Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY ORDER AFTER HEARING ON ALLEGED CUSTODY/PARENTING TIME VIOLATION CASE NO. Court address Court telephone no. Plaintiff's name, address, and telephone no. 1. Date of hearing: Judge/Referee: FINDINGS: 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. 3. Plaintiff Defendant is not in contempt of court. 4. Plaintiff Defendant failed to appear as ordered. The costs associated with this failure to appear are as follows: Attorney: v Defendant's name, address, and telephone no. Attorney: Hearing: $ Bench warrant: $ Arrest: $ Further hearings: $ Other: $ Total costs: $ 5. Plaintiff Defendant is in contempt of court for a. violation of the custody order second or subsequent finding of contempt. b. violation of the parenting-time order second or subsequent finding of contempt. IT IS ORDERED: 6. A bench warrant shall issue for plaintiff's defendant's arrest with a $ cash-appearance bond, which includes $ for costs of this hearing, issuance of a bench warrant, and arrest. 7. The hearing on the bench warrant show cause is adjourned to . Reason: 8. The bench warrant is discharged. authorization for bench warrant is set aside. 9. The order to show cause is set aside. 10. Plaintiff Defendant is assessed sanctions of $ , payable to the friend of the court. 11. Plaintiff Defendant is assessed costs of $ , payable to for . 12. Plaintiff Defendant shall pay a fine in the amount of $ . 13. The payer shall be committed to days in the county jail, to be released for work other: 14. a. A change in parenting-time terms and conditions as described below: (Attach separate sheets as needed.) b. Makeup parenting time as described below: (Attach separate sheets as needed.) 15. Plaintiff's Defendant's driver's license occupational license recreational license shall be suspended if he/she fails to comply with the makeup/ongoing parenting time ordered above. 16. Plaintiff's Defendant's driver's license occupational license recreational license is suspended. 17. Other: (Referral to other agencies such as SMILE, parenting classes, counseling, alternatives to jail, etc.) (See attached.) Judge Date Plaintiff's signature FOC 58 (5/10) Date Defendant's signature ORDER AFTER HEARING ON ALLEGED CUSTODY/PARENTING TIME VIOLATION sporting license sporting license Bar no. Date MCL 552.641 - MCL 552.646, MCR 3.208(B)(4) American LegalNet, Inc. www.FormsWorkFlow.com