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FOC 21

Motion and Order for Disclosure of Income and Health Insurance Information

Michigan · Michigan State Court Administrative Office · Effective March 1, 2009

This form is a request to the court asking the judge to order a specific source of income to provide details about all wages, earnings, and any available health insurance coverage for the person receiving the income.

The court describes it as: Court rule / statute: MCL 552.505, MCL 552.517

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Motions

Stage: Motions

This form is used when a friend of the court is conducting an investigation and needs to gather information about someone's income and health insurance coverage.

Either party may file.

Common questions

What is this form for?
This form is a motion asking the court to order a source of income to share details about wages and health insurance coverage.
Who files this form?
The form is used by the friend of the court to request the order from the court.
Does this form require a fee?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect March 1, 2009.

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