adoption
- HEA 2757 - ODH Vital Statistics Certificate of Adoption
- Certified copy of Judgment Entry giving permanent custody

- Certified copy of Judgment Entry terminating parental rights

- 18.9 - Petitioner's Account
Prior to hearing
- Homestudy, etc. from agency - each agency has their own forms to be filed

- 18.7 - Final Decree of Adoption (without Interlocutory Order)
- 18.8 - Adoption Certificate for Parents
- affpubad - Affidavit for Service by Publication
- DHS 1679 Request for Notification


Foreign/International

At time of initial filing - no hearing required
Foreign Adoption Information Sheet
- fpetition - Petition of Foreign Adoption
- English (or translated and notarized) copies of:
   birth certificate, adoption filings from foreign country, finalization of adoption

- HEA 2757 - ODH Vital Statistics Certificate of Adoption

Interstate Adoption - with Interstate Compact
At time of initial filing
- Interstate Compact Transmittal filings

- 18.0 - Petition to Adopt a Minor Child
- 18.3 - Consent to Adoption
- 18.9 - Petitioner's Account
- Certified copy of Birth Certificate

- Certified copy of Judgment Entry giving permanent custody
(if not biological parent)

Vital Statistics Certificate of Adoption from the birth state - include address
Prior to final hearing
- 18.7 - Final Decree of Adoption (without Interlocutory Order)
- 18.8 - Adoption Certificate for Parents
- 18.9 - Petitioner's Account
- affpubad - Affidavit for Service by Publication

Interstate -- Consent Only - with Interstate Compact Adoptee born here and being adopted in another state (consent hearing only)
At time of initial filing
- 19.2 - Application for Approval of Placement
- 19.2E - Judgment Entry for Biological Parent on Placement of Child
- 19.11 - Order of Release
- 18.3 - Consent(s) - to be signed at the hearing
- 19.3 - Written Statement of Natural Parent - to be signed at the hearing
- affpubad - Affidavit for Service by Publication

Miscellaneous Forms
- DHS 1694 Putative Father Registry Registration Form

   (available at www.jfs.ohio.gov/pfr/)
- DHS 1695 Application for Search of Ohio Putative Father Registry

   (available at www.jfs.ohio.gov/pfr/)
- HEA 2709 Application for Certified Copies of Birth Certificate

   (attorney or petitioners to complete and send to Ohio Vital Statistics, if child was born in Ohio)
   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 2780 Authorization for Release - Sibling

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 2775 Withdrawal of Authorization for Release - Sibling

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 2774 Authorization for Release - Parent

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 2779 Withdrawal of Authorization for Release - Parent

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 2758 Denial of Release for Birth Parent

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 3035 Authorization of Release Form for Birth Parent

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 3036 Request for Assistance by Adopted Person

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)
- HEA 3037 Rescission of Request for Assistance by Adopted Person

   (available at www.odh.ohio.gov/vitalstatistics/vitalstats.aspx)

Private - Biological Parents
(Placement forms are in the process of being revised)
At time of initial filing of Consent hearing for biological parents
- Certified copy of the birth certificate

  
if available and the address of the Bureau of Vital Statistics  when the child is born in a state other than Ohio
- 19.2 - Application for Approval of Placement
- 19.20E - Judgment Entry Setting Hearing and Ordering Notice for Placement
- 19.2E - Judgment Entry for Biological Parent on Placement of Child
- 19.11 - Order of Release
- 19.13 - Written Statement of Natural Parent - to be signed at the hearing
- 18.3 - Consents - to be signed at the hearing

Private - Prospective Adoptive Parents
Prior to placement hearing for adoptive parents
- preplaapp - Application & Affidavit for Preplacement Approval
- 19.4 - Application for Placement of a Child to be Adopted
- 19.4E - Judgment Entry for Prospective Adoptive Parents on Placement of Child
- HEA 2757 - ODH Vital Statistics Certificate of Adoption
Prior to final hearing being set
- 18.0 - Petition for Adoption of Minor
- 18.9 - Petitioner's Account
- DHS 1697 Ohio Putative Father Registry Certificate
(when applicable)
Prior to final hearing
- 18.7 - Final Decree of Adoption (without Interlocutory Order)
- 18.8 - Adoption Certificate for Parents
- 18.9 - Petitioner's Final Account - when applicable

Stepparent and Grandparent
At time of initial filing

- 18.0 - Petition for Adoption of Minor
- Certified copy of birth certificate

- 18.3 - Consent to Adoption (of the custodial birth parent)
- 18.3 - Consent to Adoption (if possible of the non-custodial birth parent)
- 18.9 - Petitioner's Account (required for Grandparents)
- HEA 2757 - ODH Vital Statistics Certificate of Adoption
   DHS 1697 OH Putative Father Registry Certificate
(when applicable)
   Establishment of paternity (when father's name is not listed on the birth
   certificate and the Ohio Putative Father's Registry does not apply)
Prior to hearing
- 18.4 - Judgment Entry Finding Consent Not Required (if applicable)
- 18.7 - Final Decree of Adoption (without Interlocutory Order)
- 18.8 - Adoption Certificate for Parents
   Certificate of Adoption or Vital Statistics form and address from State where child was born if not born Ohio
- DHS 1679 Request for Notification


Release of Adoption Information
   raiinfo - Request for Copy of Adoption Documents Information Sheet
- 40.0 - Petition for Release of Information
- 40.1 - Affidavit of Adopted Person
- 40.1E - Order to Department of Health
- 40.2E - Order Appointing Agency
- 40.0E - Order Granting Petition
- 40.4 - Request for Copy of Adoption Documents & Entry

Correction of Birth Certificate:
Correction of Birth Record

Estate - Wills

Items not provided by the Court
Items available at the Court but not online
Estates:
Admit Will
- 2.0 - Application to Probate Will
- 1.0 - Surviving Spouse, Next of Kin, Legatees and Devisees
- 2.1 - Waiver of Notice of Probate of Will
- 2.2 - Notice of Probate of Will
- 2.3 - Entry Admitting Will to Probate
- 2.4 - Certificate of Service of Notice of Probate of Will
- 8.1 - Election of Surviving Spouse to Take Under Will
- 45D - Confidential Disclosure of Personal Identifiers

Ancillary Administration
- 129.B-129.BE - Application to Admit to Record Authenticated Copy of Will + Entry
- 1.0 - Surviving Spouse, Next of Kin, Legatees and Devisees
- 4.0 - Application for Authority to Administer Estate
- 4.1 - Supplemental Application for Ancillary Administration
- 4.2 - Fiduciary's Bond
- 4.3 - Waiver of Right to Administer
- 4.4 - Notice and Citation of Hearing on Appointment of Fiduciary
- 4.5 - Entry Approving Fiduciary; Letters of Authority
- 3.0 - Appointment of Appraiser
- 9.C - Application for Transfer of Motor Vehicle
- 8.1 - Election of Surviving Spouse to Take Under Will
- 8.2 - Election of Surviving Spouse to Take Against Will
- 6.0 - Inventory and Appraisal
- 6.1 - Schedule of Assets
- 10.0 - Application to Distribute in Kind
- 11.0 - Consent to Power to Sell Real Estate
- 12.0 - Application for Certificate of Transfer
- 12.1 - Certificate of Transfer
- 13.0 - Fiduciary's Account
- 13.1 - Receipts and Disbursements
- 13.2 - Assets Remaining in Fiduciary's Hands
- 13.9 - Certificate of Service of Account to Heirs or Beneficiaries
- 45D - Confidential Disclosure of Personal Identifiers

Authenticate Will
- 129.B-129.BE - Application to Admit to Record Authenticated Copy of Will + Entry
- 45D - Confidential Disclosure of Personal Identifiers

Foreign Will
- 129.B129.BE - Application to Admit to Record Authenticated Copy of Will + Entry
- 45D - Confidential Disclosure of Personal Identifiers

Full Administration
- 71.2 - Consent to Payment of Attorney Fees
fulladmn - Full Administration With Will Information Sheet
- 2.0 - Application to Probate Will
- 1.0 - Surviving Spouse, Next of Kin, Legatees and Devisees
- 2.1 - Waiver of Notice of Probate of Will
- 2.2 - Notice of Probate of Will
- 2.3 - Entry Admitting Will to Probate
- 2.4 - Certificate of Service of Notice of Probate of Will
- 4.0 - Application for Authority to Administer Estate
- 4.2 - Fiduciary's Bond
- 4.3 - Waiver of Right to Administer
- 4.5 - Entry Approving Fiduciary; Letters of Authority
- 7.0 - Notice of Administrator of Estate Recovery Program
- 3.0 - Appointment of Appraiser
- 8.1 - Election of Surviving Spouse to Take Under Will
- 8.6 - Waiver of Service to Surviving Spouse of the Citation to Elect
- 6.0 - Inventory and Appraisal
- 6.1 - Schedule of Assets
- 9.C - Application for Transfer of Motor Vehicle
- 9.0 - Application to Sell Personal Property
- 9.0E - Entry Authorizing Sale of Personal Property
- 9.1 - Notice of Sale of Personal Property
- 9.3 - Order of Public Sale of Personal Property
- 9.4 - Order of Private Sale of Personal Property
- 9.5 - Entry Confirming Sale of Personal Property
- 10.0 - Application to Distribute in Kind
- 11.0 - Consent to Power to Sell Real Estate
- 12.0 - Application for Certificate of Transfer
- 12.1 - Certificate of Transfer
- 13.0 - Fiduciary's Account
- 13.1 - Receipts and Disbursements
- 13.2 - Assets Remaining in Fiduciary's Hands
- 13.5 - Notice of Hearing on Account
- 13.7A - Waiver of Notice of Hearing and Consent to Account
- 13.9 - Certificate of Service of Account to Heirs or Beneficiaries
- 39L - Report of Newly Discovered Assets
- 10.4A - Notice of Distributee
- 13.4 - Waiver of Partial Account
- 13.6 - Certificate of Termination
- 13.8 - Application to Extend Administration
- 13.10 - Notice to Extend Administration
- 24.0 - Representation of Insolvency
- 24.1 - Judgement Entry Setting Hearing and Ordering Notice (Insolvency)
- 24.2 - Notice of Hearing on Representation of Insolvency and Schedule of Claims
- 24.3 - Verification of Service on Notice of Hearing
- 24.4 - Insolvency Schedule of Claims
- 24.5 - Continuation Insolvency Schedule of Claims
- 24.6 - Judgment Entry of Insolvency
- 24.7 - Waiver of Hearing on Report of Insolvency
- 45D - Confidential Disclosure of Personal Identifiers

Release of Administration
- 2.0 - Application to Probate Will
- 1.0 - Surviving Spouse, Next of Kin, Legatees and Devisees
- 2.1 - Waiver of Notice of Probate of Will
- 2.2 - Notice of Probate of Will
- 2.3 - Entry Admitting Will to Probate
- 2.4 - Certificate of Service of Notice of Probate of Will
- 8.1 - Election of Surviving Spouse to Take Under Will
- 5.0 - Application to Relieve Estate from Administration
- 5.0A - Application for Short Form Release of Administration
- 5.1 - Assets and Liabilities of Estate to be Relieved from Administration
- 5.2 - Waiver of Notice of Application to Relieve Estate from Administration
- 5.3 - Notice of Application to Relieve Estate from Administration
- 5.6 - Entry Relieving Estate from Administration
- 5.9 - Report of Distribution - Release from Administration
- 5.10 - Application for Summary Release from Administration
- 5.11 - Entry Granting Summary Release from Administration
- 45D - Confidential Disclosure of Personal Identifiers

Summary Release from Administration
- 5.10 - Application for Summary Release from Administration
- 5.11 - Entry Granting Summary Release from Administration
- 1.0 - Surviving Spouse, Next of Kin, Legatees and Devisees
- 45D - Confidential Disclosure of Personal Identifiers

Guardianship

Items not provided by the Court
Items available at the Court but not online
Conservatorship
- 20.0 - Application for Appointment of Conservator
- 15.0 - Next of Kin of Proposed Conservatee
- 15.1 - Waiver of Notice and Consent
- 20.4 - Affidavit of Indigency
- 20.5 - Judgement Entry Approving Counsel for Indigent Person
- 1.E - Orders for Hearing and for Notice
- 15.2 - Fiduciary's Acceptance - Conservator
- 15.2-PO - Fiduciary's Acceptance - Guardian (person only)
- 20.6 - Oath of Conservator
- 15.3 - Conservator's Bond
- 20.1 - Judgement Entry Appointment of Conservator
- 20.2 - Letters of Conservatorship
- 15.5 - Conservator's Inventory
- 15.8 - Conservator's Account
- 17.7 - Conservator's Report
- 15.7 - Application for Authority to Expend Funds
- 15.6 - Application to Release Funds to Conservator
- 15.81 - Bank Certificates
- gutermae - Application to Terminate Guardianship

Emergency
- Emergency Guardianship Affidavit
- Emergency Guardianship Packet
- Entry Setting Hearing on Motion to Extend
- FC 15.4(E) - Letters of Emergency Guardian
- FC 17.0(E) - Emergency Guardianship Application
- FC 17.1(E) - Emergency Guardianship Statement of Expert Evaluation
- FC 17.02(E) - Judgment Entry Appointing Emergency Guardian
- FC 17.04(E) - Motion To Extend Emergency Guardianship
- FC 17.11(E) - Emergency Guardianship Supplement
- FC 17.12(E) - Judgment Entry Setting Hearing
- FC 17.13(E) - Entry of Continuance
- FC 75.1(E) - Self-Representation Acknowledgment
- FC 75.3(E) - Contact Information Form
- gutermae - Application to Terminate Guardianship

Dispense with Guardianship
- Acknowledgment of Requirements of Custodial Deposit-Minor 22 3C
- Application Dispense with Guardianship Minor
- Entry Dispensing with Appointment of Guardian and Ordering Deposit
- Waiver and Consent - Dispensing with Guardian for Minor
- 15-0
- 22-3

Incompetent
- Motion for Payment of Fees - Indigent
- Guardian Background Check Waiver
- Guardianship Application Packet
- Guardian's Report
- ginfo - Insert Information Sheet
- 15.3 - Guardian's Bond
- 15.9-PO - Oath of Guardian (Person Only)t Person
- 15.5 - Guardian's Inventory
- 15.6 - Application to Release Funds to Guardian
- 15.7 - Application for Authority to Expend Funds
- 17.A - Affidavit of Indigency
- 17.AE - Judgement Entry - Appointment of Counsel for Indigent Ward
- 17.1 - Guardianship Statement of Expert Evaluation
- 15.8 - Guardian's Account
- 15.81 - Bank Certificates
- 27.0 - Notice to Guardian - Submission of Comments or Complaints
- 27.1 - Notice to Guardian and Maker of Comments or Complaints
- 27.2 - Notification of Compliance with Guardian Education
- 27.3 - Notice of(Application for) Change of Address
- 27.4 - Entry on Application to Change Address of the Ward
- 27.5 - Annual Registration of Guardian with Ten or More Wards
- 27.6 - Annual Fee Schedule
- 27.10 - Notification of Guardian's Receipt of Fees
- 27.11 - Notification of Ward's Important Legal Papers
- 27.12 - Guardian's Receipt of Guidebook
- gutermae - Application to Terminate Guardianship

Minor

Fingerprint Instructions
- Criminal Background Check Information and Consent (not required)
- ffeecons - Consent to Potential Loss of Filing Fees
- 16.0 - Application for Appointment of Guardian of Minor
- 15.0A - Judgement Entry Setting Hearing on Application for Appointment of Guardian
- 15.0 - Next of Kin of Proposed Ward
- 15.1 - Waiver of Notice and Consent
- 16.1 - Affidavit
- 16.2 - Selection of Guardian by Minor Over Fourteen Years of Age
- 15.2 - Fiduciary's Acceptance - Guardian
- 15.9 - Oath of Guardian (Person and Estate)
- 15.3 - Guardian's Bond
- 16.3 - Notice of Hearing for Appointment of Guardian of Minor
- 16.4 - Notice of Hearing on Application for Appointment - Guardian of Minor
- 16.5 - Judgement Entry - Appointment of Guardian of Minor
- 15.4 - Letters of Guardianship
- gutermae - Application to Terminate Guardianship

Mental Illness
- 600.17 - Application for Release of Information from Civil Commitment Files
- 600.18 - Consent to Release of Information from Civil Commitment File
- 600.19 - Entry Granting Release of Information from Civil Commitment File

Minor's Settlement:
- 22.0 - Application to Settle a Minor's Claim
- 22.0E - Entry Setting Hearing and Ordering Notice
- 22.1 - Waiver and Consent to Settle Minor's Claim
- 22.2 - Entry Approving Settlement of a Minor's Claim
- 22.3 - Verification of Receipt and Deposit
- 22.4 - Report of Distribution and Entry Minor's Claim

Qualified Income Trust:
- Guardianship for Qualified Income Trust Packet

Change of Name

Adult
Name Change Application Information (adults)
- 21.0 - Application for change of Name of Adult
- 21.0(B) - Judgment Entry - Change of Name of Adult
Suggested Places to Contact as a Result of Your Name Change

Minor
- 21.2 - Application for change of Name of Minor
- 21.4 - Consent to Change of Name
- 21.5 - Notice of Hearing on Change of Name
- 21.3 - Judgement Entry - Change of Name of Minor
- nchear - Judgment Entry Setting Hearing and Ordering Notice
- affpubnc - Affidavit for Service by Publication

Trusts

Trusts:
- 143 - Application for Appointment of Trustee
- 143-DF - Fiduciary's Acceptance Trustee
- 143-B - Trustee's Bond
- 143-G - Journal Entries - Appointment of Testamentary Trustee
- 143-E - Entry Appointing Trustee; Letters of Authority
- 137-2 - Trust Inventory
- 15.8T&15.9T - Trustee's Account

Wrongful Death

Wrongful Death:
- 14.0 - Application to Approve Settlement and Distribution of Wrongful Death and Survival Claims
- 14.1 - Waiver and Consent Wrongful Death and Survival Claims
- 14.2 - Entry Approving Settlement and Distribution of Wrongful Death and Survival Claims
- 14.3 - Report of Distribution of Wrongful Death and Survival Claims
Judge Terre L. Vandervoort
p: 740-652-7212 /Bio 

Magistrate Michelle L. Edgar
p: 740-652 7212
Location Information:
Fairfield County
Juvenile/Probate Court
224 East Main Street (map)
Third Floor
Lancaster, Ohio 43130
Email

Contact / Hours:
740-652-7464 - Probate
740-652-7463 - Juvenile
740-687-0942 - Fax
Monday-Friday
8:00am-4:00pm

Holiday Schedule
Court Costs / Program Fees
Juvenile Court Rules / Fees
Probate Court Rules / Fees
Record Search
Fairfield County Probate Court Search
Fairfield County, Ohio
© 2016 Fairfield County Juvenile Probate, Lancaster, Ohio 43130 - All rights reserved.
Home | Elected County Officials | County Agencies | County Resources

DISCLAIMER:  Information included in this site is believed to be accurate, but is not guaranteed. Fairfield County is not liable for errors or omissions.
website by: WebChick.com