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​Index of SCAO-Approved Forms for Use in Misdemeanor Criminal Matters


This set of forms is for use in misdemeanor criminal matters. The forms must be filed in the district court. See also indexes for general, general criminal, criminal disposition, motor vehicle offense, and probation forms which are used in misdemeanor criminal matters as appropriate.

  
  
  
Citation
Previous Versions
Advice of Rights and Plea Information (also available in Arabic, Chinese, Hmong, Korean, Russian, and Spanish)
  
3/12
MCL 750.504, MCL 770.3, MCR 1.110, MCR 6.610, 18 USC 922(g)(9)
Affidavit for Search Warrant
  
6/04
Affidavit for Search Warrant and Search Warrant (two-page form)
  
3/10
Application to Set Aside Conviction
  
5/16
MCL 780.621, MCL 780.622, MCL 780.772a, MCL 780.827a
(1/16) version can be used until stock is depleted
Assignment to Youthful Trainee Status
  
9/15
MCL 762.11 - 762.14
(6/15) version can be used with a hand correction indicating prosecutor's consent under MCL 762.11(1) where defendant is deferred and incarcerated.
Bond
  
1/08
MCL 765.6b, MCL 780.582a,
MCR 5.935, MCR 6.106, MCR 6.610, 18 USC 922(g)(8)(c)
Certification to Department of State (Interlock Program)
  
3/15
MCL 257.304, MCL 600.1084
(12/10) version can be used until 6/30/15
Commitment Order, Not Guilty by Reason of Insanity
  
5/07
MCL 330.2050, MCR 6.304
Complaint, Misdemeanor
  
3/16
MCL 780.581, MCR 6.102(F)
(6/15) version can be used until 12/31/2016
Custody Order
  
3/16
MCR 3.935, MCR 6.106
Demand/Waiver for Transcript of Preliminary Examination
  
3/08
MCL 600.8635, MCL 712A.2d(7), MCR 6.113(D)
Disclosure of Employment or Contract in Michigan School System
  
3/08
MCL 380.1230d(2),
MCL 380.1535a(7)
Finding and Order on Competency
  
3/06
MCL 330.2050
Judgment after Bond Forfeiture
  
3/09
MCL 765.15, MCL 765.22,
MCL 780.66, MCL 780.67, MCR 6.106(I)
Judgment of Sentence, Commitment to Department of Corrections
  
3/16
MCL 765.15(2), MCL 769.1k, MCL 769.16a, MCL 775.22, MCL 780.766, MCR 6.427
(6/15) version can be used until 12/31/16 with hand correction
  
Judgment of Sentence/Commitment to Jail
  
3/16
MCL 765.15(2), MCL 769.1k, MCL 769.3, MCL 769.16a, MCL 775.22, MCL 780.766, MCL 780.826, MCR 6.427
(6/15) version can be used until 12/31/16 if checkbox option in item 11 is stricken
Motion for Destruction of Fingerprints and Arrest Card
  
3/09
MCL 28.243, MCR 3.936(D)
Motion to Destroy DNA Profile and Sample
  
3/16
MCL 28.176
Motion to Set Aside Forfeiture and Discharge of Bond and Notice of Hearing
  
3/12
MCL 765.15, MCL 765.22,
MCL 765.28, MCL 780.66,
MCL 780.67, MCR 6.106(I)
Motion/Order of Nolle Prosequi
  
3/16
MCL 28.243, MCL 767.29, MCL 769.16a, MCR 3.936(D)
(3/09) version can be used until 12/31/2016
Notice to Prosecuting Official (Victim’s Rights Act)
  
3/16
MCL 780.811, MCL 780.816
(6/04) version can be used until 6/10/2016
Order and Receipt for Driver's License Held as Security
  
3/08
MCL 257.311a
Order Committing Juvenile to Department of Human Services
  
6/15
MCL 769.1 et seq., MCL 771.7(2), MCL 775.22, MCL 780.766
(12/10) version can be used until 12/31/15 with hand correction only.
Order Delaying Sentence
  
3/16
MCL 769.1k, MCL 769.3, MCL 771.1
(6/15) version can be used until 12/31/16 if checkbox option in item 9 is stricken
Order Extending Bond for Protection of Named Person(s)
  
6/05
MCL 765.6b
Order for Competency Examination
  
3/16
MCL 330.2026, MCL 330.2028, MCR 6.125(C)
(5/07) version can be used until stock is depleted
Order for Counseling and Testing for Disease/Infection
  
3/13
MCL 333.5129, MCL 333.5131
Order for DNA Sample
  
6/15
MCL 712A.18k, MCL 750.520m
(3/09) version can be used until 12/31/15 with hand correction only.
Order for Evaluation Relative to Criminal Responsibility
  
3/09
MCL 768.20a
Order for Fingerprints
  
5/07
MCL 28.243, MCL 764.29,
MCL 769.1, MCL 769.16a(5), MCR 3.936
Order of Acquittal/Dismissal or Remand
  
3/14
MCL 769.16a, MCR 6.419, MCR 7.101(M)
(3/09) version can be used until stock is depleted
Order of Discharge from Drug/Mental Health/Veterans Treatment Court Program
  
5/15
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq., SCAO Administrative Memorandum 2015-01
(1/13) version can be used until stock is depleted
Order on Application to Set Aside Conviction
  
10/15
MCL 780.621, MCL 780.623
(3/15) version can be used until 12/31/2015
Order on Motion to Set Aside Forfeiture and Discharge of Bond
  
3/12
MCL 765.15, MCL 765.22,
MCL 765.28, MCL 780.66,
MCL 780.67, MCR 6.106(I)
Order Regarding Destruction of Fingerprints and Arrest Card
  
3/10
MCL 28.243, MCL 780.621,
MCL 780.623, MCR 3.936(D)
Order Regarding Extradition
  
3/09
MCL 780.9
Order Regarding Suspension of Prisoner Fees/Costs
  
3/15
MCL 600.2963, MCR 2.002
(03/08) version can be used until 6/30/15
Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment
  
3/08
MCL 765.15, MCL 780.66,
MCL 780.67, MCR 3.935(F)(5), MCR 6.106(I)
Order to Destroy DNA Profile and Sample
  
3/16
MCL 28.176
Order to Remit Prisoner Funds for Fines, Costs, and Assessments
  
3/11
MCL 769.11
Order Transferring Supervision to Drug/Mental Health/Veterans Treatment Court Program
  
5/15
MCL 600.1060, et seq., MCL 600.1090 et seq., MCL 600.1200 et seq., SCAO Administrative Memorandum 2015-01
(1/13) version can be used until stock is depleted
Plea By Mail
  
7/11
MCR 6.610
Pretrial Release Order
  
6/16
MCL 765.6b, MCL 780.582a,
MCR 5.935, MCR 6.106,
MCR 6.610, 18 USC 922(g)(8)(c)
(1/08) version can be used until stock is depleted
Request for Court-Appointed Attorney and Order
  
3/16
MCR 6.005(B),  MCR 6.610(D), (G)
(3/09) version can be used until stock is depleted
Satisfaction of Financial Obligation
  
3/11
Summons, Criminal
  
3/16
MCR 6.103(B)
(5/07) version can be used until 12/31/2016
Waiver of Extradition
  
3/09
MCL 780.25
Waiver of Privilege Against Disclosure (Alcohol/Substance Abuse Treatment)
  
11/83
Waiver of Trial by Jury and Election to be Tried without Jury
  
3/08
MCL 712A.2d(7), MCL 763.3,
MCR 6.402(B)
Warrant, Misdemeanor, Traffic/Nontraffic
  
3/16
MCL 780.581, MCR 6.102(F), MCR 6.615
(5/07) version can be used until 12/31/2016