Ohio Gov. Jud. R., form 4
(4)
IN THE COURT OF COMMON PLEAS
________________COUNTY, OHIO
| A.B. | ) | CASE NO._________________ |
| Plaintiff(s) | ) | ASSIGNED JUDGE_________________ |
| ) | ||
| v. | ) | ORDER FOR REFERRAL |
| ) | OR SUBMISSION TO RETIRED | |
| C.D. | ) | JUDGE PURSUANT TO R.C. |
| Defendant(s) | ) | 2701.10 |
The parties having elected to have _________________a duly registered Retired Judge (act as an adjudicator of the action between them in its entirety, including all post-trial proceedings, if any) (decide the particular issue(s) of fact and/or law which they have set forth in their agreement); and it appearing that they and the Retired Judge have filed their written agreement concerning this (referral) (submission) with this Court:
IT IS HEREBY ORDERED that this case is transferred, pursuant to R.C. 2701.10, to _________________, a duly registered Retired Judge, as provided in their agreement. Should the Retired Judge become unable, for any reason, to fulfill the agreement, this case will revert to the docket of this Court for further proceeding.
The Clerk of this Court is hereby ordered to deliver to ________________, the Retired Judge, a complete copy of the court file in this case, including copies of all documents filed as of the date of this order. Henceforth, copies of all documents filed with this Court shall also be served upon the Retired Judge at an address he or she shall provide to the parties.
| Signature: | ______________________________ |
| Judge of the Court of Common Pleas | |
| Dated: | ______________________________ |
_________________
Ohio Gov. Jud. R., form 4