(1)
INDEX OF RETIRED JUDGES REGISTRATION FORM*
R. C. 2701.10
IN THE__________________COURT OF______________________COUNTY:
Name:__________________________________________
Address: ______________________________________________
Telephone Number: _____________________________________
Attorney Registration Numb er: ____________________________
I,__________________________, hereby place my name on the index of retired judges in this court. In doing so, I state that I have registered with the Supreme Court of Ohio as a retired judge and I am eligible for service as a retired judge under the Constitution and laws of Ohio. I further state that, upon removing my name from registration with the Supreme Court of Ohio, I shall notify this court in writing.
________________________________ | ________________________________ |
Signature | Date |
*TO BE FILED WITH THE APPROPRIATE LOCAL CLERK OF COURT.
Ohio Gov. Jud. R., form 1