Plaintiff’s name, address, and telephone no. 

 

 

 moving party

Defendant’s name, address, and telephone no. 

 moving party

v

 
C
 
 
 
 

1. 
 
 
 
 
  
 

 at

 .

 .

 
 
 
 
  

Third party name, address, and telephone no. 
 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 moving party

 a. On 

Date

 a judgment 

 

  or order was entered regarding custody.

 b. There is currently no order regarding custody. 

  2. Attached is a completed Uniform Child Custody Jurisdiction Enforcement Act Affidavit (MC 416).

  3. The 

 

 plaintiff 

 

 defendant 

 

 third party 

  was ordered to have custody of the following child(ren):

4. The child(ren) have been living with 

Name(s)

 

   

Complete address

 since 

Date

  5. Proper cause exists or circumstances have changed as follows:
 

    Use a separate sheet to explain in detail what has happened and attach.  Include all necessary facts.

  6. It is in the best interests of the child(ren) to establish or change custody for the following reasons: 
 

    Use a separate sheet to explain in detail which best interest factors under the Child Custody Act support this motion and attach. Include all necessary facts.

 and I agree to custody, support, and parenting time as follows:

        Use a separate sheet to explain in detail what you have agreed on and attach. Include all necessary facts.

  8. I ask the court to order that custody, parenting time, and support be as follows:
 

    Use a separate sheet to explain in detail what you want the court to order and attach.

  7. 

Name

 

 

Date

 

ED

   

HGF

 
 

 

JI

   

Moving party’s signature

NOTICE OF HEARING

 

  A hearing will be held on this motion before 

Judge/Referee                                                                                                                       Bar no.

 
K

  on 

Date

 at 

Time

 at 

Location

If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to  
help you fully participate in court proceedings, please contact the court immediately to make arrangements.

Note: If you are the person receiving this motion, you may file a response. Contact the friend of the court office and request form FOC 88.

CERTIFICATE OF MAILING

 
 
 

  I certify that on this date I served a copy of this motion, a Uniform Child Custody Jurisdiction Enforcement Act Affidavit  
  and notice of hearing on the parties or their attorneys by first-class mail addressed to their last-known addresses as    
  defined in MCR 3.203.

L
 

 

Date

Moving party’s signature

 

 

FOC 87 (6/18) MOTION REGARDING CUSTODYMCL 722.21 et seq., MCR 2.119, MCR 3.213BApproved, SCAO Original - Court1st copy - Other party2nd copy - Moving party3rd copy - Friend of the court4th copy - Proof of service5th copy - Proof of serviceSTATE OF MICHIGANJUDICIAL CIRCUITCOUNTY MOTION REGARDING CUSTODYCASE NO.Court addressCourt telephone no.A