Parenting Time Complaint

Please be advised that the Friend of the Court will only enforce parenting time as described in your court order. Agreements between the parties will not and cannot be enforced by our office. You must submit your complaint within 56 days of the date the violation first occurs. The other parent may be provided with a copy of this complaint.

Case Number:
Your Name:
Address:
City, State, Zip
Is this a new address?
 
Home Phone:
Cell Phone:
Work Phone:
Email Address:
   
Other Parent's Name:    
Address:
City, State, Zip
Is this a new address?
 
Home Phone:
Cell Phone:
Work Phone:
Email Address:
 
Child's Name:       Birthdate:  
Child's Name: Birthdate:
Child's Name: Birthdate:
 

**You must complete #1 through #6 in DETAIL if you are alleging you were denied parenting time or your complaint will not be processed but will be placed in your file.

1. I was to have parenting time with my child(ren) according to the court order beginning on
Date:  at (Time): 
Until (Date):  at (Time): 
 
2. I was denied my parenting time because:
(Maximum 155 characters - 155 remaining)

 
3. Where did you go to pick up the child(ren) for parenting time?
4. What time did you arrive for pick up of the child(ren)?
5. Were you offered make up time for this complaint?
6. Have you already exercised make up time for this complaint?
    If you checked no, explain why you have not exercised it yet:
    (Maximum 145 characters - 145 remaining)
   
 
   
7. If your complaint has to do with court ordered parenting time but does not pertain to an actual denial of parenting time, please explain: (Maximum 350 characters - 350 remaining)

 
What action are you requesting from the Friend of the Court?
Read my complaint and make it part of my file, but do not take action at this time.
Review and take action to resolve my complaint.
Refer my complaint to Mediation. (Friend of the Court offers Mediation to parents as an alternative to resolving custody and parenting time disputes. Mediation involves both parents meeting together voluntarily with a mediator who will assist them in developing a resolution to their disputes. Mediation is free and confidential.)
   
Signature:
Date: