Do I need a notary for the health-care expense payment forms?

No. These forms are signed without a notary. Any written repayment agreement must be signed by both parties.

How do I submit the health-care expense payment forms?

Send the completed FOC 13 to the other party first. If you cannot arrange payment, provide completed copies of FOC 13 and FOC 13a to the Friend of the Court with supporting documentation.

What documents should I attach?

Attach copies of bills and insurance notifications. The instructions also call for supporting bills and receipts, and the tracking sheet says to attach original receipts or copies of itemized statements.

When do I use the FOC 13a complaint?

Use the FOC 13a if you and the other party cannot work out an arrangement for payment after you send the FOC 13 request.

Tuscola County, MI · Tuscola County

No notary required

Complaint and Notice for Health-Care Expense Payment

Tuscola County parents use these forms to request payment for a child’s uninsured health-care expenses and, if needed, ask the Friend of the Court to enforce payment.

At a glance

Issued by: City of Tuscola County · Tuscola County, Tuscola County, Michigan
Notarization: Not required: file this form without a notary.
Official source: tuscolacounty.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This packet includes a health-care expense tracking sheet, a Request for Health-Care Expense Payment (FOC 13), and a Complaint and Notice for Health-Care Expense Payment (FOC 13a). A parent first sends the request to the other party; if they cannot arrange payment, the parent submits both completed forms to the Friend of the Court. The forms ask for child, provider, service, cost, insurance, and payment information.

Who needs it

A parent seeking payment for a child’s uninsured health-care expenses may use these forms when the court order requires the other party to pay a portion.

How to submit it

Send the completed FOC 13 to the other party first. If payment cannot be arranged, provide completed copies of the FOC 13 and FOC 13a to the Friend of the Court office with supporting bills, receipts, and insurance documentation.

About notarization

This document is signed without a notary; the signer signs and dates the forms, and any written repayment agreement must be signed by both parties.

How to submit this form

1
Download the Forms
Download the health-care expense payment packet and review its instructions.
2
Complete the Request
Fill out the FOC 13 with the child, provider, service, cost, insurance, and payment details.
3
Gather Supporting Documents
Attach bills, receipts, itemized statements, and insurance notifications as instructed.
4
Send the Request
Send the completed FOC 13 to the other party. If payment cannot be arranged, complete the FOC 13a.
5
Submit to the County
Provide completed copies of both forms to the Friend of the Court office.

Frequently asked questions

Do I need a notary for the health-care expense payment forms?: No. These forms are signed without a notary. Any written repayment agreement must be signed by both parties.
How do I submit the health-care expense payment forms?: Send the completed FOC 13 to the other party first. If you cannot arrange payment, provide completed copies of FOC 13 and FOC 13a to the Friend of the Court with supporting documentation.
What documents should I attach?: Attach copies of bills and insurance notifications. The instructions also call for supporting bills and receipts, and the tracking sheet says to attach original receipts or copies of itemized statements.
When do I use the FOC 13a complaint?: Use the FOC 13a if you and the other party cannot work out an arrangement for payment after you send the FOC 13 request.

Need something notarized?

This Complaint and Notice for Health-Care Expense Payment doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.