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Customer Service Request

Please submit your Friend of the Court Inquiry on this form. Your case information will be updated and the Friend of the Court Staff will respond to your inquiry by email.
Your Personal Information
Name:
Date of Birth:
Last 4 of SSN:
xxx-xx-
Email Address:
Case/Docket No.:
Current Address:
City,State,Zip
Daytime Phone:
- -
Other Phone:
- -
Driver's Lic. or State ID #:
Alternate Address:
City,State,Zip
Alternate Phone:
- -
Your Employment Information
Employer/Source of Income:
Address:
City,State,Zip
Phone:
- -
Is this a new employer?
 
Medical Ins. Provider:
Policy #:
Is the dependent covered?
 
Other Party Information
Name:
Home Address:
City,State,Zip
Date of Birth:
Last 4 of SSN:
xxx-xx-
Employer/Source of Income:
Employer Address:
City,State,Zip
Phone:
- -
Is this a new employer?
 
What is your request today?
1000 characters remaining.
By submitting this form, I certify that I am a party to this case, the information provided above is true and correct, and I am applying for/requesting Title IV-D services.

The Wayne County Friend of the Court uses phone technology to contact parties regarding child support payments.