STATE OF MICHIGAN

CIRCUIT COURT

ALTERNATIVE DISPUTE 
RESOLUTION SUMMARY REPORT FOR:
 CONSENT ORDER
                  
 RECOMMENDED ORDER
             
 

CASE NO. and JUDGE

Friend of the court address              
 

   

 

 

 

 

 

 

 

 

 

Telephone no.

Use note:  Upon completion of the alternative dispute resolution process, a copy of this report should be sent to the 
judge together with the proposed order, if applicable.  This report is not to be placed in the court file.  

1. This report is being submitted following a 
 

 facilitative and information-gathering conference. 

 

 joint meeting.

2. The parties met with a friend of the court alternative dispute resolution provider on 

Date

3. The parties 

 

 were able 

 

 were unable 

 

to reach an agreement.

4. The friend of the court alternative dispute resolution provider:
 
 
 
 

 will take no further action.
 will provide a recommended order to the court.
 will serve a recommended order on the parties.
 recommends the following action to resolve the remaining contested issues:  

 

 .

 

 has identified the following contested issues that might require the court’s immediate attention:  

 

   

   

 

 

 

 

 

 

 

   

 

   

 Other:  
 

 5. The parties have agreed to the following:  

 6. The parties do not agree to the following: 

7. The child(ren) currently reside(s) with 

 

 plaintiff. 

 

 defendant. 

 

 both parties.

   

 
Approved, SCAO
Form FOC 125, Rev. 6/22
MCL 722.23, MCR 3.224
Page 1 of 5

Distribute form to: 
Friend of the Court 
Plaintiff 
Defendant 

Plaintiff’s namevDefendant’s nameAlternative Dispute Resolution Summary Report 
Page 2 of 5

(6/22) 

Case No. 
 

 8. The child(ren) currently attend the following school(s):  
 

 

   

 

9. The parties’ work schedules are:  

  Plaintiff:        

 Su   

 M   

 Tu   

 W   

 Th   

 F   

 Sa 

 Su   

 M   

 Tu   

 W   

 Th   

 F   

 Sa 

 

 

 Time

 Time

 

 

 

 

to 

to 

 

 

 Time

 Time

 

 

  Defendant:   
 

 

  Other: 
 

 

         

 

10.  a. The plaintiff has had the following contact with the children:

 

  b.  The defendant has had the following contact with the children:

11.  After proper screening for domestic violence and completion of a friend of the court alternative dispute resolution 
 

  session, the following issues were raised:

 12.  Other issues the court should be aware of and/or action for consideration:

 13.  Attached is a support recommendation and calculations.

Alternative Dispute Resolution Summary Report 
Page 3 of 5

(6/22) 

Case No. 
 

14.  Following friend of the court alternative dispute resolution, the established custodial environment and child custody 
 
 

  factors are as follows: Attach additional sheets if needed.
  a.  Established custodial environment

      Definition: The custodial environment of a child is established if over an appreciable time the child naturally looks 
      to the parent or parents in that environment for guidance, discipline, the necessities of life, and parental  
      comfort. The age of the child, the physical environment, and the inclination of the parent or parents and the child 
      as to permanency of the relationship shall also be considered.
     
     

  This factor does not appear to be in dispute. 

    This factor appears to be in dispute. 

 

  b. Child custody factors
      Factor A.  The love, affection, and other emotional ties existing between the parties involved and the child.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor B.  The capacity and disposition of the parties involved to give the child love, affection, and guidance and 
                   
                   
                   

the continuation of the education and raising of the child in his or her religion or creed, if any.

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor C.  The capacity and disposition of the parties involved to provide the child with food, clothing, medical care, 
                    or other remedial care recognized and permitted under the laws of this state in place of medical care, 
                    and other material needs.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor D.  The length of time the child has lived in a stable, satisfactory environment, and the desirability of 
                    maintaining continuity.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

 
 
 
 
 
 

 
 
 
 

   

 
 
 

 
 
 
 
 

 
 
 
 

 

     

Alternative Dispute Resolution Summary Report 
Page 4 of 5

(6/22) 

Case No. 
 

    Factor E. The permanence, as a family unit, of the existing or proposed custodial home or homes.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor F.  The moral fitness of the parties involved.
                   
                   

   This factor appears to be in dispute.

 This factor does not appear to be in dispute. 

      Factor G. The mental and physical health of the parties involved.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor H.  The home, school, and community record of the child. 
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor I.  The reasonable preference of the child, if the court considers the child to be of sufficient age to express 
                    preference.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

      Factor J.  The willingness and ability of each of the parties to facilitate and encourage a close and continuing 
                    parent-child relationship between the child and other parent or the child and the parents. A court may not 
                    consider negatively for the purposes of this factor any reasonable action taken by a parent to protect a 
                    child or that parent from sexual assault or domestic violence by the child’s other parent.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute.

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 
 

 
 
 
 
 
 

 

   

Alternative Dispute Resolution Summary Report 
Page 5 of 5

(6/22) 

Case No. 
 

      Factor K.  Domestic violence, regardless of whether the violence was directed at or witnessed by the child.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute. 

 

      Factor L.  Any other factor considered by the court to be of relevance to a particular child custody dispute.
                   
                   

 This factor does not appear to be in dispute. 

   This factor appears to be in dispute. 

 
 
 

 
 
 

15.  The following parenting time has been requested:

 

     

Signature and date

Print name