Payer name, address, and telephone no.
TO:

           

Payee name, address, and telephone no.
(This notice is for the payer. A copy is sent for your information only.)

1. Date of notice: 
 

2. The friend of the court office received a written
    request from you to review a mistake of fact
    concerning either your identity or arrearage.

3. A review has been scheduled as follows:

Date                                                     Time

Location of review

    

    

    
 

    
 

    

Name of officer conducting review

4.  Bring documentation, records, or any other necessary information with you to the review, which details a mistake of fact.
 

 Additionally, bring the following:

5. You may bring an attorney with you to the review.

FRIEND OF THE COURT

STATE OF MICHIGANJUDICIAL CIRCUITCOUNTY NOTICE OF REVIEW ON ARREARAGE(CONSUMER REPORTING AGENCY)CASE NO. and JUDGEFriend of the court addressTelephone no.Approved, SCAOForm FOC 69, Rev. 3/21MCL 552.512, MCR 3.208(B)Page 1 of 1Distribute form to: Friend of the courtPayerPayee

FOC 69, Notice of Review on Arrearage (Consumer Reporting Agency)

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

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About This Form:

• Sourced from www.courts.michigan.gov/Domestic-Relations (2023-03)
• Page(s): 1
• Fields(s): 17
• Average fields per page: 17
• Reading Level: Grade 9
• LIST Grouping(s): Unknown

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