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FOC 13

Request for Health-Care Expense Payment

Michigan · Michigan State Court Administrative Office · Effective March 1, 2012

This form is a request to the friend of the court for help paying for health-care expenses for a minor child. It asks the court to review medical bills and determine what amount the other party owes.

The court describes it as: Court rule / statute: MCL 552.511a

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Motions

Stage: Motions

This form is used when a court order requires one party to pay some of the health-care costs for a minor child. The requesting party must submit the request to the other party within 28 days of an insurance payment or denial.

Usually filed by the person starting the case.

Common questions

Who should fill out this form?
The instructions are for the requesting party. This form is used to ask the friend of the court for help paying for health-care expenses.
What kind of expenses can be included?
The form is for medical, dental, and other health-care expenses for a minor child.
What documents must be attached?
You must attach a copy of all bills and insurance notifications to this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect March 1, 2012.

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