Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

Original - Court
1st copy - Plaintiff

2nd copy - Defendant
3rd copy - Friend of the court

CASE NO.

NOTICE OF CHILD SUPPORT REVIEW

Friend  of  the  court  address

Telephone  no.

Plaintiff's name, address, and telephone no.

Plaintiff's attorney name:

v

Defendant's name, address, and telephone no.

Defendant's attorney name:

1. Your request for a review is denied.

The last review conducted at your request was completed less than 36 months ago and there is no evidence of a substantial
change in circumstance.
Other:

2. The friend of the court is reviewing your orders for child support and health care.  You must provide the information stated

below to the friend of the court by
• A completed case questionnaire (copy of blank questionnaire enclosed).
• Your most recent tax returns (include all W-2s and schedules).  If you are self-employed, enclose tax returns and

or court action may be taken without your input.

schedules for the last three years.

• Your last four pay stubs from each employer.
• Other:

3. A review of your uniform child support order has been completed.

a. Your uniform child support order should be changed. The recommended uniform support order is attached. If neither party
objects to the recommended order within 21 days of the date this notice was mailed, the order will be entered. This notice
shall serve as a petition with the court pursuant to MCL 552.517(6). (Proposed changes attached.)

b. No change in the uniform child support order should occur. Either party may object to this determination.

c. A hearing will not be scheduled unless you object in writing to the friend of the court office within 21 days after the date of
this notice.  You can write your objection on a form available from the friend of the court.  Upon receiving your written objection,
the friend of the court will schedule a hearing and will notify you of the time and place of the hearing.  You must attend the
hearing.

4. You have not responded to a previous notice requesting information.  Additional court action may be taken against you.

5. You may be represented by an attorney at a hearing.  Upon your request, the friend of the court office will make available to you

copies of supporting documents, or a summary, prepared or used by the office in making its recommendation.

Date

Friend of the court

CERTIFICATE OF MAILING

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

Date
FOC 71   (3/15)   NOTICE OF CHILD SUPPORT REVIEW

Signature

MCL 552.517, MCL 552.517b