FAM201 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 2SIX-MONTH REVIEW HEARING REQUEST INSTRUCTIONS See Minn. Stat. 247 518.1781You have the right to request a review hearing within six months after entry of a decree of dissolution or legal separation or order that establishes child custody, parenting time, or child support. Minn. Stat. 247 518.1781 (2006). The form you will need to use to request a review hearing is attached. Purpose of Review Hearing: The purpose of the review hearing is to make certain parties are following the court order regarding parenting time and the payment of child support. The review hearing IS NOT an opportunity to present any other issues or to ask the court to establish or modify custody, parenting time, or support. The court CAN ONLY review parenting time and child support provisions as already established in the order. If there is no court ordered parenting time or child support, the court CANNOT create a parenting plan, establish parenting time, or child support at this review hearing. A petition or motion asking for any other type of relief from the court must be served and filed separately from this request. You may wish to contact an attorney or other legal services provider for more information regarding any other type of relief. Instructions to the Party Requesting the Review Hearing: If you decide to request a review hearing, you must do the following within six months from the date of entry of the order or decree:* remove this cover page and complete the Request for Hearing form. Make enough copies of the form and have it served upon all parties, including the County Attorney222s Office, if the county child support enforcement agency (public authority) is a party in the case. Keep a copy of the form for yourself. NOTE: YOU CANNOT HAND DELIVER OR MAIL THE REQUEST FOR HEARING YOURSELF. YOU MUST HAVE SOMEONE ELSE OVER THE AGE OF 18 WHO IS NOT A PARTY TO THE CASE HAND DELIVER OR MAIL THE REQUEST FOR HEARING FOR YOU * return the completed Request for Hearing form and a completed Affidavit of Service form to Court Administration in the county listed at the top of the Request for Hearing form. Court Administration will schedule a hearing and send all parties notice of the hearing date, time, and location.Proof of Child Support Payment: The person who pays support has to provide proof of all the child support payments he/she made. If a party is receiving public assistance or child support enforcement services from the county child support enforcement agency, either party may request that the county child support enforcement agency provide payment information to the parties and the court. Any request made to the county child support enforcement agency must be made at least 14 days before the hearing date. American LegalNet, Inc. www.FormsWorkFlow.com FAM201 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2SIX-MONTH REVIEW HEARING REQUEST See Minn. Stat. 247 518.1781State of Minnesota District Court County Select County Judicial District: Court File Number: Case Type: Plaintiff / Petitioner (first, middle, last)and Defendant / Respondent (first, middle, last) IntervenorRequest for Six Month Review HearingCheck the box or boxes that apply: Child Support The other party is not paying child support as ordered. (Briefly explain) Parenting Time provisions The other party has not complied with the court ordered parenting time as follows: Signature I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116.Dated: Name: Address: City/State/Zip: Telephone: E-mail address: County and State where signed American LegalNet, Inc. www.FormsWorkFlow.com