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OTSEGO COUNTY FRIEND OF THE COURT PARENTING TIME VIOLATION COMPLAINT This office can only process complaints which violate the written order of the court. In order to assist you the following information is required: 1. Complaint must be received within 56 days of the date of violation. 2. You must include the specific date of violation or the date you became aware of the violation. It is helpful to include the date of the order and which provision you believe has been violated. A copy of your complaint (page 2) will be provided to the other party when this complaint is processed. Today’s Date: _ Case No. Please Print Clearly Your Name: _ Current Address: _ City/State: _ Zip: _ Birth Date: _ SSN: Home Telephone: _ Daytime and/or Cell Number: _ Driver’s Lic. & State: Place of Employment: _ ---PAGE BREAK--- OTSEGO COUNTY FRIEND OF THE COURT PARENTING TIME VIOLATION COMPLAINT Complaint Against: Address: City/State: _ Zip: Home Telephone: Daytime/Cell Number: _ Please give the specific complaint regarding denial of your court ordered parenting time: Denied weekend? Yes No If Yes, give dates: _ Denied Holiday/Summer parenting time? Yes No If Yes, give dates: _ Child picked up/returned late? Yes No If Yes, give dates: _ Please reference the date of the order and provision which you believe has been violated: Give brief explanation of any court order violations and names of children involved: Date: _ Complainant’s Signature: _