1. The office of the friend of the court has reviewed
    the records and determined the respondent,

 ,

   has failed to obtain or maintain health-care
    coverage for the child(ren) as ordered by the court.
   
2. I request the court issue an order to show 
    cause why the respondent named above should
    not be found in contempt for failure to comply
    with the court’s order.

Name of respondent

    

   

MOTION

 

                     

 

    

 USE NOTE: This form is for use by the friend of the court. Parties should use form MC 230.

Date

 

Friend of the court/Authorized representative

IT IS ORDERED:

3. 

Name of respondent

  at 

Location

ORDER

 shall appear on 

Date and time

 
 
 

 

to show cause why he/she should not be held in contempt for failure to comply with the court’s order. If the named party 
fails to appear, he/she may be found in contempt and a bench warrant may be issued for his/her arrest. If contempt is 
found, the court may apply any enforcement remedy allowed under law.
 4. This matter will be heard before a referee; however, this matter may be taken before the judge for immediate hearing
    if necessary.

                     

 
NOTICE REGARDING HEARING:
Each party attending the hearing must dress in a manner appropriate for a court hearing and must not carry any weapons 
into the courthouse or office of the friend of the court.

Judge signature and date

  Do not bring any child to court who will not be called to testify.
  Complete the attached forms that apply, following the instructions provided.

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).
Approved, SCAO
Form FOC 2a, Rev. 5/21
MCL 552.511, MCL 552.625(a), MCL 552.626a, MCL 552.631, 
MCR 3.208(B)(1)
Page 1 of 2

Distribute form to: 
Court 
Plaintiff 
Defendant 
Friend of the court

STATE OF MICHIGANJUDICIAL CIRCUITCOUNTYMOTION AND ORDER TO SHOW CAUSE FOR CONTEMPT (MEDICAL)CASE NO. and JUDGECourt addressCourt telephone no.Plaintiff’s name, address, and telephone no.Attorney:             vDefendant’s name, address, and telephone no.Attorney:Motion and Order to Show Cause for Contempt (Medical) 
Page 2 of 2

(5/21) 

Case No. 
 

CERTIFICATE OF MAILING

I served a copy of this motion and order 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.

Date

 

Signature