Fd Foc4022 - Wayne County Circuit Court Access Request Form Page 3
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1
2
3
4CASE NO.
(MUST BE PROVIDED)
STATE OF MICHIGAN
REQUEST FOR COPIES
(USE SOCIAL SECURITY # IF CASE # IS NOT KNOWN)
COUNTY OF WAYNE
OF
THIRD JUDICIAL CIRCUIT COURT
CIRCUIT COURT ORDERS
FAMILY DIVISION
JUDGE:
Return this completed Request to:
Wayne County Friend of the Court
Plaintiff name
645 Griswold – P.O. Box 31-1443
vs
Detroit, Michigan 48231-1405
Defendant name
Name and address of person requesting access to records
Telephone number(s) where you can be
P-number, if attorney:
contacted during normal business hours.
(
)____________________________
(
)____________________________
(
)____________________________
1.
I certify that I am a
party
guardian
attorney of record for party ___________________________________________
NAME OF PARTY
third-party custodian
guardian ad litem or counsel for a minor
OTHER _____________________________________
2.
I need a copy of the following Court Order(s):
Custody Order
Support Order
Income Withholding Order
____
___
____
__
APPROXIMATE DATE
APPROXIMATE DATE
APPROXIMATE DATE
Interstate Order
Order of Filiation (Paternity)
Judgment of Divorce
_____
___
______
__
APROXIMATE DATE
APPROXIMATE DATE
APPROXIMATE DATE
Other (specify)
__
APPROXIMATE DATE
I would like ______ copy/copies of the requested order(s) upon receipt by Friend of the Court for the copying fee of $4.00 per order.
I would like a certified order. Certification Fee: Add $10.00 per order.
Cashier’s Check
Cashier’s Check
MAILED REQUESTS:
Money Order
IN PERSON:
Cash
Money Order
3.
If requesting copies by mail, you MUST send this completed form, with correct payment, to the above Post Office address.
4.
I understand that the fee paid for this service is non-refundable and that my request will be processed within a timely manner. However,
if the documents are not readily available, they will be provided as soon as they become available.
__________
___________
DATE
SIGNATURE
RECEIVED $
______
CASH
OTHER #
___________________________________________________
BY:
___
_________
_____________
ON
______
FRIEND OF THE COURT EMPLOYEE
DATE
COPIES WERE MAILED TO REQUESTING PERSON BY _____________________
__________________ ON _________ ____
NAME OF EMPLOYEE
DATE
FD/FOC4022-O (Rev. 01/04)
REQUEST FOR COPIES OF CIRCUIT COURT ORDERS
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