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MC 416Mandatory

Uniform Child Custody Jurisdiction Enforcement Act Affidavit

Michigan · Michigan State Court Administrative Office · Effective July 1, 2022

This form is an affidavit used to provide detailed information to the court about the children, where they have lived, and any other custody cases that might exist. It asks the person filling it out to confirm facts about the children's living situations and any other court actions concerning custody.

The court describes it as: Court rule / statute: MCL 722.1206, MCL 722.1209

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

After judgment

Stage: After judgment

This form is used in a court case dealing with child custody to help the judge understand the history and current situation of the child(ren) involved.

Either party may file.

Common questions

Who fills out this form?
The form requires a signature from the person making the statement, called the affiant. It must be sworn to before a notary public.
What kind of information does it ask for?
It asks for the names and addresses of the children, where they have lived in the last five years, and any other custody court cases the person knows about.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2022.

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