STATE OF MICHIGAN COUNTY OF WAYNE THIRD JUDICIAL CIRCUIT COURT FAMILY DIVISION CASE NO. REQUEST TO ACCESS FRIEND OF THE COURT RECORDS (MUST BE PROVIDED) (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 vs Plaintiff name 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. ( ( party I certify that I am a guardian )____________________________ ( 1. )____________________________ ) attorney of record for party ___________________________________________ NAME OF PARTY third-party custodian guardian ad litem or counsel for a minor OTHER _____________________________________ 2. I request a copy of the Friend of the Court (FOC) file: for a flat fee of $20. (DO NOT USE THIS FORM TO REQUEST PAYMENT RECORDS OR TAPES AND TRANSCRIPTS OF REFEREE HEARINGS.) 3. If requesting copies by mail, please send this completed form, with correct payment, to the above Post Office address. 4. I understand that the $20 fee is non-refundable even if you are denied access and that my request will be processed in a timely manner. However, if the documents are not available, they will be provided as soon as they become available. DATE SIGNATURE FRIEND OF THE COURT RESPONSE—TO BE COMPLETED BY FRIEND OF THE COURT. DO NOT WRITE BELOW THIS LINE. Request granted in full Request granted in part Request denied Explanation: ___________________________________________________________________________________________________. Any person denied access to records or confidential information may file a Motion for an Order of Access with the Judge to whom the case is assigned or with the Presiding Judge of the Family Division if there is no assigned Judge. See Michigan Court Rule 3.218 for more information regarding access to Friend of the Court records. __________ _________________________________________ DATE RECEIVED $20.00 BY: SIGNATURE OF FRIEND OF THE COURT EMPLOYEE CASH ____________ OTHER # ______ ON ______ FRIEND OF THE COURT EMPLOYEE _ DATE COPIES WERE MAILED TO REQUESTING PERSON BY _______________________________________ ON ___________________ NAME OF EMPLOYEE FD/FOC4022-R (Rev. 08/05) DATE REQUEST TO ACCESS FRIEND OF THE COURT RECORDS American LegalNet, Inc. www.FormsWorkflow.com