Fd Foc4022 - Wayne County Circuit Court Access Request Form Page 4
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1
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4CASE NO.
(MUST BE PROVIDED)
STATE OF MICHIGAN
REQUEST TO ACCESS
(USE SOCIAL SECURITY # IF CASE # IS NOT KNOWN)
COUNTY OF WAYNE
FRIEND OF THE COURT
THIRD JUDICIAL CIRCUIT COURT
RECORDS
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
P-number, if attorney:
Telephone number(s) where you can be
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 request a copy of the following records in the Friend of the Court (FOC) file: (describe briefly, with dates) for a flat fee of $20. (DO
NOT USE THIS FORM TO REQUEST TAPES OR TRANSCRIPTS OF REFEREE HEARINGS.)
___________________________
___________________________
3.
If requesting copies by mail, please send this completed form, with correct payment, to the above Post Office address.
4.
I understand that the $20 fee is non-refundable and that my request will be processed in a timely manner. However, if the documents
are not available, they will be provided as soon as they become available.
__________
___________
DATE
SIGNATURE
FRIEND OF THE COURT RESPONSE—
TO BE COMPLETED BY FRIEND OF THE COURT. DO NOT WRITE BELOW THIS LINE.
Request granted in full
Request granted in part
Request denied
Explanation: ___________________________________________________________________________________________________.
Any person denied access to records or confidential information may file a Motion for an Order of Access with the Judge to
whom the case is assigned or with the Presiding Judge of the Family Division if there is no assigned Judge. See Michigan Court
Rule 3.218 for more information regarding access to Friend of the Court records.
__________
_________________________________________
DATE
SIGNATURE OF FRIEND OF THE COURT EMPLOYEE
RECEIVED $20.00
CASH
OTHER #
____
______________________________________________
BY:
____________
______
ON
______
_
FRIEND OF THE COURT EMPLOYEE
DATE
COPIES WERE MAILED TO REQUESTING PERSON BY _______________________________________ ON ___________________
NAME OF EMPLOYEE
DATE
FD/FOC4022-R (Rev. 01/04)
REQUEST TO ACCESS FRIEND OF THE COURT RECORDS
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