COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. FRIEND OF THE COURT COMPLAINT FORM Date of Complaint_________________________ : Calendar No. Case / Account Number: _____________________ Plaintiff(s) Check One: ( ) Support ( ) Visitation -against- : JUDICIAL SUBPOENA : (Please PRINT) : MAN’S NAME _________________________________________ S.S.# _____________________________ : PRESENT ADDRESS ( OR Last Known Address) Home Phone ( ) ____________________________ ________________________________________ Business Phone ( ) ____________________ Defendant(s) : ...................................................... PLACE OF EMPLOYMENT (Or Last Known Employment)______________________________________ _____________________________________________________________Shift ______________ Physical Description: Date of Birth ____-____-____ Height __________________Weight _________________ THE PEOPLE OF THE STATE OF NEW YORK Hair ______ Eye ______ Race ______ Scars / Tattoos, etc. ________________________________________ TO WOMAN’S NAME ______________________________________ S.S.# _____________________________ PRESENT ADDRESS (OR Last Known Address) Home Phone ( ) _____________________________ ________________________________________ Business Phone () _____________________ GREETINGS: PLACE OF EMPLOYMENT (Or Last Known Employment ________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable at the Court ____________________________________________________________________ Shift ________________ , located at County of Physical Description: Date of Birth ____-____-____ Height __________________Weight _________________ in room , on the day Scars / Tattoos, etc. , ________________________________________ , 20 at o'clock in the noon, and at any recessed Hair ______ Eye ______ Race ______of or adjourned date, to testify and give evidence as a witness in this action on the part of the CHILDREN OF THIS CASE: LAST NAME FIRST SOCIAL SECURITY # DATE OF BIRTH SEX Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. __________________________________________________________________________________________ NATURE OF COMPLAINT: , one of the Justices of the Date of Order: Witness, Honorable ___________________ Provision allegedly violated_________________________________ Court in County, day of , 20 __________________________________________________________________________________________ Who violated Order provision? ____________________________ Date of alleged violation? ______________ How was provision violated: __________________________________________________________________ (Attorney must sign above and type name below) Attorney(s) for __________________________________________________________________________________________ __________________________________________________________________________________________ Response by Respondent: ____________________________________________________________________ Office and P.O. Address __________________________________________________________________________________________ Complaint’s Signature _________________________________ Telephone No.: Respondent’s Facsimile No.: Signature ____________________________________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com