Health Insurance Affidavit Form 4, Instructions: Check local court rules to determine when this form must be filed. It must be filed if there are minor children of the relationship. . It is also used to determine child support. If you are enrolled in a health insurance plan through a group (employer or other organization) or individual insurance plan, which of the following people is/are covered: Fill out the form in our online filing application. If more space is needed, add additional pages. Download a fillable version of Affidavit 4 by clicking the link below or browse more documents and templates provided by the Ohio Court of Common Pleas. This affidavit is used to disclose health insurance coverage that is available for children. This affidavit is used to disclose health insurance coverage that is available for children of the relationship. Instructions: Check local court rules to determine when this form must be filed. olalr, q9xy6t7, gatnc, vv, v9g, nr, tkf, 3xrm, qq, lghifw,