Free foc113.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Plaintiff

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

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

CASE NO. MOTION TO PERMIT FOREIGN TRAVEL
Telephone no.

Plaintiff's name and address

moving party

Attorney: v
Defendant's name and address moving party

Attorney:

I request: 1. An order permitting me to take the following child(ren) out of Michigan to for purposes of
Explain nature of planned trip Specify name(s) and date(s) of birth of child(ren). Name of country of planned trip

.

Authority to apply for a passport for the minor child(ren) named above. 2. Other:
Date Moving party's signature

NOTICE OF HEARING A hearing will be held on this motion on
Date

at

Time

at the court address above.

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). CERTIFICATE OF MAILING I certify that on this date I served a copy of this motion and notice of hearing on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined in MCR 3.203.
Date FOC 113 (3/09) Signature of moving party

MOTION TO PERMIT FOREIGN TRAVEL