FOC Request for Detailed Account History

Van Buren County Courts FOC

Request for Detailed Account History
- Name*
  
  First NameLast Name
- Residential Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Case Number*
  If you do not know your case number, please call the Van Buren County Friend of the Court office at (269) 657-7734 to ensure that we can properly identify your case and provide you with your requested documents.
- Name of other person on case*
  
  First NameLast Name
- Your Relationship to the case*
  
  PlaintiffDeffendantThird Party PayeeAttorney
- Check One*
  
  I am the Payer on this Docket.I am the Payee on this Docket.
- Reason for request:*
  
  Housing verificationsocial security verificationOther
- If other, please state the reason for your request:
- Dates needed:
  
  I request a detailed account history of the docket number above.
- Beginning:*
  
  MonthDayYear
  Date
- Ending:*
  
  MonthDayYear
  Date
- I am requesting:
  
  For my account history to be mailed to my address on file with the Friend of the Court office.To pick my account history up in person from the Friend of the Court Office.
- Please note:
  
  Mail: We will only mail account histories to the address on file with the Friend of the Court.
  
  In-person: If you choose to receive your account history in person, you will be required to show your state issued ID or driver's license. Account histories may not be picked up by anyone other than the requestor or a party on the case.
- Would you to receive an email copy of this form?
  
  YesNo
- Email
  This field is not a part of the form Submission
- Please verify that you are human*
- Signature
- Should be Empty:

Van Buren County Courts FOC