• Macomb County Prosecutor's Office Family Support Division Phone No: 586 493-4488

    Macomb County Prosecutor's Office Family Support Division Phone No: 586 493-4488

  • FELONY NONSUPPORT - CUSTODIAL PERSON QUESTIONNNAIRE

    I. Information About the Custodial Person (CP) [Person Whom the Child(ren) Live]
  • Today's Date
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Birth Date*
     - -
  • This form is only for Macomb County cases. Because you have selected another county, please contact that county's office.

    Non-Macomb County cases will not be submitted through this form.
  • Birth Expenses Paid by Medicaid:
  • Date of Order of Support
     - -
  • Copy of Order:
  • Child 1 DOB*
     - -
  • Child 2 DOB
     - -
  • Child 3 DOB
     - -
  • Relationship with Non-custodial Parent (NCP):*
  • II. Information About the Noncustodial Parent (NCP) [Parent Paying Child Support]

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • NCP DOB
     - -
  • Prior Domestic Violence History:*
  • Physical Description: Height      Weight     Eyes      Hair Race      Other       

  • Do you have information on the Noncustodial Parent's (NCP) family? Please provide below.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Noncustodial Parent's Work History:
  • Dates Employed: From
     - -
  • Dates Employed: To
     - -
  • Past Dates Employed: From
     - -
  • Past Dates Employed: To
     - -
  • III. Additional Information:

  • Date Signed
     - -
  • Should be Empty: