Request Access To FOC Records {FD-FOC 4022}

STATE OF MICHIGAN COUNTY OF WAYNE THIRD JUDICIAL CIRCUIT COURT FAMILY DIVISION Return this completed Request to: REQUEST FOR COPIES OF CIRCUIT COURT ORDERS CASE NO. (MUST BE PROVIDED) (USE SOCIAL SECURITY # IF CASE # IS NOT KNOWN) JUDGE: Wayne County Friend of the Court 645 Griswold ­ P.O. Box 31-1443 Detroit, Michigan 48231-1405 Name and address of person requesting access to records P-number, if attorney: vs Plaintiff name Defendant name 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 2. guardian ad litem or counsel for a minor OTHER _____________________________________ I need a copy of the following Court Order(s): Custody Order Interstate Order Other (specify) __ ____ APPROXIMATE DATE _____ APROXIMATE DATE Support Order ___ APPROXIMATE DATE ___ APPROXIMATE DATE Income Withholding Order Judgment of Divorce APPROXIMATE DATE ____ __ APPROXIMATE DATE Order of Filiation (Paternity) ______ __ 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. MAILED REQUESTS: 3. 4. Money Order Cashier's Check IN PERSON: Cash Money Order Cashier's Check If requesting copies by mail, you MUST send this completed form, with correct payment, to the above Post Office address. 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 CASH _________ FRIEND OF THE COURT EMPLOYEE RECEIVED $ BY: ___ ______ OTHER # ___________________________________________________ ON DATE _____________ ______ COPIES WERE MAILED TO REQUESTING PERSON BY _____________________ NAME OF EMPLOYEE __________________ ON _________ ____ DATE FD/FOC4022-O (Rev.8/05) REQUEST FOR COPIES OF CIRCUIT COURT ORDERS American LegalNet, Inc. www.USCourtForms.com