STATE OF MICHIGAN 54TH JUDICIAL CIRCUIT TUSCOLA COUNTY Tuscola County Friend of the Court REQUEST FOR SUPPORT REVIEW CASE NUMBER 440 N State Street, Caro, MI 48723 Phone: (989)673-4848 Fax: (989)673-4898 PLAINTIFF: DEFENDANT: I, __________________________________, am requesting that Friend of the Court review my child (print your name) support obligation for an increase decrease because:___________________________________ _____________________________________________________________________________________. (You must provide the reason(s) for asking for an increase/decrease. Failure to provide this information may result in your request being denied). I am requesting that the following cases be reviewed: Case number: ___________________________________ Case number: ___________________________________ Case number: ___________________________________ Signature: __________________________________________ CONTACT INFORMATION Date: _________________________ *Address: _____________________________________________________________________________ City: ____________________________________________ State: ______ Zip code: _________________ Home Phone Number: __________________________ Cell Phone Number: _______________________ Email Address: _________________________________________________________________________ -----------------------------------------------------------------------------------------------------------------------------------------*If your address is confidential, you must complete the section below and provide an alternative address where you agree to receive all case related mail and correspondences. The other party will be provided with your alternative address for service purposes and correspondences. Also, if you have any other child support cases in Michigan, the alternative address will be used for correspondences and service. If you wish to have your address marked confidential, complete the section below. (please check this box if applicable) I wish to have my new address marked confidential. I understand that I must provide the court with an "alternative address" where I agree to have all of my case related mail sent to. I also understand that my alternative address may be provided to the other party in this case and/or any other child support case I may have, even if that case is not in Tuscola County. My alternative address is: ________________________________________________________________________________________________________________________________ Street Address City State Zip Code ------------------------------------------------------------------------------------------------------------------------------------------*RIC* 1/16 se American LegalNet, Inc. www.FormsWorkFlow.com