CASE NO. (MUST BE PROVIDED) STATE OF MICHIGAN COUNTY OF WAYNE THIRD JUDICIAL CIRCUIT COURT FAMILY DIVISION REQUEST FOR COPIES OF CIRCUIT COURT ORDERS (USE SOCIAL SECURITY # IF CASE # IS NOT KNOWN) JUDGE: Return this completed Request to: Wayne County Friend of the Court 645 Griswold – P.O. Box 31-1443 Detroit, Michigan 48231-1405 Plaintiff name vs 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. ( ( I certify that I am a party guardian )____________________________ ( 1. )____________________________ )____________________________ 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 Support Order ____ APPROXIMATE DATE Interstate Order ___ APPROXIMATE DATE Order of Filiation (Paternity) _____ APROXIMATE DATE ___ APPROXIMATE DATE Other (specify) __ 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. MAILED REQUESTS: Certification Fee: Add $10.00 per order. Money Order Cashier’s Check IN PERSON: Cash Money Order Cashier’s Check 3. If requesting copies by mail, you MUST send this completed form, with correct payment, to the above Post Office address. 4. 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 RECEIVED $ BY: ______ ___ SIGNATURE CASH OTHER # _________ ___________________________________________________ _____________ FRIEND OF THE COURT EMPLOYEE ______ DATE COPIES WERE MAILED TO REQUESTING PERSON BY _____________________ NAME OF EMPLOYEE FD/FOC4022-O (Rev.9/08) ON __________________ ON _________ ____ DATE REQUEST FOR COPIES OF CIRCUIT COURT ORDERS American LegalNet, Inc. www.FormsWorkflow.com