STATE OF MICHIGAN THIRD JUDICIAL CIRCUIT WAYNE COUNTY AFFIDAVIT TO REQUEST CUSTODY & PARENTING TIME ORDER ENFORCEMENT CASE NO. Hon. ___________________ CUSTODIAL PARENT: NON-CUSTODIAL PARENT: Name and Address and phone number Name and Address and phone number This party is incarcerated and a telephonic hearing is required. This party is incarcerated and a telephonic hearing is required. _______________ ___________________ _______________ ___________________ Prisoner ID # Dept. of Corrections’ Prison Name Prisoner ID # Dept. of Corrections’ Prison Name I claim that my order has been violated by acts of the other parent. My daytime phone number is: 1. On , a court order or orders were entered in this case, awarding me parenting time DATE OF ORDER with and/or custody of the child(ren) of this case. 2. I state that the other parent has violated the Order(s) as follows: (Write down the specific violation(s) with date(s), and attach a copy of your Order with the specific violations marked.) 3. I ask that enforcement action be taken by the Friend of the Court as allowed by law, based upon this request. DATE YOUR SIGNATURE SUBSCRIBED AND SWORN BEFORE ME ON SIGNATURE NOTARY PUBLIC, MY COMMISSION EXPIRES ON COUNTY YOU MUST USE A “MOTION TO CHANGE PARENTING TIME” OR “MOTION TO CHANGE CUSTODY” INSTEAD OF THIS FORM IF: • • YOU DO NOT HAVE A PARENTING TIME ORDER. YOU WANT TO CHANGE THE PARENTING TIME ORDER OR CUSTODY ORDER YOU HAVE YOUR MOTION/ENFORCEMENT REQUEST MUST BE SCHEDULED BY FRIEND OF THE COURT FOLLOW THE ATTACHED INSTRUCTIONS TO SUBMIT YOUR DOCUMENTS. FD/FOC4052 (09/03) AFFIDAVIT TO REQUEST CUSTODY & PARENTING TIME ORDER ENFORCEMENT American LegalNet, Inc. www.FormsWorkflow.com