COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

HAMILTON COUNTY, OHIO

PRIVATE CUSTODY EVALUATOR COMMENT/COMPLAINT FORM

In the matter of:	Case No:

Judge:

Plaintiff/Petitioner

vs.	Magistrate:

Defendant/Petitioner

Re: , Custody Evaluator

Name of Custody Evaluator

Please describe the nature of the comment/complaint against the custody evaluator below:

Signature	Street Address

Printed Name	City

Date	State	Zip Code

Relationship to the Case	Telephone Number

Email Address