Washtenaw Parenting Time Denial Complaint - Friend Of The Court

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CIPT_
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WASHTENAW PARENTING TIME DENIAL COMPLAINT
The Friend of the Court will only enforce parenting time as stated in your court order. Agreements between the parents will not be enforced by the
Friend of the Court. You must submit your complaint within 56 days of the denied parenting time. This complaint will be provided to the other
parent and they will be given an opportunity to respond. The Friend of the Court will then advise you of your options and what enforcement action
will be provided. Allegations of abuse/neglect of your children will not be investigated by the Friend of the Court and you are advised to contact
Children’s Protective Service at 855-444-3911.
CASE NUMBER:_______________________________________________________________
Your name _________________________
Other parent’s name______________________
Address:
_________________________
Address: _______________________________
City State and Zip____________________
City State and Zip ________________________
Is this a new address Yes _________ No___________
Is this a new address
Yes________ No __________________
Home phone: ___________________________________
Home phone __________________________________________
Cell phone : _____________work phone______________
Cell phone: __________________work phone _______________
Email:__________________________________________
Email: _______________________________________________
Children’s names and ages:_______________________________________________________________
YOU MUST COMPLETE THE FOLLOWING OR NO ACTION WILL BE TAKEN ON YOUR COMPLAINT
1: ACCORDING TO MY ORDER, I WAS TO HAVE PARENTING TIME WITH MY CHILDREN
FROM DATE ________________________ at time:___________ UNTIL DATE:_________________________ at time:__________
2:
I WAS DENIED MY PARENTING TIME BECAUSE _______________________________________________________________________
_______________________________________________________________________________________________________________________
3:
? _____________________________________
WHERE DID YOU GO TO PICK UP THE CHILDREN FOR YOUR PARENTING TIME
4
: WHAT TIME DID YOU ARRIVE TO PICK UP YOUR CHLD/REN?_____________
5: WERE YOU OFFERED MAKE UP TIME BY THE OTHER PARENT? Yes No (circle one) IF YES, PLEASE EXPLAIN
______________________________________________________________________________________________________________________
IF YOU ANSWERED YES TO 5, HAVE YOU ALREADY EXCERCISED MAKE UP TIME FOR THIS COMPLAINT? Yes No (circle one) IF
NO, WHY NOT?
_______________________________________________________________________________________________________________________
7. WHAT SHOULD THE FRIEND OF COURT DO WITH THIS COMPLAINT?
( ) Please read my complaint and make it part of my file
( ) Please review my complaint and take action to resolve it
MY ANSWERS ON THIS FORM ARE TRUE TO THE BEST OF MY INFORMATION AND BELIEF.
Signature: ______________________________
Date:__________________

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