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Wrongful Death

Information and Procedure
Initial Deposit ( Cash / Check / Money Order Only) $45.00

  • Contact Information Form
  • Application to Approve Settlement and Distribution of Wrongful Death
  • and Survival Claims (Form 14.0)
  • Waiver and Consent Wrongful Death and Survival Claims (Form 14.1)
    • All parties listed on page 2 of the Application to Approve Settlement (Form 14.0) must either sign this Waiver and Consent or be served notice of hearing by certified mail.
  • Narrative Statement describing the action which gave rise to the wrongful death/ survival claim
  • Proposed Entry Approving Settlement and Distribution of Wrongful Death and Survival Claims (Form 14.2

All forms can be mailed to:
Lake County Probate Court
P.O. Box 490
Painesville, Ohio 44077

Initial Wrongful Death Packet

Checklist-Wrongful Death and Survival Claims 
Checklist and Packet Wrongful Death and Survival Claims$45.00 Filing Fee


Contact Information Form 
Form 14.0 App to Approve Settlement 
Form 14.1 Waiver & Consent Wrongful Death 
Form 14.2 Entry Approving Settlement 
Form 14.3 Report of Distribution 
LCPC Form 6.16 Status Report