Macomb County Friend Of The Court Parenting Time Complaint

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03/15
CIPT
MACOMB COUNTY FRIEND OF THE COURT PARENTING TIME COMPLAINT
Please be advised that the Friend of the Court will only enforce parenting time as described in your court order. Agreements between
the parties will not and cannot be enforced by our office. You must submit your complaint within 56 days of the date the violation first
occurs. The other parent may be provided with a copy of this complaint.
Please complete the following:
Case Number: _______________________________
Your Name___________________________________ Other Parent’s Name_______________________________
Address______________________________________ Address _________________________________________
_____________________________________________ ________________________________________________
IS THIS A NEW ADDRESS YES[ ] NO[ ]
IS THIS A NEW ADDRESS YES[ ] NO[ ]
CITY, STATE, ZIP
CITY, STATE, ZIP
Home Phone #________________________________ Home Phone # ___________________________________
Cell Phone # _________________________________ Cell Phone # ____________________________________
Work Phone # ________________________________ Work Phone #____________________________________
Email Address________________________________
Email Address____________________________________
Child’s Name ________________________________
Birthdate ________________________________________
Child’s Name ________________________________
Birthdate ________________________________________
Child’s Name ________________________________
Birthdate
________________________________________________
**You must complete #1 through #6 in DETAIL if you are alleging you were denied parenting time or your complaint will
not be processed but will be placed in your file.
1. I was to have parenting time with my child(ren) according to the court order beginning on Date________________
at (Time)_____________ until (Date)___________________ at (Time)_______________.
2. I was denied my parenting time because ___________________________________________________________
______________________________________________________________________________________________
3. Where d
______________________________________________
id you go to pick up the child(ren) for parenting time?
4. What time did you arrive for pick up of the child(ren)? _________________________________________________
5. Were you offered make up time for this complaint? ____________ Yes ______________ No
6. Have you already exercised make up time for this complaint? _________ Yes _________ No
If you checked no explain why you have not exercised it yet ______________________________________________
______________________________________________________________________________________________
7. If your complaint has to do with court ordered parenting time but does not pertain to an actual denial of parenting
time, please explain______________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
What action are you requesting from the Friend of the Court? (CHOOSE ONLY ONE)
[
] Read my complaint and make it part of my file, but do not take action at this time.
[
] Review and take action to resolve my complaint.
_______________________________________________
___________________________________
Signature
Date

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