Allegan County, MI · Allegan County
Complaint and Notice for Health-Care Expense Payment
A requesting party files this form with the Friend of the Court to seek enforcement of eligible health-care expenses under a support order.
At a glance
- Issued by
- City of Allegan County · Allegan County, Allegan County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- courts.michigan.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form asks the Friend of the Court to enforce health-care expenses incurred by the support payer. The requesting party provides information about the child, medical providers, expenses, and related payment requests, and attaches the request for payment with supporting documents. The form also notifies the obligor about the opportunity to file a written objection.
Who needs it
A party seeking Friend of the Court enforcement of health-care expenses under a support order uses this form.
How to submit it
The form is distributed to the Friend of the Court, the obligor, and the requesting party. The document does not give a submission address or other contact details.
About notarization
This document is signed without a notary; its certificate of mailing includes a declaration under penalties of perjury.
How to submit this form
- 1
Download the Form
Download the Complaint and Notice for Health-Care Expense Payment.
- 2
Complete the Complaint
Fill in the case, party, child, provider, and expense information requested on the form.
- 3
Gather Supporting Documents
Attach the request for health-care expense payment and all supporting documents given to the obligor.
- 4
Provide the Form
The form lists the Friend of the Court, the obligor, and the requesting party as recipients.
Frequently asked questions
- Do I need a notary for the health-care expense complaint?
- No. The form does not require notarization. Its certificate of mailing includes a declaration under penalties of perjury.
- Who uses this health-care expense complaint?
- A requesting party seeking Friend of the Court enforcement of health-care expenses under a support order uses this form.
- What documents should I attach?
- The form says to attach the request for health-care expense payment, including all supporting documents, that was given to the obligor.
- How do I submit the complaint?
- The form identifies the Friend of the Court as a recipient. It does not provide an address or other submission details.