Original - Court 1st copy - Plaintiff 2nd copy - Defendant Approved, SCAO 3rd copy - Friend of the Court STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT SUPPORT ENFORCEMENT ORDER COUNTY FOR WORK FIRST PROGRAM Friend of the Court address Telephone no. Plaintiffs name, address, and telephone no. Payer 1. Date of Hearing: Judge/Referee: Attorney: Bar no. FINDINGS: v Defendants name, address, and telephone no.Payer 2. a. The court adopts the findings reported by the referee. b. The court has stated its findings on the record. c. The order is the result of a consent. Attorney: 3. The payer is not in contempt. 4. The payer is in contempt of court for: a. failure to pay out of currently available resources all or some portion of the amount due. b. failure to exercise due diligence so that s/he could have the capacity to pay all or some portion of the amount due. c. failure to obtain or maintain health care coverage for the child(ren). IT IS ORDERED the payer shall: 5. Immediately register for Work First and fully cooperate with that program. 6. Serve days in jail. This sentence is suspended on the condition the payer registers with Work First within days and fully cooperates in that program. If the payer fails to cooperate with, or is unsuccessfully terminated from that program, the payer must serve the jail sentence. 7. Serve days in jail. The payer will be released upon payment of $ . Within days of being released, the payer shall report to the friend of the court office and register with Work First. The payer must cooperate and participate in that program until the payer obtains employment. 8. Serve days in jail, of which the payer shall serve immediately. The balance will be suspended on the condition the payer registers with Work First. The payer shall be released from jail if the payer pays $ , or if payment isnt made, the payer may be released to register with Work First after serving the days. If the payer fails to fully cooperate, or is unsuccessfully terminated from that program, the payer must serve the balance of the jail sentence. 9. Serve days in jail. The payer shall be permitted to go to and from jail to attend the Work First Program. The payer must cooperate and participate in that program until the payer obtains employment. If the payer finds employment, s/he shall be released from jail after completing two consecutive weeks of employment and an income withholding order is effective. 10. Other: Date Judge FOC 105 - Version 1 (6/03) SUPPORT ENFORCEMENT ORDER FOR WORK FIRST PROGRAM >>>> 2 Original - Court 1st copy - Plaintiff 2nd copy - Defendant Approved, SCAO 3rd copy - Friend of the Court STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT SUPPLEMENT TO SUPPORT ENFORCEMENT ORDER COUNTY (WORK FIRST PROGRAM) Friend of the Court address Telephone no. Plaintiffs name, address, and telephone no. Payer Attorney: v Defendants name, address, and telephone no.Payer Attorney: Pursuant to item 22 of page 2 of the Support Enforcement Order, IT IS FURTHER ORDERED the payer shall: a. Immediately register for Work First and fully cooperate with that program. b. Serve days in jail. This sentence is suspended on the condition the payer registers with Work First within days and fully cooperates in that program. If the payer fails to cooperate with, or is unsuccessfully terminated from that program, the payer must serve the jail sentence. c. Serve days in jail. The payer will be released upon payment of $ . Within days of being released, the payer shall report to the friend of the court office and register with Work First. The payer must cooperate and participate in that program until the payer obtains employment. d. Serve days in jail, of which the payer shall serve immediately. The balance will be suspended on the condition the payer registers with Work First. The payer shall be released from jail if the payer pays $ , or if payment isnt made, the payer may be released to register with Work First after serving the days. If the payer fails to fully cooperate, or is unsuccessfully terminated from that program, the payer must serve the balance of the jail sentence. e. Serve days in jail. The payer shall be permitted to go to and from jail to attend the Work First Program. The payer must cooperate and participate in that program until the payer obtains employment. If the payer finds employment, s/he shall be released from jail after completing two consecutive weeks of employment and an income withholding order is effective. f. Other: Date Judge FOC 105 - Version 2 (6/03) SUPPLEMENT TO SUPPORT ENFORCEMENT ORDER (WORK FIRST PROGRAM)