Michigan > Local County > Tuscola > Family Division
Parenting Time Affidavit - Michigan
| Parenting Time Affidavit Form. This is a Michigan form and can be used in Family Division Tuscola Local County . |
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**MUST BE TYPED OR PRINTED, COMPLETED FULLY, SIGNED, DATED AND NOTARIZED** STATE OF MICHIGAN 54TH JUDICIAL CIRCUIT TUSCOLA COUNTY PLAINTIFF Name: Address: City, State, Zip: Phone: CASE #:_______________________ FRIEND OF THE COURT, TUSCOLA CO. COURT HOUSE, 1ST FL., 440 N STATE STREET, CARO, MI 48723 Phone: 989-673-4848 Fax: 989-673-4898 DEFENDANT Name: Address: City, State, Zip: Phone: PARENTING TIME AFFIDAVIT State of _____________________} }ss County of ____________________} Now comes _____________________, and submits the PARENTING TIME AFFIDAVIT as follows: 1). That I am entitled to parenting time with: Child's name: _____________________________ Child's name: _____________________________ Child's name: _____________________________ Child's name: _____________________________ Birthdate: ____________________ Birthdate: ____________________ Birthdate: ____________________ Birthdate: ____________________ Per the order of this Court dated: ________________________. 2). Beginning at (time) ________on (date) ________ until (time) _________ on (date) ________. (ALLEGED DENIAL MUST BE SUBMITTED TO THE FOC WITHIN 56 DAYS OF DATE). I was denied parenting time by _________________ because of ________________________ ____________________________________________________________________________. 3). That I DID___ or DID NOT___ attempt to pick up the child(ren) at the home _____or other court ordered exchange location ______. Further I DID___ or DID NOT___ wait the 30 minutes as required by the Tuscola County Friend of the Court guidelines. (attach additional sheets if necessary). 4). That I HAVE___ or HAVE NOT___ been denied parenting time before. 5). That I DO___ request makeup parenting time as determined by the Friend of the Court. 6). Other: ________________________________________________________________________. ____________ DATED ____________________________________ SIGNATURE OF COMPLAINING PARTY (MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC) Signed and sworn to before me, a Notary Public, this ____ day of ________________, 20____. ____________________________________ ________________________, Notary Public ______________________ County, Michigan My commission expires: ET 03/16/07 **NOTARIES AVAILABLE AT THE COURTHOUSE. SUBMIT COMPLETED COPY TO THE FOC.EFFECTIVE 12/01.2002 PER MCL552.602(E). *PTAFF* American LegalNet, Inc. www.FormsWorkFlow.com
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