Cass County Friend of the Court
Law & Courts Building, 60296 M-62, Suite 3
Cassopolis, MI 49031
Phone: (269) 445-4436/Fax: (269) 445-4435
Email: FOC@cassco.org
“Cass County is an equal opportunity provider and employer”
REQUEST FOR SUPPORT PRINTOUT
YOUR NAME CASE #
NAME OF OTHER PARTY
YOUR SOCIAL SECURITY NUMBER
ADDRESS
YOUR PHONE NUMBER:
PRINTOUT NEED FROM _____________________ TO _____________________
Month/Year Month/Year
Lobby—Party will be waiting in the lobby to receive the support printout
Pick Up on or after ___________________________________
Mail to Above Address
(Above address must be YOUR residence or mailing address)
Federal Regulations concerning confidentiality no longer allow us to provide reports by
e-mail. Printouts will not be faxed. It may take up to 3 business days, from the date of
your request and payment of your copy fee (if applicable), to receive your printout. If a
caseworker is available to process this request immediately, you will be instructed to
wait in the lobby at the time of your visit.
If you are requesting a printout, and you have previously received a free printout for this
time period, you will be charged $1.00 per page and payment must be received before the
printout will be provided.
DO NOT WRITE BELOW THIS LINE—FOC USE ONLY
Received by FOC on: ________________________
Completed by:___________________ Completed on: ___________________
