Free foc6.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

CASE NO. ENFORCEMENT ORDER (PAGE 1)
Court telephone no.

Plaintiff's name, address, and telephone no.

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

1. Date of hearing: Judge/Referee:
Bar no.

Respondent:

Attorney:

FINDINGS: 2. a. The court adopts the findings reported by the referee. b. The court has stated its findings on the record. c. The order is the result of a consent. 3. The respondent is not in contempt. 4. The respondent failed to appear as ordered. 5. Costs associated with this proceeding are as follows: Hearing $ Bench warrant $ Arrest $ Further hearings $ Other $ Total costs $ 6. The respondent is in contempt of court for a. failure to pay out of currently available resources all or some portion of the amount due. b. failure to exercise due diligence so that he/she could have the capacity to pay all or some portion of the amount due. c. failure to obtain or maintain health-care coverage for the child(ren). d. failure to pay the ordered share of unreimbursed health-care expenses. IT IS ORDERED: 7. Participation in work activity is required. is not required for good cause as stated on the record. 8. A bench warrant shall issue for the respondent's arrest with a $ cash-performance bond, which includes $ 9. The hearing on the Reasons: 10. The bench warrant is discharged. 11. The order to show cause is set aside.
FOC 6 (3/09)

for the costs of this hearing, issuance of a bench warrant, and arrest. bench warrant show cause is adjourned to .

authorization for bench warrant is set aside.

ENFORCEMENT ORDER, PAGE 1

MCL 552.511(1)(b), MCL 552.601 et seq., MCR 3.208(B)(4)

Approved, SCAO

Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

CASE NO. ENFORCEMENT ORDER (PAGE 2)
Court telephone no.

Plaintiff's name

Defendant's name

v 12. The respondent is assessed costs of $ 13. Cash-performance bond in the amount of $ court to be applied to the support account. 14. $ , payable to the friend of the court. is forfeited and shall be transmitted to the friend of the

shall be refunded to the person who posted the bond.

15. The respondent shall submit to the friend of the court on a basis written reports of his/her efforts to find employment and all income received from any source during the reporting period. The reporting shall begin on
Date Date

. A bench warrant for arrest may be issued for failure to comply. the respondent shall pay $ for child support, $ monthly. This sum is composed of for overdue support, $ for service fees, and $ for other. for uninsured

16. Beginning $ medical expenses, $

17. The respondent shall provide proof to the friend of court within days that health-care coverage has been obtained/ maintained. 18. The friend of the court shall notify the appropriate employer, insurer, or plan administrator to enroll the child(ren) for healthcare coverage and to deduct premiums. 19. Income withholding in the amount of $ monthly shall start immediately.

20. The respondent shall be committed to days in the county jail, to be released upon payment of $ to the county sheriff, friend of the court, or clerk of the court as appropriate. The sum shall be applied as directed by the friend of the court. 21. Both parties shall notify the friend of the court in writing, within 21 days of the change, of any change in: a) their mailing or residence addresses and telephone numbers; b) the names, addresses, and telephone numbers of their employers or sources of income; c) the health-care coverage available to them; the names of the insurance companies, health-care organizations, or health-maintenance organizations; the policy, certificate, or contract numbers; and the names and birth dates of the persons who are covered; d) their occupational or drivers' licenses; and e) their social security numbers unless exempt by law pursuant to MCL 552.603. 22. The respondent's license(s) will be suspended unless there is compliance with an order for payment of arrearage. 23. The respondent shall be immediately enrolled in a job-placement program and shall fully participate until employed and income withholding is effective. 24. Other: (See attached.)

Date Plaintiff signature FOC 6 (3/09) Date

Judge Defendant signature Date

ENFORCEMENT ORDER, PAGE 2

MCL 552.511(1)(b), MCL 552.601 et seq., MCR 3.208(B)(4)