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Michigan Divorce Employment Status Disclosure Form

If you want to know the job status of a spouse for negotiating the marital settlement in the State of Massachusetts, the Michigan Divorce Employment Status Disclosure Form has to be used.

 

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FOC 22b   (3/08)   	EMPLOYMENT STATUS DISCLOSURE	
Date	
Date	
Date	Signature of person preparing form	Name of person preparing form (type or print)	
Telephone no.	
Name
Address
City, state, zip
Name
Address
City, state, zip
Name
Address
City, state, zip
Address
City, state, zipTelephone no.
Telephone no.
Telephone no. Telephone no.	
The information obtained will be treated as confidential and shall not be used or released except for the purposes of administering,
enforcing, and complying with state and federal laws governing child support.
ATTENTION:
Our records indicate that you are the last-known employer for the individual stated above.  This information may no longer be accurate.
Our office may have previously issued an income withholding notice for this individual to your company.  If you received a notice, please
note that MCL 552.611 through MCL 552.614 require you to honor the notice.
Please contact the friend of the court by completing, signing, and returning this form within 7 days of receipt by mail or
facsimile at the above address or Fax number.  Thank you for your cooperation; your assistance is appreciated.
The individual is currently employed here and has been since .
If the individual is not employed with you, please check the items below that apply.
The individual was never employed here.
The individualquitwas fired was terminated was laid off on     .
The individual is receiving unemployment from:
(        )
The individual is receiving benefits from:
Workers' compensation
Disability
(        )
The individual may now be working at:
(        )
The last-known address of the individual is:
(        )
(        )
Approved, SCAO	
CASE NO. STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY	
EMPLOYMENT STATUS DISCLOSURE	
Fax number	
Contact person	Date	
Social security number Name of individual Employer name and addressTitleTelephone no.	
Telephone no.
Friend of the court address
Next: Michigan Divorce Complaint and Summons Form Previous: Michigan Judgment for Divorce Form
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