Free foc12.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Friend of the court

2nd copy - Plaintiff 3rd copy - Defendant Additional copies as needed

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

CASE NO. ORDER
Court telephone no.

Plaintiff's name, address, and telephone no.

1. THE COURT FINDS: Specify findings.

Attorney: v
Defendant's name, address, and telephone no.

Attorney: THE COURT ORDERS: 2. Referral to the friend of the court for a. investigation regarding custody. b. referee hearing regarding custody. c. a joint meeting. d. mediation. e. other:

parenting time. parenting time.

support. support.

3. Psychological evaluation of parties and/or child(ren) as described in item 9. 4. a. A change in parenting time as described in item 9. b. Makeup parenting time as described in item 9.

5. Change of custody as described in item 9. 6. Change of domicile or residence as described in item 9. 7. Domestic relations mediation under MCR 3.216. 8. Motion is denied. 9. Other: Use the following space as needed for items 3, 4, 5, 6, or 9.

Date FOC 12 (3/09)

Judge

Bar no.

ORDER