Parenting Time Complaint Form

GENESEE COUNTY FRIEND OF THE COURT CUSTODY OR PARENTING TIME COMPLAINT FORM FRIEND OF THE COURT CAN ONLY TAKE ENFORCEMENT ACTION IF THERE IS A COURT ORDER FOR PARENTING TIME AND THERE HAS BEEN A VIOLATION OF THE ORDER. IF NO VIOLATION OF A COURT ORDER EXISTS FRIEND OF THE COURT CAN NOT TAKE ANY ENFORCEMENT ACTION. BY LAW THE FRIEND OF THE COURT MUST SEND A COPY OF THIS COMPLAINT TO THE OTHER PARTY. CASE NUMBER:_____________________ YOUR NAME: ADDRESS: ________________________________ ________________________________ ________________________________ CASEWORKER:____________________ TELEPHONE: _________________________ WORK: __________________________ CELL: __________________________ COMPLAINT AGAINST:________________________________ Alias:_________________________________ Address: ______________________________________ Height_______ Weight________ City/State/Zip_____________________________ Race__________ Hair __________ Cell__________________ Physical attributes: Telephone: Eye Color_____________ Tattoos/Distinguishing Marks___________________________________ Gender M/F Daytime___________________ Work_____________________ PLEASE GIVE THE SPECIFIC COMPLAINT REGARDING THE DENIAL OF YOUR COURT ORDERED PARENTING TIME: Denied Holiday? Denied summer parenting time? Denied weekend parenting time? YES YES YES NO NO NO Dates: _________________________ Dates: _________________________ Dates: _________________________ Child picked up/returned late? YES NO Dates: _________________________ OTHER: Give a brief explanation of the alleged violations of the court order for custody or parenting time, and the custody or parenting time the order allows: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ COMPLAINANT'S SIGNATURE: ________________________________ DATE: ____________________ COMPLAINTS WILL RECEIVE A WRITTEN RESPONSE ONLY WHEN THE COURT ORDER FOR PARENTING TIME AND/OR CUSTODY HAS ALLE BEEN VIOLATED. DO NOT WRITE BELOW THIS LINE ­ FOR OFFICE USE ONLY Complaint taken by__________ June 2015 American LegalNet, Inc. www.FormsWorkFlow.com *COPT*