Wexford County, MI · Wexford County
Verified Statement
Parents complete this Friend of the Court form with identifying, income, child, and health coverage information for a court case.
At a glance
- Issued by
- City of Wexford County · Wexford County, Wexford County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- wexfordcounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Verified Statement collects information about both parents, including contact details, identifying information, employment, income, public assistance, and health coverage available for minor children. It also asks for information about children in the case and other people who may have custody during the case. The form identifies the Friend of the Court as the recipient of the original.
Who needs it
Parents named in a court case complete the form with their information and details about their children and available health care coverage.
How to submit it
Submit the original to the Friend of the Court; the form provides no mailing address or electronic submission method.
About notarization
This document is signed and dated without a notary; the signer declares the statements true to the best of their information, knowledge, and belief.
How to submit this form
- 1
Download the Form
Download the Verified Statement PDF.
- 2
Complete the Parent Sections
Fill in the requested identifying, contact, employment, income, and public assistance information for each parent.
- 3
Add Child and Coverage Details
Provide the requested information about the children, available health care coverage, and any other people who may have custody during the case.
- 4
Sign and Submit
Sign and date the statement, then submit the original to the Friend of the Court.
Frequently asked questions
- What information does the Verified Statement ask for?
- It requests identifying, contact, employment, income, and public assistance information about both parents, as well as details about children and available health care coverage.
- Who completes the Verified Statement?
- Parents named in a court case complete the form with their information and details about their children, health coverage, and any other people who may have custody during the case.
- Do I need a notary for the Verified Statement?
- No. The form is signed and dated without a notary; the signer declares the statements true to the best of their information, knowledge, and belief.
- How do I submit the Verified Statement?
- The form identifies the Friend of the Court as the recipient of the original. It does not provide a mailing address or electronic submission method.