Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY CASE NO. ENFORCEMENT ORDER (PAGE 1) Court address Court telephone no. Plaintiff's name, address, and telephone no. 1. Date of hearing: Judge/Referee: Bar no. Attorney: Respondent: v Defendant's name, address, and telephone no. FINDINGS: 2. Attorney: 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. The respondent is not in contempt. 4. The respondent failed to appear as ordered. 5. Costs associated with this proceeding are as follows: Hearing $ Bench warrant $ Arrest $ Further hearings $ Other $ Total costs $ 0.00 6. The respondent is in contempt of court for a. failure to appear. b. failure to pay out of currently available resources all or some portion of the amount due. c. failure to exercise due diligence so that he/she could have the capacity to pay all or some portion of the amount due. d. failure to obtain or maintain health-care coverage for the child(ren). e. failure to pay the ordered share of unreimbursed health-care expenses. f. failure to obtain a source of income and failure to participate in a work activity after referral by the friend of the court. g. other: 7. Other: IT IS ORDERED: 8. Participation in work activity is required. is not required for good cause as stated on the record. 9. A bench warrant shall issue for the respondent's arrest with a $ cash-performance bond, which includes $ 10. The hearing on the for the costs of this hearing, issuance of a bench warrant, and arrest. bench warrant show cause is adjourned to . Reasons: 11. The bench warrant is discharged. authorization for bench warrant is set aside. 12. The order to show cause is set aside. 13. The respondent is assessed costs of $ , payable to the friend of the court. 14. The respondent shall be assessed statutory surcharge. 15. The respondent is assessed a fee of $ for failure to report required information to the friend of the court. FOC 6 (5/10) ENFORCEMENT ORDER, PAGE 1 MCL 552.511(1)(b), MCL 552.601 et seq., MCR 3.208(B)(4) American LegalNet, Inc. www.FormsWorkFlow.com Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY CASE NO. ENFORCEMENT ORDER (PAGE 2) Court address Court telephone no. Defendant's name Plaintiff's name v 16. Cash-performance bond in the amount of $ court to be applied to the support account. 17. $ is forfeited and shall be transmitted to the friend of the shall be refunded to the person who posted the bond. 18. The respondent shall submit to the friend of the court on a basis written reports of his/her efforts to find employment and all income received from any source during the reporting period. The reporting shall begin on . A bench warrant for arrest may be issued for failure to comply. Date 19. Beginning Date $ , the respondent shall pay $ for current support, $ medical expenses, $ monthly. This sum is composed of for overdue support, $ for service fees, and $ for uninsured for other. 20. The respondent shall provide proof to the friend of court within days that health-care coverage has been obtained/ maintained. 21. The friend of the court shall notify the appropriate employer, insurer, or plan administrator to enroll the child(ren) for healthcare coverage and to deduct premiums. 22. Income withholding in the amount of $ monthly shall start immediately. 23. The respondent shall be committed to days in the county jail, to be released upon payment of $ to the county sheriff, friend of the court, or clerk of the court as appropriate. The sum shall be applied as directed by the friend of the court. 24. Both parties shall notify the friend of the court in writing, within 21 days of the change, of any change in: a) their mailing and residential addresses and telephone numbers; b) the names, addresses, and telephone numbers of their employers or sources of income; c) the health-care coverage available to them; the names of the insurance companies, health-care organizations, or health-maintenance organizations; the policy, certificate, or contract numbers; and the names and birth dates of the persons who are covered; d) their occupational or drivers' licenses; and e) their social security numbers unless exempt by law pursuant to MCL 552.603. 25. The respondent's license(s) will be suspended unless there is compliance with an order for payment of arrearage. 26. The respondent shall be immediately enrolled in a job-placement program and shall fully participate until employed and income withholding is effective. 27. The respondent is placed under the supervision of the friend of the court office for days with the following conditions: 28. Other: (See attached.) Date Judge Plaintiff signature FOC 6 (5/10) ENFORCEMENT ORDER, PAGE 2 Date Defendant signature Date MCL 552.511(1)(b), MCL 552.601 et seq., MCR 3.208(B)(4) American LegalNet, Inc. www.FormsWorkFlow.com