Ohio Gov. Jud. R., form 3
(3)
IN THE COURT OF COMMON PLEAS
___________________________COUNTY, OHIO
| A.B. | ) | CASE NO._________________ |
| Plaintiff(s) | ) | ASSIGNED JUDGE_________________ |
| ) | ||
| v. | ) | AGREEMENT FOR REFERRAL |
| ) | OR SUBMISSION TO RETIRED | |
| C.D. | ) | JUDGE PURSUANT TO R.C. |
| Defendant(s) | ) | 2701.10 |
1. Plaintiff(s) ____________________ and _____________________ and defendant(s) _____________________ and _____________________do hereby agree that this case shall be transferred to_____________________, a Retired Judge, who shall: (check appropriate item)
( ) a. Hear and determine all issues of law and fact which may hereafter arise in this case, receive evidence, and render a judgment adjudicating the action or proceeding in its entirety, including all post-trial proceedings, if any.
( ) b. Hear and determine issues of law and fact, receive evidence, and render a decision with respect to the following specific issue(s) or question(s) only:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. The parties hereto agree to assume the responsibility for providing all facilities, equipment, and personnel reasonably deemed necessary by the Retired Judge during his or her consideration of the action or proceeding referred, or the issue(s) or question(s) submitted, and that they will pay all costs arising out of the provision of the facilities, equipment, and personnel.
3. The parties hereto agree to pay the sum of $____(per diem) or $____(per hour) plus all reasonable expenses incurred incident to the conduct of the proceedings. Payment of all amounts due and owing to the Retired Judge for his or her services shall be made at such times and in such amounts as the parties hereto and the Retired Judge may find mutually agreeable.
4. If any different or additional terms and conditions are desired by the parties hereto and the Retired Judge, the same will be appended hereto and signed by the parties and the Retired Judge.
THIS AGREEMENT entered into this_____________day of________, 20.
Plaintiff(s): ____________________________________________
Defendant(s): __________________________________________
Retired Judge:__________________________________________
Ohio Gov. Jud. R., form 3