Eaton County, MI · Eaton County

No notary required

Domestic Violence Screening

A parent with a Friend of the Court case completes this screening to share safety concerns before meeting with the other parent.

At a glance

Issued by
City of Eaton County · Eaton County, Eaton 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 screening helps the Friend of the Court determine whether both parents can meet together safely. It asks about safety, protection or no-contact orders, police involvement, arrests, child protective actions, and concerns about participating in a meeting with the other parent. The form says the information is limited to judges, referees, and Friend of the Court staff and cannot be viewed by the other parent or their attorney.

Who needs it

A parent involved in a Friend of the Court case completes the screening to report safety concerns about meeting with the other parent.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This screening is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Screening

    Download the Domestic Violence Screening form.

  2. 2

    Complete the Questions

    Provide your name, case number, date, and answers to the safety questions.

  3. 3

    Review Your Responses

    Include explanations where requested; the form does not identify required attachments.

  4. 4

    Sign and Submit

    Sign and date the form, then submit it to the county department named on the form.

Frequently asked questions

What is the Domestic Violence Screening form for?
It helps the Friend of the Court assess whether both parents can meet together safely and asks about safety concerns and related incidents.
Who completes this screening?
A parent involved in a Friend of the Court case completes it to share information about safety and concerns about meeting with the other parent.
Do I need a notary for the Domestic Violence Screening?
No. This screening is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How do I submit the Domestic Violence Screening?
Submit it to the county department named on the form; check the county website for current contact details.

Need something notarized?

This Domestic Violence Screening doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.