for party and minor child(ren) for party only
1. New Address and/or Telephone Number for minor child _____________________ no longer living with custodial parent
I understand that by filing this change of address, it will be used to automatically update address information on any other child-
support cases I have in Michigan. This change is effective for (check all that apply)
all addresses you have listed for me.
residence address only (where I live).
an address that is confidential by court order and which remains confidential with this change.
the single mailing address to which all notices and papers will be served.
2. Alternate Address
The court has entered an order making my address confidential under Michigan Court Rule 3.203(F). The following is an alternate
address for the court, the friend of the court office, and the other party to use in serving me with notice and other court papers.
I will retrieve all my mail regarding this case from this alternate address.
3. Name Change (Attach order changing name or certificate of marriage.)
4. New Employer Employer information is confidential by court order.
5. New Driver's License
6. New Occupational License
7. New Social Security Number for you for minor child
8. Health Care Insurance Provider
9. Other Information: (To be provided as ordered by the court.) (Attach separate sheet.)
CASE NO.STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY
FOC 108 (3/13) CHANGE IN PERSONAL INFORMATION
Friend of the court address
Original - Friend of the court
Copy - Filing party
Approved, SCAO
CHANGE IN PERSONAL INFORMATION
Street address
City State Zip Area code and telephone number
Street address City State Zip
Issuing state License number Expiration date
Employer name Street address
City State Zip Area code and telephone number
Social security number
Provider name Provider address and telephone number Group number Policy number
Name
Please type or print information. Complete only those sections that apply. You can only file changes for yourself or those minor children
of whom you have physical custody. Use another form when making changes for more than one person.
You must sign this form
and send it to the friend of the court.
Name
New name
Issuing state Type of occupation License number Expiration date
Signature of party filing the change Name of party filing the change (type or print)
Date of filing Social security number E-mail address
Telephone no.
