Plaintiff’s name, address, and telephone no. 

 

 

   

 moving party

Defendant’s name, address, and telephone no.  

 

 moving party

Third party’s name, address, and telephone no. 

 

 

 moving party

v

I object to the entry of the referee’s recommended order dated    
C
request a de novo review by the court. My objection is based on the following reason(s):

 

 

 and

 

D

E

Date

                                                 

 

                                                                                                                      

Moving party’s signature

Name (type or print)

NOTICE OF HEARING

F

A hearing will be held on this objection before 

Judge

on 

Date and time

 at 

Location

If you require 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. When 
contacting the court, provide your case number(s).

I  served  a  copy  of  this  objection  on  the  parties  or  their  attorneys  by  first-class  mail  addressed  to  their  last-known 
addresses as defined by MCR 3.203. I declare under the penalties of perjury that this certificate of mailing has been 
examined by me and that its contents are true to the best of my information, knowledge, and belief.

CERTIFICATE OF MAILING

 .

G

Date

Approved, SCAO
Form FOC 68, Rev. 3/21
MCR 3.215(E)
Page 1 of 1

                                                 

Signature of objecting party 

Distribute form to: 
Court 
Moving party
Objecting party 
Friend of the court
Proof of service

STATE OF MICHIGANJUDICIAL CIRCUITCOUNTYOBJECTION TOREFEREE’S RECOMMENDED ORDERCASE NO. and JUDGECourt addressCourt telephone no.AB