STATE OF MICHIGAN THIRD JUDICIAL CIRCUIT WAYNE COUNTY CASE NO. MOTION TO CHANGE PARENTING TIME (Visitation) PENOBSCOT BUILDING 645 GRISWOLD, DETROIT, MI 48104 Please print neatly or type. ALL INFORMATION IS ESSENTIAL. Plaintiff’s Name, Address and Telephone No. Defendant’s Name, Address and Telephone No. USE THE BACK OF THIS FORM TO GIVE DETAILS WHERE NECESSARY. SEE INSTRUCTIONS. 1. An Order regarding our child(ren) has been entered in this case. 2. I ask the Court to change parenting time of the child(ren) as follows: (You must specify what parenting time arrangement you are requesting) 3. Circumstances have changed since the Order and it is in the best interests of the child(ren) to change parenting time for these reasons: (You must explain why parenting time should be changed.) 4. We have agreed to the parenting time arrangement as indicated above in Paragraph #2, as shown by our dated signatures. __________/_________________ DATE / Signature of Plaintiff DATE Signature of Defendant 5. I declare that the above statements in #1, #2 and #3 are true to the best of my information, knowledge and belief AND that I requested the changes from the other party on (DATE) Date: SIGNATURE OF PARTY FILING MOTION: ____ but that request has been refused. _______________________________________ PLEASE PRINT NAME:_________________________________________________________ DO NOT WRITE BELOW THIS LINE NOTICE OF HEARING FRIEND OF THE COURT USE ONLY A hearing will be held on this Motion. You will be given notice of the date, time and place by mail to your address on record at FOC. **IF YOUR ADDRESS IS NOT CORRECT, TAKE STEPS IMMEDATELY TO CORRECT IT** NOTE : YOU MUST APPEAR IN COURT AS NOTIFIED IF YOU WANT THE REFEREE TO HEAR YOUR POSITION ON THIS MOTION. You may represent yourself of retain an attorney. If you require special accommodations to use the court because of a disability, please contact the court immediately to make arrangements. When contacting the court, provide your case number (s). DO NOT WRITE BELOW THIS LINE * *PROOF OF SERVICE** FOR FRIEND OF THE COURT USE ONLY I certify I mailed a copy of this Motion and Hearing Notice to the parties at their Friend of the Court addresses of record on this date. Date: FD/FOC4031 (08/06) Signature: __________________________________________ MOTION TO CHANGE PARENTING TIME (Visitation) American LegalNet, Inc. www.FormsWorkflow.com