PARENTING TIME FORMS Please Read Before Filling Out The Attached Form The Parenting Time Unit is available to assist in the enforcement of Court ordered parenting time. If your complaint is regarding a violation of a court order, you must complete SIDE A of the attached form. Your Parenting Time Unit Specialist will take the necessary action. If your complaint is not regarding a violation of a court order, you must use SIDE B. This information will be reviewed by your Parenting Time Unit Specialist. If it is determined that further services are needed, you will be notified. If parenting time is not in your court order, you may want to consider petitioning the Court to obtain specific rights of parenting time or to request a change in your current order. You may do this through an attorney, or you may petition the Court without an attorney. This method, in Pro Per, allows you to petition the Court without an attorney. The necessary paperwork is available at the Information Counter at the Friend of the Court. American LegalNet, Inc. www.FormsWorkflow.com SIDE A GENESEE COUNTY FRIEND OF THE COURT PARENTING TIME VIOLATION COMPLAINT DATE: ____________________ CASE NUMBER: _______________________________ JUDGE: ___________________________ PLEASE PRINT CLEARLY YOUR NAME: __________________________________ HOME TELEPHONE: _______________________ CURRENT ADDRESS: ____________________________ DAYTIME NUMBER: ________________________ RACE: _____ SEX: _____ DRIVER’S LIC. # & STATE: _________________________ RACE: _____ SEX: _____ S.S. NO.: ______________________ BIRTH DATE: _____________ CITY/STATE: __________________________ DAYTIME NUMBER: ________________________ DRIVER’S LIC. # & STATE __________________________ ZIP: __________ PLACE OF EMPLOYMENT/ADDRESS: _________________________________________ COMPLAINT AGAINST: ________________________ ADDRESS: ____________________________ HOME TELEPHONE: _______________________ CITY/STATE: ___________________________ S.S. NO.: ______________________ ZIP: __________ BIRTH DATE: _____________ PLACE OF EMPLOYMENT/ADDRESS: ________________________________________ HEIGHT: ______ WEIGHT: _______ HAIR COLOR: _____________ EYE COLOR: _________ ANY DISTINGUISHING MARKS: _____________________________________ Please give the specific complaint regarding denial of your court ordered parenting time: Denied weekend? Yes _____ No ____ If Yes, give dates _______________________ Denied Holiday/Summer parenting time? Yes ______ No _____ If yes, give dates _______________________ Child picked up/returned late? Yes _____ No _____ If yes, give dates __________________________ OTHER: Give brief explanation of any other court order violations only: ___________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ DATE: ____________________________ COMPLAINANT’S SIGNATURE: ___________________________________________ CHILDREN INVOLVED IN THIS CASE SEX NAME BIRTHDATE RACE SOC. SEC. NO. ___ __ ________________________________ __ __________ ___ ___________________ ________________ American LegalNet, Inc. www.FormsWorkflow.com SIDE B GENESEE COUNTY FRIEND OF THE COURT PARENTING TIME INFORMATION FORM DATE: ____________________ CASE NUMBER: _______________________________ JUDGE: ___________________________ PLEASE PRINT CLEARLY YOUR NAME: __________________________________ HOME TELEPHONE: _______________________ CURRENT ADDRESS: ____________________________ DAY TIME NUMBER: ________________________ CITY/STATE: ___________________________ S.S. NO.: ______________________ ZIP: __________ BIRTH DATE: _____________ RACE: _____ SEX: _____ DRIVER’S LIC. # & STATE: ______________________________ PLACE OF EMPLOYMENT/ADDRESS: _____________________________________ COMPLAINT AGAINST: ________________________ ADDRESS: ____________________________ HOME TELEPHONE: _______________________ CITY/STATE: __________________________ DAY TIME NUMBER: ________________________ S.S. NO.: ______________________ ZIP: __________ BIRTH DATE: _____________ RACE: _____ SEX: _____ DRIVER’S LIC. # & STATE: _______________________________ PLACE OF EMPLOYMENT/ADDRESS: ____________________________________ HEIGHT: _____ WEIGHT: ______ HAIR COLOR: ___________ EYE COLOR: ____________ ANY DISTINGUISHING MARKS: ________________________________________ CONCERN: Please state briefly the nature of the parenting time problem that you want placed in your file: ________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ DATE: ____________________________ COMPLAINANT’S SIGNATURE: ___________________________________________ CHILDREN INVOLVED IN THIS CASE NAME SEX BIRTHDATE ____________________ __________ RACE _______ SOC. SEC. NO. ______________________________________ ____________ __________ _________________________________ __________________________ ____________ __________________________ You may wish to consider petitioning the court to modify your parenting time order. You may do this through your attorney or in Pro Per. This method allows you to petition the court without an attorney. This packet is available at the Information Counter. In the meantime, your concerns will be reviewed by your caseworker American LegalNet, Inc. and placed in your file. www.FormsWorkflow.com