IN THE COMMON PLEAS COURT OF BUTLER COUNTY, OHIO JUVENILE DIVISION Request For Preparation of Transcript CASE #_________________________________ IN THE MATTER OF: _______________________________________ _______________________________________ Notice is hereby given that I, _______________________________________, _________________________________, (Requesting Person’s Name) (Relationship to case (parent, custodian, defendant, etc.) request the preparation of a transcript on the above captioned matter. Noted below is the information I am requesting to be transcribed: (1) Date of Hearing___________________________ Judge/Magistrate__________________________ (2) Date of Hearing___________________________ Judge/Magistrate__________________________ (3) Date of Hearing___________________________ Judge/Magistrate__________________________ (4) Date of Hearing___________________________ Judge/Magistrate__________________________ (5) Date of Hearing___________________________ Judge/Magistrate__________________________ The purpose of this transcript is for: _______Objections to Magistrate’s Decision _______ Appeal _______ Other:_______________________________ (motion, evidentiary purposes, etc) Type of Transcript: _______CD ______Typed (deposit required) If for Objections or Appeal, have these pleadings been filed and if so, when? ____ Yes ______No Date Filed_____________ I have read the attached “Policy for Requesting Transcripts” document and understand what my rights and obligations are regarding my request. ___________________________ ___________________________ Signature of Petitioner Daytime Phone Number __________________________________ Street Address __________________________________ City, State, Zip Code