PFC

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IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO DIVISION OF DOMESTIC RELATIONS Plaintiff Name & Address Case No. Judge and Defendant’s Name & Address MOTION IN CHAMBERS INTERVIEW OF CHILDREN Pursuant to R.C. 3109.04(B)(1), in order to help determine the wishes and concerns of child(ren) named below, the undersigned _______________________hereby requests that this court conduct an in chambers interview. NAME YEARS OF AGE DOB: DOB: DOB: DOB: DOB: DOB: Party’s Signature: _________________________ ORDER Upon Motion and good cause shown the Magistrate will conduct an in chambers interview of the above named child(ren) on the ______ day of ___________, 20____ at _______ o’clock in Courtroom _____ of the Wayne County Courthouse 107 West Liberty Street Wooster, Ohio 44691. The party having care and control over the child(ren) at that time is responsible for transportation. ________________________ Judge/Magistrate