Plaintiff’s	name,	address,	and	telephone	no.																		

	moving	party	

Defendant’s	name,	address,	and	telephone	no.														

	moving	party

Third	party	name,	address,	and	telephone	no.														

	moving	party

v

					 1.	On	

Date

	a	judgment

										or	order	was	entered	regarding	custody.	
   
   	 2.	Legal	custody	is				
	sole	with	the				
         

	joint.
	plaintiff.			

	defendant.

D
	
	
	

	 3.	It	is	in	the	best	interests	of	the	child(ren)	to	permit	a	change	in	the	legal	residence	or	the	domicile	of	the	following	
	 	 	 child(ren)	because:		Use	a	separate	sheet	to	explain	in	detail	why	it	is	in	the	best	interests	of	the	child(ren)	and	attach.	Include	all	necessary	facts.
	 	 	 	 	 	 	 	 	 	 																						Name	each	child	for	whom	you	want	this	change.

	
E
 

	 4.	I ask	the	court	to	enter	an	order	allowing	a	change	of	domicile	or	legal	residence.
      Use	a	separate	sheet	to	explain	in	detail	what	you	want	the	court	to	order	and	attach.

	
F
	

	 5.	I ask	the	court	to	enter	an	order	
	continuing	the	current	parenting-time	order.	
	 	 	 as	follows:		Use	a	separate	sheet	to	explain	in	detail	what	you	want	the	court	to	order	and	attach.

	modifying	the	parenting-time	order

 

 

Date

 

Moving	party’s	signature

NOTICE OF HEARING

	

	 A	hearing	will	be	held	on	this	motion	before	

Judge/Referee																																																																																																																							Bar	no.

	 on	

	
G

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

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	116.

	 I	certify	that	on	this	date	I	served	a	copy	of	this	motion	and	notice	of	hearing	on	the	parties	or	their	attorney	by	first-class
	 mail	addressed	to	their	last-known	addresses	as	defined	in	MCR	3.203.

CERTIFICATE OF MAILING

 

Moving	party’s	signature

 

   

Date

	
	

   

H

FOC 115 (6/17) MOTION REGARDING CHANGE OF DOMICILE/LEGAL RESIDENCEMCL 552.505, MCL 722.31, MCR 2.119,MCR 3.211(E)Approved, SCAO STATE OF MICHIGANJUDICIAL CIRCUITCOUNTY MOTION REGARDING CHANGE OFDOMICILE/LEGAL RESIDENCECASE NO.Court addressCourt telephone no.AOriginal - Court1st copy - Other party2nd copy - Moving party3rd copy - Friend of the court4th copy - Proof of service5th copy - Proof of serviceBC